McLean Hospital/Harvard Medical School, Belmont, MA 02478, USA.
Assessment. 2013 Aug;20(4):429-36. doi: 10.1177/1073191113481998. Epub 2013 Mar 18.
The 10-item Center for the Epidemiological Studies of Depression Short Form (CES-D-10) is a widely used measure to screen for depression in primary care settings. The 10-item measure has demonstrated strong psychometric properties, including predictive accuracy and high correlations with the original 20-item version, in community populations. However, clinical utility and psychometric properties have yet to be assessed in an acutely symptomatic psychiatric population. This study examined the psychometric properties of the CES-D-10 in a sample of 755 patients enrolled in a psychiatric partial hospital program. Participants completed a diagnostic interview and a battery of self-report measures on admission and discharge. Exploratory factor analysis and confirmatory factor analysis suggested that a one-factor structure provided a good fit to the data. High item-total correlations indicated high internal consistency, and the CES-D-10 demonstrated both convergent validity and divergent validity. Previously suggested cutoff scores of 8 and 10 resulted in good sensitivity (.91 and .89, respectively) but poor specificity (.35 and .47). These data suggest that although the CES-D-10 has generally strong psychometric properties in this psychiatric sample, the measure should be primarily used to assess depression symptom severity rather than as a diagnostic screening tool.
10 项流行病学研究抑郁量表简表（CES-D-10）是一种广泛用于初级保健环境中筛查抑郁的工具。该 10 项量表在社区人群中具有较强的心理测量学特性，包括预测准确性和与原始 20 项量表版本的高度相关性。然而，其在急性症状性精神科人群中的临床实用性和心理测量学特性尚未得到评估。本研究在参加精神科部分住院计划的 755 名患者中检验了 CES-D-10 的心理测量学特性。参与者在入院和出院时完成了诊断访谈和一系列自我报告量表。探索性因子分析和验证性因子分析表明，单因素结构为数据提供了良好的拟合。高项目总分相关表明内部一致性高，CES-D-10 具有同时的收敛效度和区分效度。先前提出的 8 分和 10 分的截断值具有较好的敏感性（分别为 0.91 和 0.89），但特异性较差（分别为 0.35 和 0.47）。这些数据表明，尽管 CES-D-10 在该精神科样本中具有较强的心理测量学特性，但该量表主要应用于评估抑郁症状严重程度，而不是作为诊断筛查工具。
