Singh Sarbhan, Zaki Rafdzah Ahmad, Farid Nik Daliana Nik, Kaur Kushilpal
Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, Setia Alam 40170, Malaysia.
Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia.
Prev Med Rep. 2021 Oct 7;24:101585. doi: 10.1016/j.pmedr.2021.101585. eCollection 2021 Dec.
Depression is a common mental disorder that affects many adolescents worldwide. Therefore, there is a need for reliable instruments to screen for depression symptoms among adolescents. This study aims to determine the reliability of the Malay version of the Centre of Epidemiological Studies Depression Scale (CESD) among adolescents in Malaysia. A cross-sectional study was conducted among 65 adolescents ages between 12 and 14 years from two secondary schools in the Federal Territory of Kuala Lumpur from May 2017 to July 2017. Cronbach's alpha (α), McDonald's omega (ω), Spearman Brown split half reliability (r), and Intra-class Correlation Coefficient (ICC) were examine to determine the internal consistency and two week test-retest reliability. The overall CESD scale was found to have good internal consistency with α = 0.882 (95% CI 0.837, 0.914), ω = 0.886 (95% CI 0.837, 0.916) and r = 0.909. The CESD subscales, Somatic symptoms (α = 0.824; 95% CI 0.739, 0.878; ω = 0.828; 95% CI 0.738, 0.885; r = 0.825), Depressive affect (α = 0.822; 95% CI 0.745, 0.880; ω = 0.834; 95% CI 0.750, 0.884; r = 0.847) and Positive affect (α = 0.610; 95% CI 0.326, 0.721; ω = 0.612; 95% CI 0.379, 0.723 and r = 0.608) indicated acceptable to good internal consistency. The 2-week test-retest reliability ICC was 0.926 (95% CI 0.851, 0.961) for the total score reliability. The reliability analysis of the Malay version of CESD shows satisfactory α, ω, r and ICC values, therefore making it a reliable instrument to screen for depression among adolescents in Malaysia.
抑郁症是一种常见的精神障碍，影响着全球众多青少年。因此，需要可靠的工具来筛查青少年的抑郁症状。本研究旨在确定马来西亚青少年中流行病学研究中心抑郁量表（CESD）马来语版本的可靠性。2017年5月至2017年7月，对来自吉隆坡联邦直辖区两所中学的65名年龄在12至14岁之间的青少年进行了一项横断面研究。通过检验克朗巴哈系数（α）、麦克唐纳欧米伽系数（ω）、斯皮尔曼-布朗分半信度（r）和组内相关系数（ICC）来确定内部一致性和两周重测信度。结果发现，CESD量表整体具有良好的内部一致性，α = 0.882（95%置信区间0.837, 0.914），ω = 0.886（95%置信区间0.837, 0.916），r = 0.909。CESD分量表中，躯体症状（α = 0.824；95%置信区间0.739, 0.878；ω = 0.828；95%置信区间0.738, 0.885；r = 0.825）、抑郁情绪（α = 0.822；95%置信区间0.745, 0.880；ω = 0.834；95%置信区间0.750, 0.884；r = 0.847）和积极情绪（α = 0.610；95%置信区间0.326, 0.721；ω = 0.612；95%置信区间0.379, 0.723；r = 0.608）显示出可接受至良好的内部一致性。总分的两周重测信度ICC为0.926（95%置信区间0.851, 0.961）。CESD马来语版本的信度分析显示α、ω、r和ICC值令人满意，因此它是筛查马来西亚青少年抑郁症的可靠工具。
