The CES-D as a screen for depression and other psychiatric disorders in adolescents.
The performance of the Center for Epidemiologic Studies Depression Scale (CES-D) as a screen for depression was explored in a two-stage epidemiological study of adolescents. The study consisted of a CES-D screening stage completed by a school sample of 2,465 young adolescents and a structured psychiatric interview stage completed by 332 mother-adolescent pairs. Adolescents with interview validated depression had elevated screening scores (mean = 31.10, SD = 11.30) compared with individuals with no disorder (mean = 21.01, SD = 11.77). Using receiver operating characteristic curves, a cut point of 12 for males produced the best overall screening characteristics (sensitivity = 0.85, specificity = 0.49), while for females, a cut point of 22 was optimal (sensitivity = 0.83, specificity = 0.77).
Garrison
C Z
CZ
Department of Epidermiology and Biostatistics, University of South Carolina, Columbia 29208.
Addy
C L
CL
Jackson
K L
KL
McKeown
R E
RE
Waller
J L
JL
D000293:Adolescent; D003866:Depressive Disorder / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011594:Psychometrics; D012016:Reference Values; D012307:Risk Factors; D013405:Suicide / Q000523:psychology; D000092864:Suicide Prevention