Li Lilian Y, McGregor Madeline M, Sarkas Sarah E, Sritharan Aishwarya, Massac Lili, Valdespino Marissa, Letkiewicz Allison M, Durham Katherine, Auerbach Randy P, Shankman Stewart A
Department of Psychiatry and Behavioral Sciences, Stephen M. Stahl Center for Psychiatric Neuroscience, Northwestern University.
Department of Psychiatry, Columbia University.
Psychol Assess. 2025 Aug;37(8):383-389. doi: 10.1037/pas0001392. Epub 2025 May 5.
The Children's Depression Rating Scale-Revised (CDRS-R) is a widely used interview measure of adolescent major depression (major depressive disorder), with sum scores and their changes over time interpreted as changes in one underlying construct. This interpretation assumes that the CDRS-R measures a single construct of depression (unidimensionality) in the same way across time (longitudinal invariance)-assumptions that have yet to be established but were tested in this study. Adolescents ( = 197; ages 13-18 years old) with lifetime major depressive disorder, as well as healthy controls, completed the CDRS-R and a self-reported depression symptom measure, the Inventory of Depression and Anxiety Symptoms (IDAS), at baseline and 6 months follow-up. Unidimensionality of the CDRS-R at both time points was tested using the one-factor confirmatory factor analysis (CFA). Longitudinal invariance of the factor structure was examined in a CFA framework, and longitudinal invariance of the construct validity was examined by testing whether the correlation between the CDRS-R and IDAS was equivalent across time. The one-factor CFA model with correlated uniqueness among the three observational items demonstrated excellent fit. Longitudinal invariance of the factor structure (invariant uniqueness) and construct validity was achieved. At both baseline and 6-month assessments, the CDRS-R demonstrated good internal consistency (αs > .89) and was highly correlated with the IDAS (> 0.70). Findings support the practice of comparing observed scores of the CDRS-R between the baseline and the 6-month assessment among adolescents. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
儿童抑郁评定量表修订版(CDRS-R)是一种广泛用于青少年重度抑郁症(重度抑郁障碍)的访谈测量工具,其总分及其随时间的变化被解释为一个潜在结构的变化。这种解释假设CDRS-R在不同时间以相同方式测量单一的抑郁结构(单维性)——这些假设尚未得到证实,但在本研究中进行了检验。患有终生重度抑郁障碍的青少年( = 197;年龄13 - 18岁)以及健康对照组在基线和6个月随访时完成了CDRS-R和一项自我报告的抑郁症状测量工具,即抑郁与焦虑症状量表(IDAS)。使用单因素验证性因素分析(CFA)对两个时间点的CDRS-R的单维性进行了检验。在CFA框架中检查了因素结构的纵向不变性,并通过检验CDRS-R与IDAS之间的相关性在不同时间是否相等来检查结构效度的纵向不变性。三个观测项目之间具有相关独特性的单因素CFA模型显示出良好的拟合度。实现了因素结构(不变独特性)和结构效度的纵向不变性。在基线和6个月评估时,CDRS-R均表现出良好的内部一致性(α值>.89),并且与IDAS高度相关(> 0.70)。研究结果支持在青少年中比较基线和6个月评估时CDRS-R的观测分数的做法。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)