Spijker J, van der Wurff F B, Poort E C, Smits C H M, Verhoeff A P, Beekman A T F
Municipal Health Service Amsterdam, Department of Epidemiology and Health Promotion, Amsterdam, The Netherlands.
Int J Geriatr Psychiatry. 2004 Jun;19(6):538-44. doi: 10.1002/gps.1122.
The number of elderly migrants from Turkish and Moroccan descent in Western Europe will increase sharply in the coming decades. Identifying depressed elderly migrants necessitates a screening instrument that is both acceptable and has good psychometric properties. This study examines the utility of Turkish and Arabic translations of the Center for Epidemiologic Studies Depression Scale (CES-D) among elderly labour migrants from Turkish and Moroccan descent in the Netherlands.
The data were derived from a community based health survey among 304 native Dutch, 330 Turkish and 299 Moroccan migrants, aged 55-74 years, living in Amsterdam, the Netherlands. Acceptability, reliability, convergent and construct validity were studied.
Acceptability of the CES-D was satisfactory, although Moroccan migrants and Turkish females had difficulty answering one or more of the (interpersonal) items from the CES-D. Translated versions of the CES-D proved to be highly internal consistent and have good convergent validity in both Turkish and Moroccan elderly. Depressed and somatic items were much more intermingled in Turkish and Moroccan elderly compared to earlier studies and native Dutch elderly. This fits to the hypothesis that Turkish and Moroccan elderly migrants tend to somatize their depressive symptoms much more than native Western elderly.
The utility of the CES-D for elderly migrants of Turkish and Moroccan descent was found to be satisfactory.
在未来几十年，西欧来自土耳其和摩洛哥裔的老年移民数量将急剧增加。识别抑郁的老年移民需要一种既被接受又具有良好心理测量特性的筛查工具。本研究考察了流行病学研究中心抑郁量表（CES-D）的土耳其语和阿拉伯语翻译版本在荷兰土耳其和摩洛哥裔老年劳务移民中的效用。
数据来自于对居住在荷兰阿姆斯特丹的304名荷兰本地人、330名土耳其移民和299名摩洛哥移民（年龄在55 - 74岁之间）进行的一项基于社区的健康调查。研究了该量表的可接受性、信度、收敛效度和结构效度。
CES-D的可接受性令人满意，尽管摩洛哥移民和土耳其女性在回答CES-D中的一个或多个（人际方面的）条目时存在困难。CES-D的翻译版本在土耳其和摩洛哥老年人中均显示出高度的内部一致性和良好的收敛效度。与早期研究及荷兰本地老年人相比，土耳其和摩洛哥老年人中抑郁条目与躯体条目相互交织的情况更为明显。这符合以下假设：土耳其和摩洛哥老年移民比西方本地老年人更倾向于将他们的抑郁症状躯体化。
CES-D在土耳其和摩洛哥裔老年移民中的效用令人满意。
