Psychometric properties of the Center for Epidemiologic Studies Depression Scale (CES-D) among people in treatment for substance use disorders
Abstract Background: Comorbidities found high rates of psychiatric comorbidity among people with substance use disorders. Mood and anxiety disorders are the most frequent. Objective: To evaluate the psychometric properties of the Center for Epidemiologic Studies Depression Scale (CES-D) for a clin...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro
2025-04-01
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| Series: | Cadernos de Saúde Coletiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2025000100204&lng=en&tlng=en |
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| Summary: | Abstract Background: Comorbidities found high rates of psychiatric comorbidity among people with substance use disorders. Mood and anxiety disorders are the most frequent. Objective: To evaluate the psychometric properties of the Center for Epidemiologic Studies Depression Scale (CES-D) for a clinical sample of people with a drug addiction diagnosis. Method: 513 outpatients from two public health services for substance abuse treatment participated in this study. To assess the construct validity in our sample, we used a confirmatory factorial analysis (CFA), comparing two previous versions of CES-D that had evidence of validity for other Brazilian populations. Divergent and convergent validity was evaluated using Pearson's correlation test. Reliability coefficients were calculated by Cronbach's alpha (α) and average split-half test. Results: A four dimensions structure fitted well to our data with a better performance. Convergent validity was supported by a moderate positive correlation between CES-D factors and self-stigma. Divergent validity was supported by a negative moderated correlation with hope and self-esteem. Conclusions: The psychometric properties of our proposed model supports the use of CES-D to evaluate depression symptoms among people in treatment for substance use disorders. |
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| ISSN: | 1414-462X |