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越南海阳省芝林青少年中用于测量抑郁及其相关预测因素的简明CES-D量表的验证

Validation of a Brief CES-D Scale for Measuring Depression and Its Associated Predictors among Adolescents in Chi Linh, Hai Duong, Vietnam.

作者信息

Thanh Nguyen Duc, Quyen Bui Tu, Tien Truong Quang

机构信息

Department of Hospital Management, Health Management Training Institute, Hanoi School of Public Health, 138 Giang Vo, Hanoi, Vietnam.

Department of Biostatistics, Faculty of Fundamental Science, Hanoi School of Public Health, 138 Giang Vo, Hanoi, Vietnam.

出版信息

AIMS Public Health. 2016 Jul 4;3(3):448-459. doi: 10.3934/publichealth.2016.3.448. eCollection 2016.

Abstract

OBJECTIVES

The aims of this paper were to confirm the validity and reliability of a brief CES-D measure for depression and identify the associated factors with the depression among adolescents and youth in Chi Linh, Hai Duong province, Vietnam.

METHODS

We used data from a prospective-longitudinal study of adolescents and youth (aged 13-17 at baseline) and their parent (N = 1402 mother/father-child dyads). Adolescents' depression was assessed in 2009 and 2013. Parents' connectedness was measured in 2013. Confirmatory factor Analysis (CFA) was used to certify the elementary factors produced by PCA using Comparative Fit Index (CFI), Tucker Lewis Index (TLI) and RMSEA. Multivariate linear regression was used to predict the factors associated with depression.

RESULTS

The results demonstrate that the depression items correspond as CFI (0.89), TLI (0.87) and RMSEA (0.084) are acceptable fit indices. The mean score of depression among adolescents and youth was 30.9 (Min = 16 and Max = 70; SD = 8.3). Age ( = -0.01; CI 95% = -0.1; -0.03), parent and youth can talk freely ( = -0.042; CI 95% = -0.08; -0.001) and good health status ( = -0.07; CI 95% = -0.1; -0.03) were found to be significantly associated with depression.

CONCLUSIONS

Depression scale should be widely applied for screening the depression symptoms of adolescents and youth population. The necessary strategies should be implemented to improve the adolescent and young population's depression status.

摘要

目的

本文旨在验证一份用于评估抑郁的简短CES-D量表的有效性和可靠性,并确定越南海阳省芝林市青少年和青年中与抑郁相关的因素。

方法

我们使用了一项针对青少年及其父母(基线时年龄为13 - 17岁,N = 1402对母子/父子二元组)的前瞻性纵向研究数据。分别于2009年和2013年评估青少年的抑郁情况,2013年测量父母的亲子关系。采用验证性因素分析(CFA),通过比较拟合指数(CFI)、塔克·刘易斯指数(TLI)和均方根误差近似值(RMSEA)来验证主成分分析(PCA)得出的基本因素。使用多元线性回归来预测与抑郁相关的因素。

结果

结果表明,抑郁项目的CFI为0.89、TLI为0.87、RMSEA为0.084,这些拟合指数是可接受的。青少年和青年的抑郁平均得分为30.9(最小值 = 16,最大值 = 70;标准差 = 8.3)。发现年龄(β = -0.01;95%置信区间 = -0.1;-0.03)、父母与青少年能自由交谈(β = -0.042;95%置信区间 = -0.08;-0.001)以及健康状况良好(β = -0.07;95%置信区间 = -0.1;-0.03)与抑郁显著相关。

结论

抑郁量表应广泛应用于筛查青少年和青年人群的抑郁症状。应实施必要的策略来改善青少年和青年人群的抑郁状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f999/5689809/cf653d8bfe1b/publichealth-03-03-448-g001.jpg

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