Abstract P244: Measurement Properties of the Center of Epidemiologic Studies-Depression Scale (CESD-10): Findings from the SOL Sociocultural Ancillary Study
BACKGROUND: Negative emotions such as depressive symptoms have been found to be correlates of CVD risk. Yet, limited research has addressed depression in relation to CVD among diverse Hispanic/Latino (H/L) backgrounds. The Center of Epidemiologic Studies-Depression Scale (CESD-10) has been used to measure levels of depressive symptomatology and to screen for clinical depression. Although the CESD-10 has been administered in studies with H/L samples, studies evaluating the psychometric properties of this instrument in diverse H/L samples are lacking. The goal of the current study was to examine the feasibility of using the CESD-10 in the H/L population by establishing the reliability and validity of the CESD-10 in English and Spanish.
METHODS: A subset (N=5212) of cross-sectional data from a multisite (Bronx, Chicago, Miami and San Diego), two-stage area household probability sample of 16,415 adults from H/L backgrounds (18-74 years old) who participated in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study were analyzed. Standard factor loadings were calculated for all item-level confirmatory factor analysis (CFA), and multi-group confirmatory factor analysis (MCFA) models. To assess model fit in all CFA and MCFA models, the chi-square likelihood ratio and descriptive fit indices were examined. The descriptive fit indices considered included (a) the Root Mean Square Error of Approximation, (b) the Standardized Root Mean Square Residual, and the (c) Comparative Fit Index. In addition, an exploratory factor analysis (EFA) was performed to determine if the CESD-10 contained the factors of positive and negative affect identified in previous research.
RESULTS: The overall scale reliability was acceptable (α = .83) in the total sample, as well as in the English (α=.82) and Spanish (α = .84) language groups. Factor analysis demonstrated that the CESD-10 contained two underlying factors represented by lack of positive affect (8 items), and presence of negative affect (2 items). Item level confirmatory analyses indicated that the fit indices were acceptable and factorial invariance was evident in the English and Spanish administrations.
CONCLUSIONS: The results suggest that the CESD-10 is appropriate for use in both English and Spanish among diverse H/L participants.
- © 2013 by American Heart Association, Inc.