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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study concerns a population of 900 Belgian adolescents aged 16 to 21, i.e. 300 students, 300 workers and 300 unemployed. They accepted to answer a detailed questionnaire including a French version of the CES-D scale (Center for Epidemiological Studies-Depression). The prevalence rates of depressive symptoms observed in Belgium are higher than those found in the US. Moreover the Belgian adolescents observed in this study reach more often than U.S. adolescents the level of "clinical depressions" (18.9%). The rates are still higher when "occasional depressive symptoms" are also considered (occurrence: 1-2 days during the last week). However comparisons of this kind cannot be interpreted in a simplistic way. The rates vary with the social status of the adolescents: the unemployed present the highest level, followed by students; the workers have, comparatively, the lowest rates. These high prevalence rates require in depth analyses. The adolescents may need medical, psychological or social assistance which should be offered, at the primary care level. However their own choice leads them to get help elsewhere: close friends, partners (couple), simple friends (in French: "copain" and "copine"), siblings etc. Adolescents consult their doctor only exceptionally. This raises important questions, namely in the field of the training of health personnel.
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PMID:[Depressive symptoms in adolescents (1). Prevalence - remedy]. 261 May 67

This study reports the psychological symptomatology assessed in 50 rheumatoid arthritis patients (RA) and 50 with primary fibromyalgic syndrome (PFS). Depression and illness behavior were investigated by two self-report scales in their validated Italian translations: the Center for Epidemiologic Studies Depression (CES-D) and Illness Behavior Questionnaire developed by Pilowsky and Spence (IBQ). Our results suggest that the average RA patients were not depressed to a clinically significant level at the time of the investigation. The mean scores of CES-D by RA patients do not differ from those found in Italian patients affected by other organic diseases. On the contrary, mean score in the CES-D depression scale obtained from PFS patients was significantly higher than the cut-off point. In analyzing the pattern of illness behavior the significant difference between RA and PFS patients in scale of denial of problems is relevant. This means the RA patients have a tendency to deny life stresses and to attribute all problems to the effects of their illness. Such a result is in line with a classic psychosomatic point of view, that defines RA patients as alexitimic ones, that is, with poor capacity to recognize and express emotions. Our data support both the hypothesis that depressive symptoms are more common among PFS patients than RA patients, and that psychological factors may play a significant role in most patients with PFS.
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PMID:Personality pattern in rheumatoid arthritis and fibromyalgic syndrome. Psychological investigation. 262 75

The authors administered the Center for Epidemiological Studies Depression (CES-D) Scale to 4,954 homosexual men in the Multicenter AIDS Cohort Study. HIV antibody status at enrollment was a less important predictor of psychological distress than were reported physical symptoms. Multivariate analysis showed an association between a high score on each CES-D Scale component and the number of self-reported possible AIDS- or HIV-related symptoms, perceived lymphadenopathy, and absence of "someone to talk to about serious problems." This relationship between self-reported physical symptoms and psychological distress suggests a possible etiologic relationship between perceived AIDS risk and psychological symptoms in men at risk of AIDS.
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PMID:HIV-related symptoms and psychological functioning in a cohort of homosexual men. 265 26

Data from 562 psychiatric patients were analyzed to assess the effects of ethnic status (Anglo/Mexican origin) and language (English/Spanish) on the reliability and validity of the Center for Epidemiologic Studies-Depression Scale. The results indicate no systematic variation in either reliability (test-retest, internal consistency), dimensionality, or ability of the CES-D Scale to detect clinical depression among Anglos or persons of Mexican origin classified according to language use as Spanish dominant, English dominant, or bilingual. However, the data indicate that this particular screening instrument does not adequately discriminate between patients with clinical depression and those without depression. These results corroborate several recent studies that question the utility of the CES-D Scale as a depression screening instrument. Taken together, the available evidence suggests that the ability of the CES-D Scale to detect major depression is so limited that further use of the instrument as a screening scale would seem unwarranted, at least in treatment settings.
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PMID:Effects of language and ethnic status on reliability and validity of the Center for Epidemiologic Studies-Depression Scale with psychiatric patients. 267 37

Coping strategies used by 315 persons providing care to a spouse diagnosed with Alzheimer's disease were characterized as either emotion-focused (wishfulness, acceptance, intrapsychic) or problem-focused (instrumental). Models in which coping strategies were postulated as having mediator, moderator, and independent main effects were tested using multiple indexes of mental health. Wishfulness and intrapsychic strategies mediated the relationship between degree of stress and CES-D, Anxiety, and Depression. Wishfulness had a direct effect on Obsessive-Compulsive, Somatization, and Interpersonal Sensitivity; intrapsychic strategies had a direct effect on Obsessive-Compulsive, Somatization, and Interpersonal Sensitivity; and instrumental strategies had a direct effect on Positive Affect. Hierarchical regression analyses indicated that stressors and coping strategies explained between 12% and 40% of the variance on mental health indexes.
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PMID:Mental health of caregiving spouses: coping as mediator, moderator, or main effect? 269 19

