Screening for Depressive Symptoms
Screening for Depressive Symptoms Validation of the Center for Epidemiologic Studies Depression Scale (CES-D) in a Multiethnic Group of Patients With Diabetes in Singapore Dorit Stahl , MD 1 , Chee Fang Sum , FRCPE 1 , Shin Si Lum , BA 2 , Pei Hsiang Liow , MMED 1 , Yiong Huak Chan , PHD 3 , Swapna...
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creator | Stahl, Dorit Sum, Chee Fang Lum, Shin Si Liow, Pei Hsiang Chan, Yiong Huak Verma, Swapna Chua, Hong Choon Chong, Siow Ann |
description | Screening for Depressive Symptoms
Validation of the Center for Epidemiologic Studies Depression Scale (CES-D) in a Multiethnic Group of Patients With Diabetes
in Singapore
Dorit Stahl , MD 1 ,
Chee Fang Sum , FRCPE 1 ,
Shin Si Lum , BA 2 ,
Pei Hsiang Liow , MMED 1 ,
Yiong Huak Chan , PHD 3 ,
Swapna Verma , MD 2 ,
Hong Choon Chua , MMED 2 and
Siow Ann Chong , MMED 2
1 Diabetes Centre, Alexandra Hospital, Singapore
2 Department of Clinical Research, Institute of Mental Health, Singapore
3 Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Corresponding author: Chee Fang Sum, Diabetes Centre, Alexandra Hospital, 378 Alexandra Road, Singapore 159964. E-mail: chee_fang_sum{at}alexhosp.com.sg
Abstract
OBJECTIVE —We determined the reliability and validity of the Center for Epidemiologic Studies Depression Scale (CES-D) against the DSM-IV–based
diagnostic inventory, Schedule for Clinical Assessment in Neuropsychiatry (SCAN), in a multiethnic sample of adult subjects
with diabetes attending a diabetes center in Singapore.
RESEARCH DESIGN AND METHODS —A total of 522 subjects (74.7% Chinese, 11.1% Malay, and 14.2% Indian) completed culturally adapted versions of the CES-D;
291 subjects were administered the SCAN inventory.
RESULTS —The CES-D (cutoff score 16) showed high negative predictive values of more than 90% in all three ethnic groups. The prevalence
of depressive symptoms (CES-D) and depression (SCAN) was significantly different between the Chinese and Indian subjects (CES-D
27.4 vs. 43.2%, P = 0.006); (SCAN 15.0 vs. 31.1%, P = 0.01).
CONCLUSIONS —The CES-D proved to be a reliable instrument for identifying patients with depressive symptoms in the multiethnic setting
of this study.
CES-D, Center for Epidemiologic Studies Depression Scale
SCAN, Schedule for Clinical Assessment in Neuropsychiatry
Footnotes
Published ahead of print at http://care.diabetesjournals.org on 12 March 2008. DOI: 10.2337/dc07-2019.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore
be hereby marked “advertisement” in accordance with 18 U.S.C Section 1734 solely to indicate this fact.
Accepted February 26, 2008.
Received October 19, 2007.
DIABETES CARE |
doi_str_mv | 10.2337/dc07-2019 |
format | Article |
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Validation of the Center for Epidemiologic Studies Depression Scale (CES-D) in a Multiethnic Group of Patients With Diabetes
in Singapore
Dorit Stahl , MD 1 ,
Chee Fang Sum , FRCPE 1 ,
Shin Si Lum , BA 2 ,
Pei Hsiang Liow , MMED 1 ,
Yiong Huak Chan , PHD 3 ,
Swapna Verma , MD 2 ,
Hong Choon Chua , MMED 2 and
Siow Ann Chong , MMED 2
1 Diabetes Centre, Alexandra Hospital, Singapore
2 Department of Clinical Research, Institute of Mental Health, Singapore
3 Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Corresponding author: Chee Fang Sum, Diabetes Centre, Alexandra Hospital, 378 Alexandra Road, Singapore 159964. E-mail: chee_fang_sum{at}alexhosp.com.sg
Abstract
OBJECTIVE —We determined the reliability and validity of the Center for Epidemiologic Studies Depression Scale (CES-D) against the DSM-IV–based
diagnostic inventory, Schedule for Clinical Assessment in Neuropsychiatry (SCAN), in a multiethnic sample of adult subjects
with diabetes attending a diabetes center in Singapore.
