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Screening for Adolescent Depression: A Comparison of Depression Scales
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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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“We used the Center for Epidemiological Studies Depression Scale to evaluate depression,38 and we defined scores higher than 22 as indicating depression symptomatology (α = 0.87; mean = 22.22; SD = 10.36), consistent with previous research.9,39–42”
From Sexual Compulsivity, Co-Occurring Psychosocial Health Problems, and HIV Risk Among Gay and Bisexual Men: Further Evidence of a Syndemic (2012) · cites this paper as [41]
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Metadata
- 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)
- 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
- 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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