TY - JOUR
PY - 2017//
TI - Psychometric properties of the CES-D among Black adolescents in public housing
JO - Journal of the Society for Social Work and Research
A1 - Lu, Wenhua
A1 - Lindsey, Michael A.
A1 - Irsheid, Sireen
A1 - Nebbitt, Von Eugene
SP - 595
EP - 619
VL - 8
IS - 4
N2 - OBJECTIVE: The Center for Epidemiologic Studies Depression Scale (CES-D) has not been fully validated as a depression screening scale among Black adolescents. This study examines the psychometric properties of the CES-D as applied to Black adolescents, seeking to understand the unique way in which Black adolescents express their depression symptoms.
METHOD: We hypothesized that the expression and factor structure of depressive symptoms measured by CES-D would be different when applied to Black adolescents. Black adolescents (N = 782) ages 11-21 were recruited from 9 urban public housing developments in 4 large U.S. cities. Confirmatory factor analysis and exploratory structural equation modeling (ESEM) were used to compare the fit of competing models. Convergent validity of the CES-D was examined via associations with gender, age, and suicidal ideation in the ESEM model.
RESULTS: Instead of the original 4-factor structure of the CES-D, a 2-factor ESEM model demonstrated satisfactory fit to our data (CFI = 0.95, TLI = 0.93, RMSEA = 0.04). Compared with females, Black males were less likely to endorse positive affect items of the CES-D (r = −0.13, p < 0.01).
CONCLUSIONS: Conceptualizations of depression among Black adolescents may differ from any other populations previously studied. Clinicians should assess the unique expression of depression among Black youth when developing treatment plans.
Language: en
LA - en SN - 2334-2315 UR - http://dx.doi.org/10.1086/694791 ID - ref1 ER -