精简版流调中心抑郁量表在社区老年人中的信效度评价  

Reliability and construct validity of cut version of Center for Epidemiological Studies Depression Scale(CES-D) in community elderly population

作　　者：冯笑[1] 郭丽娜[1] 刘堃[1] 

机构地区：[1]辽宁省锦州市辽宁医学院护理学院,辽宁锦州121001

出　　处：《中国现代医学杂志》2016年第10期133-137,共5页China Journal of Modern Medicine

摘　　要：目的对用拉西分析法（Rasch-Derived）得来的流调中心抑郁量表（CES-D）精简版（CES-D-R）进行信效度的监测,为社区老年人抑郁自评提供一种新的更加简便的工具。方法采用分层随机抽样,运用精简版量表CES-D-R对500名社区老年人进行问卷调查,运用SPSS 17.0和AMOS 17.0软件对所得数据进行统计分析。结果条目相关性分析结果显示,所有条目-总分均有显著性相关,与原流调中心抑郁量表（CES-D）做校标关联分析显示均显著相关,I-CVI为0.830~1.000,S-CVI/UA为0.860、S-CVI/Ave为0.970;EFA得到四因子结构方程模型,各条目共同度为0.701~0.834,累积方差贡献率为78.913%,对模型进行CFA得到CMIN/DF〈3,GFI、TLI、CFI均〉0.90,RMSEA〈0.08,PGFI〉0.50,除CMIN和AGFI外,均达到适配标准;Cronbachα系数为0.798,4个维度的Cronbachα系数分别为0.725、0.780、0.882和0.755,分半信度系数为0.769,ICC为0.798。结论精简版流调中心抑郁量表（CES-D-R）信效度良好,可用于社区老年人抑郁状况的评价。Objective To test the reliability and construct validity of Rasch-Derived Center for Epidemiological Studies Depression Scale（CES-D-R） in community elderly population so as to provide a new kind of simple tool for them.Methods Stratified random sampling method was adopted.The CES-D-R was used for questionnaire survey in500 community elderly people and all the data were analyzed by SPSS 17.0 and AMOS 17.0.Results Entries correlation analysis results showed that all the entries-total scores were significantly related,the CES-D-R and CES-D were significantly related,the item content validity indexes（I-CVI） were 0.830-1.000,the scale content validity indexes（S-CVI/UA） was 0.860 and S-CVI/Ave was 0.970.Four common factors from exploratory factor analysis explained 78.913% of the total variance and the communalities of the items were 0.701-0.834.Confirmatory factor analysis showed the CMIN/DF 3; GFI,TLI and CFI 0.90; RMSEA 0.08; and PGFI 0.50.Besides CMIN and AGFI,other standards achieved adaption.The Cronbach α coefficient was 0.798; Cronbach α coefficient of four dimensions were 0.725,0.780,0.882 and 0.755 respectively; split-half reliability coefficient was 0.769,ICC was 0.798.Conclusions CES-D-R is a reliable and valid instrument which could be used for evaluation of community elderly depression.

关 键 词：老年人 流调中心抑郁量表 信度 效度 

分 类 号：R749.4[医药卫生—神经病学与精神病学]