RESEARCH DESIGN AND METHODS —A total of 522 subjects (74.7% Chinese, 11.1% Malay, and 14.2% Indian) completed culturally adapted versions of the CES-D;
291 subjects were administered the SCAN inventory.
RESULTS —The CES-D (cutoff score 16) showed high negative predictive values of more than 90% in all three ethnic groups. The prevalence
of depressive symptoms (CES-D) and depression (SCAN) was significantly different between the Chinese and Indian subjects (CES-D
27.4 vs. 43.2%, P = 0.006); (SCAN 15.0 vs. 31.1%, P = 0.01).
CONCLUSIONS —The CES-D proved to be a reliable instrument for identifying patients with depressive symptoms in the multiethnic setting
of this study.
CES-D, Center for Epidemiologic Studies Depression Scale
SCAN, Schedule for Clinical Assessment in Neuropsychiatry
Footnotes
Published ahead of print at http://care.diabetesjournals.org on 12 March 2008. DOI: 10.2337/dc07-2019.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore
be hereby marked “advertisement” in accordance with 18 U.S.C Section 1734 solely to indicate this fact.
Accepted February 26, 2008.
Received October 19, 2007.
DIABETES CARE</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/dc07-2019</identifier><identifier>PMID: 18337303</identifier><language>eng</language><publisher>American Diabetes Association</publisher><ispartof>Diabetes care, 2008-06, Vol.31 (6), p.1118-1119</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2809-57f0cfa2c43c6e4935f459321368c59e50cd85aeeb3539a8e3ea4e563ba5fc6c3</citedby><cites>FETCH-LOGICAL-c2809-57f0cfa2c43c6e4935f459321368c59e50cd85aeeb3539a8e3ea4e563ba5fc6c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Stahl, Dorit</creatorcontrib><creatorcontrib>Sum, Chee Fang</creatorcontrib><creatorcontrib>Lum, Shin Si</creatorcontrib><creatorcontrib>Liow, Pei Hsiang</creatorcontrib><creatorcontrib>Chan, Yiong Huak</creatorcontrib><creatorcontrib>Verma, Swapna</creatorcontrib><creatorcontrib>Chua, Hong Choon</creatorcontrib><creatorcontrib>Chong, Siow Ann</creatorcontrib><title>Screening for Depressive Symptoms</title><title>Diabetes care</title><description>Screening for Depressive Symptoms
Validation of the Center for Epidemiologic Studies Depression Scale (CES-D) in a Multiethnic Group of Patients With Diabetes
in Singapore
Dorit Stahl , MD 1 ,
Chee Fang Sum , FRCPE 1 ,
Shin Si Lum , BA 2 ,
Pei Hsiang Liow , MMED 1 ,
Yiong Huak Chan , PHD 3 ,
Swapna Verma , MD 2 ,
Hong Choon Chua , MMED 2 and
Siow Ann Chong , MMED 2
1 Diabetes Centre, Alexandra Hospital, Singapore
2 Department of Clinical Research, Institute of Mental Health, Singapore
3 Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Corresponding author: Chee Fang Sum, Diabetes Centre, Alexandra Hospital, 378 Alexandra Road, Singapore 159964. E-mail: chee_fang_sum{at}alexhosp.com.sg
Abstract
OBJECTIVE —We determined the reliability and validity of the Center for Epidemiologic Studies Depression Scale (CES-D) against the DSM-IV–based
diagnostic inventory, Schedule for Clinical Assessment in Neuropsychiatry (SCAN), in a multiethnic sample of adult subjects
with diabetes attending a diabetes center in Singapore.
