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

The prevalence and correlates of symptoms of depression in a Canadian urban sample were examined. A random sample of 524 respondents completed the CES-D scale and a variety of sociodemographic questions. In this Sample, 15% of the males and 19% of the females had scores above the depression cut-point of 16 on the CES-D scale. These rates were very similar to results reported in various U.S. centres. Symptoms of depression were most common among the younger, less educated, and those employed in trades and farming. Depression was lowest in the older, more educated, the married and those employed in professional and management roles. Taken as a whole the set of sociodemographic predictors explained 11% of the variance in symptoms of depression.
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PMID:Symptoms of depression in a Canadian urban sample. 326 20

This investigation examined the relationship between lifestyle, as defined by common health habits, and symptoms of depression in a general community sample. The study was conducted using data from a longitudinal survey involving four interviews of 1,003 Los Angeles County adults. The survey focused on the epidemiology of depression and help-seeking behavior, which included questions about seven health habits identified in the Alameda County Study as predictive of health status. The group used for this analysis comprised 752 adults who participated in and had usable depression scores (as measured with the 20-item CES-D scale) at all interviews. Depression prevalence rates were higher for six of the seven "poor" health habits examined compared with the "good" health habit. Prevalence odds ratios were greater than 2.0 for poor sleeping and drinking habits (both sexes) and equaled 1.8, among women only, for poor physical activity and smoking habits. Multivariate regression analyses showed a simple sum of the total number of good habits to be a significant independent predictor of depression after controlling for prior depression and various sociodemographic factors. The finding of an independent contribution of health habits to depression status emphasizes that lifestyle may influence mental as well as physical health.
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PMID:Personal health habits and symptoms of depression at the community level. 326 20

The validity of the Center for Epidemiologic Studies Depression Scale (CES-D) was assessed using a sample of 60 elderly Puerto Ricans in New York City, half of whom were diagnosed clinically as depressed. The scale has high internal consistency reliability, discriminates strongly between patients and nonpatients, and relates in the expected fashion to theoretically relevant variables. There is some evidence that scores are influenced by socially desirable responding (SDR) and that these effects should be considered when examining the correlates of the CES-D in this population. Scale scores do not differ by interviewer. Overall, the CES-D appears to be a useful measure for studying within-group variability in depressive mood among older Puerto Ricans.
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PMID:The CES-D as a measure of depressive mood in the elderly Puerto Rican population. 333 53

To assess the prevalence of and risk factors for depression in an older population, the Multilevel Assessment Instrument (MAI) and the Center for Epidemiological Studies Depression Scale (CES-D) were administered to 176 elderly residents of a public housing apartment building in Indianapolis. The 41 patients diagnosed by the CES-D as depressed had significantly lower scores on MAI measures of psychological adjustment, cognitive function, and physical health compared with the nondepressed respondents and were more likely to have had episodes of anxiety and depression in the year before the study. Four variables--respondents' overall physical health as measured by the MAI, days spent sick in bed during the past year, living alone, and educational level--explained some of the variance between the CES-D scores of the depressed and nondepressed patients. A model for predicting current levels of depressive symptomatology based on scores on each of these four variables distinguished the depressed from the nondepressed tenants more than 80 percent of the time.
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PMID:A model for predicting depression in elderly tenants of public housing. 335 39

Correlates of depressive symptomatology and caseness are examined for a survey sample of N = 1825 poor Mexican immigrant women in San Diego County, California. The Center for Epidemiologic Studies--Depression (CES--D) checklist is tested against a variety of demographic variables as well as health status and service utilization rates. Statistically significant associations were found between CES--D and education, years in the United States, income, marital status and number of adults in household. Also significant were associations with health status, confidant support and recent, traumatic life event. Utilization rates point to medical doctors as the major source of formal treatment and a heavy reliance on family and friends. The implications of the high disorder rates for diagnosis and treatment among immigrants are discussed.
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PMID:Depressive symptoms and their correlates among immigrant Mexican women in the United States. 371 4

