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流调中心抑郁量表在老年人群中的因素结构
Factor Structures of Center for Epidemiological Studies Depression Scale among Elderly Adults

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张宝山 1   李娟 2 *  
文摘 本研究使用4903名老年人组成的全国样本,系统地检验了流调中心抑郁量表的因素结构。结果表明,Radloff的四因素结构、Guarnaccia等和Yen等的三因素结构对当前样本数据的拟合较好,但信度分析和相关分析显示积极情绪因素降低了总量表信度,并且与其他因素之间不支持共同的高阶因素(抑郁),基于此,在使用量表合成总分的背景下,4个积极情绪项目不适合包含在CES-D量表中。随后,本研究检验了剔除积极情绪项目后量表各因素结构的拟合情况,发现积极情绪因素对量表因素结构的拟合水平贡献不大。结合拟合指数和Radloff对量表的界定,16项目的三因素结构最适合于我国老年人群,并且,这一因素结构在老年人群中具有跨性别的恒等性。
其他语种文摘 Objectives;The Centre for Epidemiologic Studies Depression Scale(CES-D) is a self - rating scale for measuring depressive symptoms in community settings.It is commonly used as a screening instrument for potential depression.Factor analytic studies have shown that the 20 items of CES-D represent depressed affect,positive affect(reversed items),somatic complaints,and interpersonal concerns(Radloff,1977).Although it is one of the most commonly used questionnaires,limited studies have focused on the factor structure of the CES-D among the groups of Chinese elderly adults.The objective of the present study was to examine the factor structure of CES-D in Chinese elderly populations.Method;The CES-D was assessed,based on a national sample of 4903 elderly adults,who were recruited from major Chinese mainland cities.Results;a) Confirmatory factor analysis for 20 items of CES-D demonstrated that the four-factor structure identified by Radloff(1977),as well as two three-factor structures suggested by Cuamaccia et al.(1989) and Yen et al.(2000),fitted the present data with RMSEA<0.08,SRMR<0.08,NNFI>0.90,GFI>0.90,and AGFI>0.90,as well as CFI>0.95,which indicated that these factor structures could be replicated in the Chinese elderly population;b) the correlations between the positive affect factor,which consist of four reverse scoring items,and the other factors were too low to support a common higher -order factor the range of rs was from 0.35 to 0.46,which was smaller than the cut-off value of.50;c),under the conditions that the total score was used to indicate individuals’ levels of depressive symptoms,the four items of positive affect should not be included in the CES-D.In the following analyses,we tried to test the factor structure of CES-D positive factor,and found that the positive affect factor only made limited contributions to the model fit.Combining both original definition and fit indices,Radloff’ s factor structure was chosen as the most suitable structure for CES-D,which consisted of the remaining 16 items,RMSEA =.067,SRMR =.033,CFI =. 98,NNFI =.98,and GFI =.94;d) measurement invariance was established across gender for the factor structure of the remaining 16 items.Conclusion;a) Among Chinese elderly adults,the CES - D may provide a better measure of depressive symptoms as a 16-item scale excluding the positive affect factor;and b) the factor structure,identified by Radloff,fit the 16-item scale.
来源 心理科学 ,2012,35(4):993-998 【核心库】
关键词 流调中心抑郁量表 ; 因素结构 ; 老年人
地址

1. 陕西师范大学心理学院, 中国科学院心理健康重点实验室, 西安, 710062  

2. 中国科学院心理研究所老年心理研究中心, 中国科学院心理健康院重点实验室, 北京, 100101

语种 中文
ISSN 1671-6981
学科 社会科学总论
基金 国家自然科学基金 ;  国家科技支撑计划项目 ;  中国科学院知识创新工程重要方向项目 ;  中国博士后科学基金 ;  中科院心理所青年基金项目
文献收藏号 CSCD:4653919

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引证文献 5

1 张娜 流调中心抑郁量表在农村女性中的因素结构和信效度 四川大学学报. 医学版,2014,45(5):827-830,841
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2 郭丽娜 中文版抑郁认知量表在老年人群中应用的信效度研究 中华行为医学与脑科学杂志,2016,25(1):86-89
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