title: [Validation of a cutoff point for the short version of the Depression Scale of the Center for Epidemiologic Studies in older Mexican adults].
abstract: OBJECTIVE
  To identify a valid cutoff point associated with Center for Epidemiologic Studies, Depression Scale (CES-D) of seven items, which allows the classification of older adults according to presence/absence of clinically significant depressive symptoms.
  
  
  METHODS
  Screening study with 229 older adults residing in two states of Mexico (Morelos and Tlaxcala), which were part of the sample from the National Survey of Health and Nutrition, 2012. We estimated the sensitivity and specificity associated with the selected cutoff points using the diagnostic criteria of ICD-10 (International Classification of Diseases, 10th revision) and DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, fourth edition).
  
  
  RESULTS
  The cutoff point estimated was CES-D=5. According to the ICD-10 sensitivity and specificity were 83.3 and 90.2%, and ROC was 87%. Using DSM-IV, the values were 85, 83.2, and 84%, respectively.
  
  
  CONCLUSIONS
  The short version of the CES-D can be used as a screening test to identify probable cases of older adults with clinically significant depressive symptoms.
authors.affiliation: Dirección de Estadística, Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Aarón
authors.initials: A
authors.lastname: Salinas-Rodríguez
authors.affiliation: Dirección de Estadística, Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Betty
authors.initials: B
authors.lastname: Manrique-Espinoza
authors.affiliation: Laboratorio de Demencias, Instituto Nacional de Neurología y Neurocirugía, Distrito Federal, México.
authors.forename: Gilberto Isaac
authors.initials: GI
authors.lastname: Acosta-Castillo
authors.affiliation: Laboratorio de Demencias, Instituto Nacional de Neurología y Neurocirugía, Cuernavaca, Morelos, México.
authors.forename: Aurora
authors.initials: A
authors.lastname: Franco-Núñez
authors.affiliation: Dirección General, Instituto Nacional de Geriatría, Distrito Federal, México.
authors.forename: Oscar
authors.initials: O
authors.lastname: Rosas-Carrasco
authors.affiliation: Dirección General, Instituto Nacional de Geriatría, Distrito Federal, México.
authors.forename: Luis Miguel
authors.initials: LM
authors.lastname: Gutiérrez-Robledo
authors.affiliation: Laboratorio de Demencias, Instituto Nacional de Neurología y Neurocirugía, Distrito Federal, México.
authors.forename: Ana Luisa
authors.initials: AL
authors.lastname: Sosa-Ortiz
mesh_terms: D000368:Aged; D003863:Depression / Q000145:classification / Q000175:diagnosis*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D016021:Epidemiologic Studies; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D011795:Surveys and Questionnaires