Beekman A T, van Limbeek J, Deeg D J, Wouters L, van Tilburg W
Vakgroep Psychiatrie van de Vrije Universiteit te Amsterdam, Amsterdam.
Tijdschr Gerontol Geriatr. 1994 Jun;25(3):95-103.
In community-based studies the CES-D is the most widely used screening instrument for depression in the elderly. In the Netherlands it is relatively unknown. Results of a literature-survey and empirical data of three groups of older respondents in the Netherlands are presented (n1 = 224, n2 = 116, n3 = 190). To determine whether the CES-D can be used as a screening instrument for depression in the elderly in the Netherlands six criteria are formulated. The results of the literature-survey are favourable on most criteria. Because the overlap with symptoms of physical diseases is very limited, the CES-D can be used in physically ill populations. In our three groups of respondents the psychometric properties and practical use of the CES-D proved satisfactory (Cronbach's alfa 0.80-0.90 in three groups of respondents). Shortening the scale's answering-format has been advocated by others, but is discouraged. Being a screening instrument, the scale cannot be used as a substitute for psychiatric diagnosis. Recognising this limitation we conclude that the Dutch translation of the CES-D provides a useful instrument for measuring depressive symptoms in the elderly.
在基于社区的研究中，流调中心抑郁量表（CES-D）是老年人抑郁症最广泛使用的筛查工具。在荷兰，它相对鲜为人知。本文呈现了一项文献调查结果以及荷兰三组老年受访者的实证数据（n1 = 224，n2 = 116，n3 = 190）。为了确定CES-D是否可作为荷兰老年人抑郁症的筛查工具，制定了六条标准。文献调查结果在大多数标准上是有利的。由于与身体疾病症状的重叠非常有限，CES-D可用于患有身体疾病的人群。在我们的三组受访者中，CES-D的心理测量特性和实际应用证明是令人满意的（三组受访者的克朗巴哈系数α为0.80 - 0.90）。其他人主张缩短量表的答题格式，但不提倡这样做。作为一种筛查工具，该量表不能替代精神病学诊断。认识到这一局限性，我们得出结论，CES-D的荷兰语译本为测量老年人的抑郁症状提供了一种有用的工具。
