流调中心抑郁水平评定量表在农村人群测量的信效度评价  

Reliability and validity of the center for epidemiologic studies depression scale in rural populations

作　　者：张杰[1] 孔媛媛[2] 周莉[3] 

机构地区：[1]中央财经大学社会发展学院社会学系,美国纽约州立大学布法罗分院,北京100081 [2]山东大学公共卫生学院流行病与卫生统计所 [3]大连医科大学心理系

出　　处：《中华行为医学与脑科学杂志》2009年第4期372-374,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：美国国家卫生研究院资助课题（R03MH60828-01A1）

摘　　要：目的研究流调中心抑郁水平评定量表（CES-D）在农村人群测量的信效度。方法以Hamilton抑郁量表（HAM-D）为标准，评价CES-D的区分效度和效标效度。在大连市庄河和金州两地区选取了330名农村居民。主要采用相关分析和探索性因子分析评价量表的信度和效度。结果量表的Cron—bachα系数为0．74，条目与总分之间的平均相关系数为0．59。探索性因子分析提取了情感和躯体症状，人际关系冲突2个因子（累计解释的方差为51．98％）。各条目的负荷范围在0．42～0．83。CES-D平均得分抑郁组[（22．80±10．28）分]和非抑郁组[（15．36±5．76）分]之间差异有显著性（t=2．60，P=0．01）。CES-D与HAM-D的相关系数为0．50（P〈0．01）。结论CES—D在农村人群中测量具有较为理想的信效度。Objective To assess the reliability and validity of the center for epidemiological studies depression scale （CES-D） in rural populations. Methods CES-D was administered to 330 rural residents in Jinzbou and Zhuangbe district of Dalian city. Hamilton Rating Scale for Depression （HAM-D） was used as stand ards to assess the discriminant validity and criterion validity. Statistical analysis included Pearson＇ s correlations and the exploratory factor analysis. Results The Cronbach of was 0.74, and the average item-total correlation was 0.59. Two factors were extracted by using exploratory factor analysis ： affective and somatic symptoms and interpersonal problems. The range of factor loading was between 0.42 and 0.83. CES-D mean scores were significantly different between the depressive group （22.80 ＋ 10.28 ） and non-depressive group （ 15.36 ＋ 5.76. t = 2.60, P = 0.01 ）. The correlation coefficient between CES-D and HAM-D was 0.50 （P〈 0.01 ）. Conclusion The reliability and validity of CES-D for rural populations is acceptable.

关 键 词：流调中心抑郁水平评定量表 农村人群 信度 效度 心理测量 

分 类 号：R749.4[医药卫生—神经病学与精神病学]