de la Vega Rocío, Racine Mélanie, Sánchez-Rodríguez Elisabet, Solé Ester, Castarlenas Elena, Jensen Mark P, Engel Joyce, Miró Jordi
Unit for the Study and Treatment of Pain - ALGOS, Universitat Rovira i Virgili, Catalonia, Spain; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
Clinical and Neurological Sciences Department, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
J Psychosom Res. 2016 Nov;90:57-61. doi: 10.1016/j.jpsychores.2016.09.007. Epub 2016 Sep 10.
Depression is a significant issue for young people with physical disabilities. Efficient and reliable questionnaires are needed to evaluate and monitor the efficacy of depression treatments in this population. The aim of this study was to evaluate the reliability and validity of the 10-item version of the Children's Depression Inventory (CDI-S) in a sample of young people with physical disabilities.
A convenience sample of young people with physical disabilities (N=97) was recruited and interviewed. Reliability was evaluated using the Cronbach's α and examining the item-total correlations. Validity was evaluated by computing Pearson correlations between scores on the CDI-S and measures of pain and psychological functioning (anxiety and depression).
The CDS-I items loaded on a single factor. The internal consistency of the scale was good (Cronbach's α=0.84) and the CDI-S showed moderate significant correlations with pain intensity (r=0.29), pain interference (r=0.46) and psychological functioning (r=-0.57). Two of the items, however, did not perform well (i.e., item-total correlations <0.3, and Cronbach's α improved when they were deleted).
The findings support the reliability and validity of the CDI-S scores for use in young people with physical disabilities. The measure's psychometric properties should be studied in larger samples. In addition, there is a new brief version of the CDI (CDI-S 2) that needs to be evaluated in order to determine which of the two scales is better for assessing depression in young people with physical disabilities.
抑郁症是身体残疾青少年面临的一个重要问题。需要高效可靠的问卷来评估和监测该人群抑郁症治疗的效果。本研究的目的是评估儿童抑郁量表10项版(CDI-S)在身体残疾青少年样本中的信度和效度。
招募了一个身体残疾青少年的便利样本(N = 97)并进行访谈。使用克朗巴哈α系数评估信度,并检验项目与总分的相关性。通过计算CDI-S得分与疼痛及心理功能测量指标(焦虑和抑郁)之间的皮尔逊相关性来评估效度。
CDS-I项目加载在单一因素上。量表的内部一致性良好(克朗巴哈α系数 = 0.84),且CDI-S与疼痛强度(r = 0.29)、疼痛干扰(r = 0.46)和心理功能(r = -0.57)显示出中度显著相关性。然而,其中两个项目表现不佳(即项目与总分的相关性<0.3,删除它们后克朗巴哈α系数有所改善)。
研究结果支持CDI-S得分在身体残疾青少年中使用的信度和效度。应在更大样本中研究该测量工具的心理测量特性。此外,有一个新的CDI简版(CDI-S 2)需要进行评估,以确定这两个量表中哪一个更适合评估身体残疾青少年的抑郁症。