中国科学院心理研究所机构知识库

目的:验证流调中心抑郁量表(The Center for Epidemiological Studies Depression Scale,CES-D)在我国城市人群中不同年龄组的适用性,并建立各年龄组常模。方法:采用横断面研究方法,在全国21省39座城市收集普通人群样本16047名[年龄11～100岁,平均(37.7±21.3)岁]以建立常模,在4个城市的精神科门诊与住院病人中选取病人样本349名[年龄16～81岁,平均(32.0±12.1)岁]以检验效标效度。从普通人群样本中抽取北京、东莞、包头的199名企业职工、100名大学生、30名教师进行了间隔8周的重测,以检验重测信度。结果:CES-D的Cronbachα系数为0.90,各因素的Cronbachα系数为0.68～0.86;间隔8周的重测信度为0.49(P<0.01),各因素重测相关为0.39～0.51(P<0.01);验证性因素分析支持原量表4因素的结构(RMSEA=0.057,CFI=0.976,GFI=0.948);心理疾病患者CES-D得分高于普通人群[(21.72±13.39)vs.(13.24±10.33),P<0.01)],其中抑郁患者得分最高[(27.82±14.42),P<0.01];不同年龄组CES-D得分差异有统计学意义,60岁以上组得分高于60岁以下各组(P<0.01)。结论:中文版流调中心抑郁量表适用于我国不同年龄群体,是一个可靠而有效的自评式抑郁症状测量工具。

Objective:To test applicability of the Center for Epidemiological Studies Depression Scale （CES-D）in different age groups in urban China,and to develop age norms.Methods:In this cross-sectional study,the CES-D was administrated to 16047 community participants with average age of（37.7±21.3） years（age ranged 11100） in 21 provinces,who were as the norming sample.Criterion validity was tested in 349 psychiatric patients with average age of（32.0±12.1） years（age ranged 1681） in 4 cities.A subsample（199 workers,100 college students,and 30 teachers in Beijing,Dongguan,and Baotou） was drawn from the national sample to provide 8 week interval test-retest reliability.Results:The Cronbach α was 0.90 for the scale,and 0.680.86 for its factors.The 8 week interval test-retest correlation was 0.49 for the scale（P<0.01）and 0.390.51 for factors（P<0.01）.The result of confirmatory factor analysis supported the original 4-factor structure（RMSEA=0.057,CFI=0.976,GFI=0.948）.Patients scored higher than community sample [（21.72±13.39） vs.（13.24±10.33）,P<0.01],and depression patients scored the highest[（27.82±14.42）,P<0.01].Age difference was significant.Age groups over 60-year-old scored higher than all the other age groups under 60-year-old （P<0.01）.Conclusion:The Chinese version of CES-D shows good reliability and validity across all ages in urban population.

中国科学院心理研究所青年科学基金(07CX091009)