Cho M J, Kim K H
Department of Psychiatry, Seoul National University, College of Medicine, Seoul National University Hospital, Korea.
J Nerv Ment Dis. 1998 May;186(5):304-10. doi: 10.1097/00005053-199805000-00007.
We translated the Center for Epidemiologic Studies Depression (CES-D) Scale into Korean, paying careful attention to culturally different modes of expression of depressive feelings and thoughts. The final translated version (CES-D-K) was administered to 164 psychiatric patients and 464 normal subjects residing in the community. Reliability, validity, and the optimal cutoff point of this scale were estimated, including ROC analysis. The CES-D-K was reliable and valid for the Korean population. Two optimal cutoff points were suggested: 24/25, the point which best corresponded to the clinical diagnosis of depression, and 20/21, which most effectively detects and covers depressive symptoms during screening. The higher cutoff points than those in Western countries may be due to different ways of expression affect, especially the suppression of positive affect, in cultures based on Confucian ethics.
我们将流行病学研究中心抑郁量表（CES-D）翻译成韩语，同时特别留意了抑郁情绪和想法在文化上的不同表达方式。最终的翻译版本（CES-D-K）被应用于164名精神病患者以及464名社区正常受试者。我们对该量表的信度、效度及最佳临界值进行了评估，包括ROC分析。CES-D-K对韩国人群具有可靠性和有效性。我们提出了两个最佳临界值：24/25，这一临界值最符合抑郁症的临床诊断；20/21，这一临界值在筛查过程中能最有效地检测并涵盖抑郁症状。与西方国家相比，临界值较高可能是由于基于儒家伦理的文化中情感表达方式不同，尤其是对积极情感的抑制。
