scholarly journals Confirmatory Factor Analysis of the Center for Epidemiologic Studies Depression Scale in Oncology With Examination of Invariance Between Younger and Older Patients

2020 ◽  
Vol 36 (2) ◽  
pp. 229-236
Author(s):  
Rebecca M. Saracino ◽  
Heining Cham ◽  
Barry Rosenfeld ◽  
Christian J. Nelson

Abstract. Accurate measurement of depressive symptoms in the cancer setting is critical for ensuring optimal quality of life and patient outcomes. The present study compared the one-factor, correlated two-factor, correlated four-factor, and second-order factor models of the Center for Epidemiologic Studies Depression Scale (CES-D), a commonly used measure in oncology settings. Given the importance of adequate psychometric performance of the CES-D across age groups, a second aim was to examine measurement invariance between younger and older adults with cancer. Participants ( N = 663) were recruited from outpatient clinics at a large cancer center. Over one-fourth of the sample endorsed clinically significant depressive symptoms (25.9%, n = 165). Confirmatory factor analysis of the CES-D supported the hypothesized correlated four-factor model as the best fit. The second-order factor also demonstrated good fit, but interpretations of the factors were more complex. Factors were highly correlated (range = .38–.91). There was also support for full scalar invariance between age groups, suggesting that regardless of age, respondents endorse the same response category for the same level of the latent trait (i.e., depression) on the CES-D. Taken together, the results suggest that the CES-D is a viable depression screening option for oncology settings and does not require scoring adjustments for respondent age.

1996 ◽  
Vol 18 (1) ◽  
pp. 49-63 ◽  
Author(s):  
Fuzhong Li ◽  
Peter Harmer

This study was designed to assess the factorial construct validity of the Group Environment Questionnaire (GEQ; Carron, Widmeyer, & Brawley, 1985) within a hypothesis-testing framework. Data were collected from 173 male and 148 female intercollegiate athletes. Based on Carron et al.’s (1985) conceptual model of group cohesion, the study examined (a) the extent to which the first-order four-factor model could be confirmed with an intercollegiate athlete sample and (b) the degree to which higher order factors could account for the covariation among the four first-order factors. The a priori models of GEQ, including both the first- and second-order factor models, were tested through confirmatory factor analysis (CFA). CFA results showed that the theoretically specified first- and second-order factor models fit significantly better than all alternative models. These results demonstrated that the GEQ possesses adequate factorial validity and reliability as a measure of the sport group cohesion construct for an intercollegiate athlete sample.


2002 ◽  
Vol 28 (4) ◽  
Author(s):  
Nico Martins ◽  
Hartmut Von der Ohe

The aim of this study was to validate a questionnaire that can be used to determine how employees select the best company to work for. The second focus was to determine the role of trust in a relationship where employers must attract, motivate and retain employees. The confirmatory factor analysis resulted in 10 dimensions that supported most of the theoretically constructed dimensions. A second-order factor analysis was done and it became clear that there are two second-order factors underlying factor 1, namely leadership and trust. A strong correlation was found between trust and the dimensions of job satisfaction, relationships and leadership. Opsomming Die doel van die studie was om ‘n vraelys te valideer wat gebruik kon word om te bepaal hoe werknemers die beste organisasie om voor te werk kies. Die tweede fokus was om die rol van vertroue te bepaal in ‘n vertrouensverhouding waar werkgewers werknemers moet lok, motiveer en behou. ‘n Bevestigende faktorontleding het tien faktore tot gevolg gehad wat die meeste van die teoreties opgestelde dimensies ondersteun. ‘n Tweede-orde-faktorontleding van faktor een het aangetoon dat die faktor uit twee tweede-orde-faktore, leierskap en vertroue bestaan. ‘n Sterk korrelasie het voorgekom tussen vertroue en die dimensies van postevredenheid, verhoudinge en leierskap.


2012 ◽  
Vol 15 (2) ◽  
pp. 783-792 ◽  
Author(s):  
Andrés Losada ◽  
Mª de los Ángeles Villareal ◽  
Roberto Nuevo ◽  
María Márquez-González ◽  
Bertha C. Salazar ◽  
...  

