Jh. Barlow et Cc. Wright, Dimensions of the Center of Epidemiological Studies Depression Scale for people with arthritis from the UK, PSYCHOL REP, 83(3), 1998, pp. 915-919
The aim of this study was to investigate the factor structure and to conduc
t an item analysis of the Center for Epidemiological Studies-Depression Sca
le (CES-D) among people with arthritis from the UK. This 20-item self-repor
t scale was designed by Radloff in 1977 to measure depressive symptomatolog
y in the general population. Data were drawn from a national study and coll
ected through self-administered questionnaires mailed to participants, each
of whom had a confirmed diagnosis of arthritis. Reliability and structure
of the scale were examined using standard item analysis, internal consisten
cy (Cronbach alpha), and principal components analysis. A four-dimensional
structure was identified: Self-worth, Depressed Affect, Positive Affect, an
d Somatic Disturbance; three items loaded on two factors and were excluded
from consideration. Comparisons with previous studies indicated some differ
ences in the subscales and showed that, in this sample, two subscales might
be artifacts of measurement. In samples of people with arthritis from the
UK, use of the total score may not reflect accurate depressive symptomatolo
gy and the subscale scores should be used with caution.