Psychometric characteristics of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) were evaluated with 148 child and adolescent psychiatric inpatients. Test-retest reliability, internal consistency, and concurrent validity were adequate. Principal components analysis identified three distinct factors: behavioral and cognitive components of depression and a happiness dimension. However, subsequent factor scores and CES-DC total scores were unable to discriminate DSM-III diagnoses, including depressive and nondepressive categories. The CES-DC showed poor reliability and validity in the children alone but had good psychometric properties for the adolescents. More validational research is required before standard clinical use can be recommended.
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PMID:Assessment of depression in childhood and adolescence: an evaluation of the Center for Epidemiological Studies Depression Scale for Children (CES-DC). 372 17

The associations between depressive symptoms and functional disability and chronic conditions are examined in an elderly cohort of 2,806 noninstitutionalized men and women living in New Haven, Connecticut who were interviewed in 1982 as a part of the Yale Health and Aging Project. The aim is to explore several potential sources of invalidity in using the Center for Epidemiologic Studies-Depression scale (CES-D) to measure depressive symptoms in elderly populations. In particular, the authors are concerned with the possibility that prevalent physical illnesses and disabilities may cause the older person to report many somatic complaints, a major component of most measures of depressive symptomatology, and thereby inflate his or her CES-D score. Mean CES-D scores are 4.86 for those without any disabilities and range to 13.51 for those with major functional disabilities. However, physical disability is significantly associated with virtually every item on the CES-D scale not just those somatically-oriented items. The addition of functional disability to a multivariate model including age subfactor analysis of responses from this elderly sample produces results almost identical to those reported by earlier investigators who studied younger and middle-aged adults. The authors conclude that physical disabilities among the elderly do not appear to be a major threat to the validity of the CES-D scale and that the strong associations between physical and mental health should be rigorously investigated.
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PMID:Depressive symptoms in relation to physical health and functioning in the elderly. 374 38

The relationship among diabetes, depression and employment status was assessed. It was hypothesized that: unemployment would be associated with diabetes; and employability problems would be associated with higher depression levels among diabetic persons than among non-diabetic persons. A case-control design was employed in which the cases (n = 56) were currently active diabetic patients and the controls (n = 56) were non-diabetic patients. Subjects were selected from a computerized data base at a primary care clinic located in Orange County, California, U.S.A. Depression was measured by the CES-D scale. The results were as follows: diabetes was associated with both depression and unemployment; being employed was the most significant predictor of depressive symptomatology followed by being diabetic; and education, type of diabetes, blood sugar level, medication type were not significant predictors of depressive symptomatology in a stepwise multiple regression analysis. Problems of employment among diabetic persons may warrant special employment and counseling programs.
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PMID:Diabetes, depression and employment status. 376 97

This study evaluates the validity of the Center for Epidemiologic Studies Depression Scale (CES-D) by comparing it to DSM-III diagnoses of major depression and generalized anxiety, using the National Institute of Mental Health Diagnostic Interview Schedule (DIS). Data were gathered on a sample of 310 mothers of children with chronic disabilities. The utility of the CES-D for detecting major depression was approximately equal to its utility for detecting generalized anxiety. Multivariate analysis revealed that the unique association of CES-D with current depression was equal to its association with current generalized anxiety and that the two disorders had additive effects on CES-D. The analysis did not identify any individual CES-D symptom as specific to either disorder. The findings, therefore, do not support the notion that the CES-D measures depression specifically.
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PMID:Depressive symptoms, major depression, and generalized anxiety: a comparison of self-reports on CES-D and results from diagnostic interviews. 386 57

A large sample (N = 3159) of noninstitutionalized older adults (aged 65 to 105 years) residing in two rural Iowa counties participated in an assessment of a wide range of health-related factors, including depression. Prevalences of significant depressive symptomatology (9.0%; based on a modified version of the Center for Epidemiological Studies Depression Scale [CES-D]) and clinical depression (2.9%; based on self-report of Research Diagnostic Criteria [RDC]-like criteria) were low. The relationships between several demographic measures and the depression indices were examined. While expected sex differences were obtained for the CES-D, they were not found for the depression RDC. Subjects who lived alone and subjects with lower incomes were more at risk for depression. There was also evidence that being married and having a higher educational level were associated with lower risk for depression as measured by the CES-D (but not the RDC). The role of social support in rural communities was discussed as a factor contributing to the low rate of depression found in this study. The importance of sex, social support, and economic resources in accounting for depression among the elderly was also discussed.
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PMID:Depression among the rural elderly. A study of prevalence and correlates. 387 86


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