The presence and persistence of specific depressive symptomatology among a large sample of Mexican-American adults (n = 3,084) were examined with the Center for Epidemiologic Studies Depression (CES-D) Scale. Compared to studies of Anglos, a substantially larger percentage reported persistent hopelessness about the future (29%), self-depreciation (21%), and lack of enjoyment out of life (14%). The prevalence of these symptoms was higher among those who had not adapted to mainstream American society and among older participants. Women were generally more distressed than men. Factor analyses of the items demonstrated a slightly different factor structure than previously obtained with Anglos. For both sexes and for those under age 30 and ages 30-59, the items "loneliness," "sadness," and "crying" loaded on a common factor. The tendency for these items to group together was stronger for those exhibiting a low or medium degree of cultural adaptation than for those exhibiting a high degree of adaptation. Discussion focuses on the cultural variation of response to items on the CES-D.
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PMID:Depressive symptomatology among Mexican-American adults: an examination with the CES-D Scale. 271 Aug 62

This study examines differences in the structure of the Center for Epidemiologic Studies Depression (CES-D) scale across three generations of Mexican Americans. The covariance structure of the items was viewed as a function of several parameter matrices. Factorial invariance was evaluated by testing a series of hypotheses involving equivalence constraints on one or more parameter matrices. The findings revealed that the proposed 12-item model fits the data within each of the three generations adequately. Although no generational differences in factor loadings were revealed, structural variations of the CES-D in measurement error variances were found. Measurement error variances associated with certain items in the older generation are significantly greater than those in the middle-aged and young generations. In addition, socioeconomic characteristics, acculturation, and health status fail to explain the observed differences in the structure of the CES-D among the three generations.
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PMID:Generational differences in the structure of the CES-D scale in Mexican Americans. 271 92

This is the first empirical report suggesting a menstrual-linked artifact in determining rates of depression. We investigated the effects of perceived menstrual cycle phase, and premenstrual and postmenstrual timing in the cycle, on scores for a self-report measure of depression that is widely used in epidemiological studies, the Center for Epidemiologic Studies Depression Scale (CES-D). The first study used a cross-sectional design and the second used a follow-up design with repeated measures across the menstrual cycle. Both studies assessed a community-based sample of regularly menstruating women. In the second study, testing was also done at 2-week intervals in men for comparison purposes. Both studies supported the hypothesis of a significant menstrual cycle-related effect on CES-D scores. The menstrual-linked effect is greater than the test-retest variability observed in men, such that women more often tend to meet the cut-off criteria for depression on the CES-D premenstrually, as compared with postmenstrually. Thus it is possible that cyclic variations in ratings on the CES-D may elevate epidemiological estimates of depression, as defined by RDC criteria, for menstruating women. Further longitudinal assessment in randomly selected samples will be needed in order to clarify whether a menstrual-linked effect is substantial and specific enough to require correction, or documentation of cycle phase, in epidemiological studies of depression.
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PMID:Evidence for a menstrual-linked artifact in determining rates of depression. 272 25

The clinical significance of the depressions of bereavement is controversial. Although evidence suggests that most of these depressions remit spontaneously, some of them do require professional attention. Using a trained, non-professional screener, a study to screen for depressions of bereavement at 6 and 12 months after loss of a spouse was performed to determine the rate of depression and its characteristics. The relative value of using a dimensional assessment of depression (20-item Center for Epidemiologic Studies Depression [CES-D] Scale) and a structured diagnostic schedule for depression (Structured Clinical Interview for the DSM [SCID]) as telephone screening measures was evaluated. We found that while the CES-D overestimated, the SCID more precisely reflected the true rate of depression as determined in a subsample. The criterion for depression in this analysis was a diagnostic interview by a psychiatrist using DSM-III criteria and the Hamilton Rating Scale for Depression (HRSD). The study confirmed the existing literature on the high rate of depressions at 6 months (32% of bereaved spouses) and 12 months (27% of bereaved spouses) after a loss. These depressions were more common in widows than widowers. Past personal history (PPH) of depression and family history (FH) of depression were common among bereaved spouses, but did not enhance the risk of depression. Most of these depressions lasted considerably longer than 1 month. Anxiety, restlessness, and psychomotor retardation were prominent; melancholia was occasionally observed; and intense grief was associated with the depression.
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PMID:Depressions of bereavement. 273 19

In this paper, we examine the factor structure of the Center for Epidemiologic Studies-Depression Scale (CES-D) in the Hispanic Health and Nutrition Examination Survey (Hispanic HANES). The Hispanic HANES provides a unique opportunity to examine the patterning of depressive symptoms among the three major Hispanic groups in the U.S. and to compare the factor structures that emerge from the analysis to other studies using this approach. Different factor structures emerged for the Hispanic groups as compared to previous analyses of the CES-D with non-Hispanic populations. We also found significant intra-group differences among Mexican-Americans, Puerto Ricans, and Cuban-Americans which were strongly influenced by the gender of the respondent and the language in which the person was interviewed.
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PMID:The factor structure of the CES-D in the Hispanic Health and Nutrition Examination Survey: the influences of ethnicity, gender and language. 274 Sep 31


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