RESEARCH DESIGN AND METHODS —A total of 522 subjects (74.7% Chinese, 11.1% Malay, and 14.2% Indian) completed culturally adapted versions of the CES-D;
291 subjects were administered the SCAN inventory.
RESULTS —The CES-D (cutoff score 16) showed high negative predictive values of more than 90% in all three ethnic groups. The prevalence
of depressive symptoms (CES-D) and depression (SCAN) was significantly different between the Chinese and Indian subjects (CES-D
27.4 vs. 43.2%, P = 0.006); (SCAN 15.0 vs. 31.1%, P = 0.01).
CONCLUSIONS —The CES-D proved to be a reliable instrument for identifying patients with depressive symptoms in the multiethnic setting
of this study.
CES-D, Center for Epidemiologic Studies Depression Scale
SCAN, Schedule for Clinical Assessment in Neuropsychiatry
Footnotes
Published ahead of print at http://care.diabetesjournals.org on 12 March 2008. DOI: 10.2337/dc07-2019.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore
be hereby marked “advertisement” in accordance with 18 U.S.C Section 1734 solely to indicate this fact.
Accepted February 26, 2008.
Received October 19, 2007.
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Validation of the Center for Epidemiologic Studies Depression Scale (CES-D) in a Multiethnic Group of Patients With Diabetes
in Singapore
Dorit Stahl , MD 1 ,
Chee Fang Sum , FRCPE 1 ,
Shin Si Lum , BA 2 ,
Pei Hsiang Liow , MMED 1 ,
Yiong Huak Chan , PHD 3 ,
Swapna Verma , MD 2 ,
Hong Choon Chua , MMED 2 and
Siow Ann Chong , MMED 2
1 Diabetes Centre, Alexandra Hospital, Singapore
2 Department of Clinical Research, Institute of Mental Health, Singapore
3 Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Corresponding author: Chee Fang Sum, Diabetes Centre, Alexandra Hospital, 378 Alexandra Road, Singapore 159964. E-mail: chee_fang_sum{at}alexhosp.com.sg
Abstract
OBJECTIVE —We determined the reliability and validity of the Center for Epidemiologic Studies Depression Scale (CES-D) against the DSM-IV–based
diagnostic inventory, Schedule for Clinical Assessment in Neuropsychiatry (SCAN), in a multiethnic sample of adult subjects
with diabetes attending a diabetes center in Singapore.
RESEARCH DESIGN AND METHODS —A total of 522 subjects (74.7% Chinese, 11.1% Malay, and 14.2% Indian) completed culturally adapted versions of the CES-D;
291 subjects were administered the SCAN inventory.
RESULTS —The CES-D (cutoff score 16) showed high negative predictive values of more than 90% in all three ethnic groups. The prevalence
of depressive symptoms (CES-D) and depression (SCAN) was significantly different between the Chinese and Indian subjects (CES-D
27.4 vs. 43.2%, P = 0.006); (SCAN 15.0 vs. 31.1%, P = 0.01).
CONCLUSIONS —The CES-D proved to be a reliable instrument for identifying patients with depressive symptoms in the multiethnic setting
of this study.
CES-D, Center for Epidemiologic Studies Depression Scale
SCAN, Schedule for Clinical Assessment in Neuropsychiatry
Footnotes
Published ahead of print at http://care.diabetesjournals.org on 12 March 2008. DOI: 10.2337/dc07-2019.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore
be hereby marked “advertisement” in accordance with 18 U.S.C Section 1734 solely to indicate this fact.
Accepted February 26, 2008.
Received October 19, 2007.
DIABETES CARE</abstract><pub>American Diabetes Association</pub><pmid>18337303</pmid><doi>10.2337/dc07-2019</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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title | Screening for Depressive Symptoms |
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