Mahdy, N., Abou Nazel, M. (2002). Reliability ,Validity and Psychometric Properties of the Arabic Version of the Center for Epidemiological Studies- Depression (CES-D) Scale. Journal of High Institute of Public Health, 32(4), 891-920. doi: 10.21608/jhiph.2002.206455
Nehad H. Mahdy; Mervat W. Abou Nazel. "Reliability ,Validity and Psychometric Properties of the Arabic Version of the Center for Epidemiological Studies- Depression (CES-D) Scale". Journal of High Institute of Public Health, 32, 4, 2002, 891-920. doi: 10.21608/jhiph.2002.206455
Mahdy, N., Abou Nazel, M. (2002). 'Reliability ,Validity and Psychometric Properties of the Arabic Version of the Center for Epidemiological Studies- Depression (CES-D) Scale', Journal of High Institute of Public Health, 32(4), pp. 891-920. doi: 10.21608/jhiph.2002.206455
Mahdy, N., Abou Nazel, M. Reliability ,Validity and Psychometric Properties of the Arabic Version of the Center for Epidemiological Studies- Depression (CES-D) Scale. Journal of High Institute of Public Health, 2002; 32(4): 891-920. doi: 10.21608/jhiph.2002.206455
Reliability ,Validity and Psychometric Properties of the Arabic Version of the Center for Epidemiological Studies- Depression (CES-D) Scale
1Biostatistics Department, High Institute of Public Health, Alexandria University, Egypt
2Mental Health Department, High Institute of Public Health, Alexandria University, Egypt
Abstract
Depression is one of the most common adolescent mental-health problems presenting to primary care clinics. There is growing concern about the value of depression self-rating scales in epidemiological research and primary care. The present study aimed at assessing the reliability, validity & psychometric properties of an Arabic Version of the Center for Epidemiological Studies-Depression [CES-D] Scale. Participants were 1186 secondary school adolescents aged 15- 17 years in Alexandria Governorate. Students were subjected to the Arabic Versions of Child depression Inventory [CDI], CES-D and Coppersmith self-esteem. The results revealed that 9.5 % of students were moderately to severely depressed according to CDI cutoff score. Using the Receiver Operating Characteristic [ROC] curve, a cut-off point of 25 produced the best overall screening efficiency [sensitivity =92%, specificity =90 % & accuracy =0.96]. The internal consistency of the scale was acceptable [Cronbach's a = 0.86). The test-retest reliability was satisfactory [spearman's correlation between 0.61 & 0.95 for individual items and 0.75 for total score). Factor analysis extracted four factors that explained 50.08% of variability namely negative affect/cognitive symptoms, interpersonal difficulties, reduced positive affects and somatic complaints, with an acceptable reliability [Cronbach's a= 0.75, 0.82, 0.74 &0.55 respectively]. Concurrent validity was supported by significant high spearman's correlation between CDI & CES-D scores [rs = 0.83], convergent validity was confirmed by inverse moderate correlation between CES-D scores and Coppersmith self-esteem scale scores [r = 0.69]. The present study concluded that the Arabic Version of CES-D is both a reliable and valid screening tool for depression among Egyptian adolescent population, with very good psychometric properties. Implications for epidemiological research and primary mental health care of adolescents will be discussed.