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Screening for Adolescent Depression: A Comparison of Depression Scales

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ROBERTS, ROBERT E., LEWINSOHN, PETER M., SEELEY, JOHN R.·1991·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/00004583-199101000-00009

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Abstract

The ability of two depression scales, the Center for Epidemiologic Studies Depression Scale (CES-D) and the Beck Depression Inventory (BDI), to identify cases of DSM-III-R major depression and dysthymia was investigated in a large, community sample of high school students. Receiver operating characteristics analyses indicated that different caseness criteria should be used for boys and girls for both the CES-D and the BDI. Internal consistency-reliability and sensitivity and specificity for detecting current episodes of current depression and dysthymia were adequate and comparable to those found with adult samples, but both the CES-D and the BDI generated many false positives. Multiple screening using the "serial" strategy increased positive predictive power substantially for both the CES-D and the BDI, whereas using the "parallel" strategy had very little effect on the efficacy of the two screeners. The results indicate that neither the BDI nor the CES-D should be used by themselves as methods for case ascertainment in either epidemiological or experimental studies, although the BDI does function somewhat better than the CES-D as a screener.

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Authors: ROBERTS, R. E., LEWINSOHN, P. M., & SEELEY, J. R.
Affiliations: The University of Texas Health Science Center at Houston (US)
Oregon Research Institute (US)
Corresponding author: ROBERTS, ROBERT E.
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 1991-01
Volume: 30
Issue: 1
Pages: 58-66
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1097/00004583-199101000-00009
OpenAlex: W2053115639
Cited by: 850
References: 51
Citations by year: 2026: 6 · 2025: 7 · 2024: 16 · 2023: 12 · 2022: 13 · 2021: 21 · 2020: 23 · 2019: 20 · 2018: 17 · 2017: 25 · 2016: 29 · 2015: 46 · 2014: 32 · 2013: 52 · 2012: 40
FWCI: 18.70
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (R01MH040501, MH40501)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: adolescent depression, depression screening, CES-D, Beck Depression Inventory, major depressive disorder, dysthymia, high school students, false positives, positive predictive value, sensitivity and specificity
MeSH terms: Adolescent, Depressive Disorder, Female, Humans, Male, Personality Tests, Psychometrics, Cohort Studies

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Screening for Adolescent Depression: A Comparison of Depression Scales

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