Faculty of Education, Kanazawa University, Ishikawa, Japan.
Environ Health Prev Med. 2003 Nov;8(5):184-90. doi: 10.1007/BF02897913.
The present study aimed to determine the problems of the Japanese version of the Center for Epidemiologic Studies Depression (CES-D) scale when applied to Japanese independent community-dwelling elderly focusing on its factor structure.
The subjects were 1791 community-dwelling independent elderly aged 60 and over (848 males and 943 females). This study used the Japanese version of the CES-D scale to assess depression in the elderly.
From the results of an exploratory factor analysis, the four factors of somatic symptoms, depression affect, positive affect and relation with others were interpreted.These factors were the same as those in the previous study, but the items making up each subscale differed. Therefore, the construct validity of each subscale was not necessarily assured. In the confirmatory factor analysis, goodness-offit was high for both the first and second-order factor models. In examining the validity by Akaike's information criterion (AIC), the second-order factor model assuming depression as a higher-order factor among the four factors was a better fit than the first-order factor model. Although the reliability of each subscale was not sufficient, adequate reliability was assured in the total scale.
An assessment of depression using the Japanese version of the CES-D scale should be conducted using the total score, while a re-examination of items making up each subscale is needed.
本研究旨在确定日本版流行病学研究抑郁量表（CES-D）应用于日本独立社区居住的老年人时存在的问题，重点关注其因子结构。
研究对象为 1791 名 60 岁及以上的独立社区居住的老年人（男性 848 名，女性 943 名）。本研究使用日本版 CES-D 量表评估老年人的抑郁情况。
探索性因子分析的结果表明，可解释出躯体症状、抑郁情绪、积极情绪和与他人关系四个因子。这些因子与之前的研究相同，但构成各分量表的项目不同。因此，各分量表的结构效度不一定得到保证。在验证性因子分析中，一阶和二阶因子模型的拟合优度均较高。通过赤池信息量准则（AIC）检验效度，假设抑郁为四个因子中的高阶因子的二阶因子模型比一阶因子模型更符合。虽然各分量表的信度不足，但总量表的信度得到了保证。
使用日本版 CES-D 量表评估抑郁时，应采用总分进行评估，同时需要重新检查各分量表的项目构成。
