社区中黑人男性的 CES-D 12 量表的因子分析。

Factor Analysis of the CES-D 12 among a Community Sample of Black Men.

机构信息

1 Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

2 Center for Population and Development Studies, Harvard University, Cambridge, MA, USA.

出版信息

Am J Mens Health. 2019 Mar-Apr;13(2):1557988319834105. doi: 10.1177/1557988319834105.

Abstract

The Center for Epidemiologic Studies Depression (CES-D) scale is one of the most widely used measures for assessing depression in population-based research. Little is known about the varying range of symptomatology expressed by Black men, who report higher chronicity and disability of their depressive symptoms compared to men of other racial and ethnic backgrounds. This study assessed the dimensional structure of the CES-D 12-item scale using exploratory and confirmatory factor analysis in a community-based sample of Black men ( n = 683). Two latent factors emerged from the scale that best fit the data: interpersonal negative affect (INA) and diminished positive affect (DPA). The item "I felt like everything I did was an effort" was removed from the final measure, resulting in an 11-item scale. The total score for the revised CES-D-11 displayed acceptable internal consistency on both latent factors (Cronbach's α = 0.83 [INA] and 0.73 [DPA]) and model fit (χ = 165.58, TLI = 0.967, CFI = 0.974, RMSEA = 0.065). Results differ from CES-D factor analyses in other demographic groups, including studies with other male subpopulations, such that depressed mood and interpersonal problems factors are merged as a unidimensional construct. Findings suggest that the "effort" item from the CES-D 12 should be interpreted with caution among Black men. Future studies should continue to disentangle the divergent pathways in which Black men express depressed mood.

摘要

流行病学研究抑郁(CES-D)量表是评估人群中抑郁最常用的方法之一。对于黑人男性,他们的抑郁症状报告的慢性和残疾程度比其他种族和族裔背景的男性更高,但人们对他们表现出的症状的变化范围知之甚少。本研究使用探索性和验证性因子分析,在一个基于社区的黑人男性样本(n=683)中评估了 CES-D12 项量表的维度结构。该量表从数据中得出了两个潜在因素:人际负性情感(INA)和积极情感减退(DPA)。从最终测量中删除了项目“我觉得我所做的一切都是一种努力”,得到了一个 11 项的量表。修订后的 CES-D-11 的总分为两个潜在因素(INA 的 Cronbach's α=0.83 和 DPA 的 0.73)和模型拟合(χ=165.58,TLI=0.967,CFI=0.974,RMSEA=0.065)提供了可接受的内部一致性。结果与 CES-D 在其他人群中的因子分析结果不同,包括对其他男性亚群的研究,例如,抑郁情绪和人际问题因素被合并为一个单一维度的结构。研究结果表明,在黑人男性中,CES-D12 的“努力”项目应谨慎解释。未来的研究应继续厘清黑人男性表达抑郁情绪的不同途径。

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