The Center for Epidemiologic Studies-Depression Scale (CES-D) is the most frequently used scale for measuring depressive symptomatology in caregiving research. The aim of this study is to test its construct structure and measurement equivalence between caregivers from two Spanish-speaking countries. Face-to-face interviews were carried out with 595 female dementia caregivers from Madrid, Spain, and from Coahuila, Mexico. The structure of the CES-D was analyzed using exploratory and confirmatory factor analysis (EFA and CFA, respectively). Measurement invariance across samples was analyzed comparing a baseline model with a more restrictive model. Significant differences between means were found for 7 items. The results of the EFA clearly supported a four-factor solution. The CFA for the whole sample with the four factors revealed high and statistically significant loading coefficients for all items (except item number 4). When equality constraints were imposed to test for the invariance between countries, the change in chi-square was significant, indicating that complete invariance could not be assumed. Significant between-countries differences were found for three of the four latent factor mean scores. Although the results provide general support for the original four-factor structure, caution should be exercised on reporting comparisons of depression scores between Spanish-speaking countries.


2015 ◽  
Vol 74 (3) ◽  
pp. 119-127 ◽  
Author(s):  
Martine Bouvard ◽  
Anne Denis ◽  
Jean-Luc Roulin

This article investigates the psychometric properties of the Revised Child Anxiety and Depression Scale (RCADS). A group of 704 adolescents completed the questionnaires in their classrooms. This study examines potential confirmatory factor analysis factor models of the RCADS as well as the relationships between the RCADS and the Screen for Child Anxiety Related Emotional Disorders-Revised (SCARED-R). A subsample of 595 adolescents also completed an anxiety questionnaire (Fear Survey Schedule for Children-Revised, FSSC-R) and a depression questionnaire (Center for Epidemiological Studies Depression Scale, CES-D). Confirmatory factor analysis of the RCADS suggests that the 6-factor model reasonably fits the data. All subscales were positively intercorrelated, with rs varying between .48 (generalized anxiety disorder-major depression disorder) and .65 (generalized anxiety disorder-social phobia/obsessive-compulsive disorder). The RCADS total score and all the RCADS scales were found to have good internal consistency (> .70). The correlations between the RCADS subscales and their SCARED-R counterparts are generally substantial. Convergent validity was found with the FSSC-R and the CES-D. The study included normal adolescents aged 10 to 19. Therefore, the findings cannot be extended to children under 10, nor to a clinical population. Altogether, the French version of the RCADS showed reasonable psychometric properties.


2021 ◽  
Vol 11 (8) ◽  
pp. 107
Author(s):  
Hirohito Tsuboi ◽  
Yui Takakura ◽  
Hiromasa Tsujiguchi ◽  
Sakae Miyagi ◽  
Keita Suzuki ◽  
...  

To make the Japanese version of the CESD-R—a revised version of the Center for Epidemiologic Studies depression scale (CES-D)—in the assessment of depressive symptoms in a general population. The English version of CESD-R was translated into Japanese, and back-translated into English by three native speakers of Japanese and English; then, we selected the version most completely consistent with the original items. The CESD-R was applied to 398 community-dwelling people (191 men: 48.0%, and 207 women: 52.0%) who were over 40 years old. The Japanese version of the CES-D was also carried out in the same population. Factor analysis was performed. Additionally, the correlations between the CESD-R and CES-D results were identified. The CESD-R scores showed a significantly positive correlation with CES-D scores (r = 0.74, p < 0.0005). Analysis of the CESD-R yielded a Cronbach’s alpha result of 0.90. Factor analysis revealed one principal factor in the CESD-R, whereas the original CES-D had two factors because of reversed items. The Japanese version of the CESD-R appears to have the reliability to be applicable for assessing depressive symptoms in population-based samples. However, because the Japanese expressions for some items might be unusual, our study population was also limited; further studies on other populations and on incorporating improved Japanese terminology will be needed.


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