Gender bias in the measurement properties of the center for epidemiologic studies depression scale (CES-D)

Confirmatory factor-analytic models are used to examine gender biases of individual items of the Center for Epidemiologic Studies Depression (CES-D) Scale. In samples containing 708 cancer patients and 504 caregivers of the chronically ill elderly, two CES-D items are identified as producing biased...

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Bibliographic Details
Published in:Psychiatry research 1993-12, Vol.49 (3), p.239-250
Main Authors: Stommel, Manfred, Given, Barbara A., Given, Charles W., Kalaian, Hripsime A., Schulz, Richard, McCorkle, Ruth
Format: Article
Language:English
Subjects:
Activities of Daily Living - psychology
Adolescent
Adult
Aged
Aged, 80 and over
Bias
Biological and medical sciences
Caregivers - psychology
Cross-Sectional Studies
depression
Depression - diagnosis
Depression - epidemiology
Depression - psychology
Depressive Disorder - diagnosis
Depressive Disorder - epidemiology
Depressive Disorder - psychology
Female
Gender
Humans
Incidence
Male
measurement equivalence
Medical sciences
Michigan - epidemiology
Middle Aged
Neoplasms - epidemiology
Neoplasms - psychology
Pennsylvania - epidemiology
Personality Inventory - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Rural Population - statistics & numerical data
Sex Factors
Sick Role
Social Support
Somatoform Disorders - diagnosis
Somatoform Disorders - epidemiology
Somatoform Disorders - psychology
Techniques and methods
Urban Population - statistics & numerical data
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Summary:Confirmatory factor-analytic models are used to examine gender biases of individual items of the Center for Epidemiologic Studies Depression (CES-D) Scale. In samples containing 708 cancer patients and 504 caregivers of the chronically ill elderly, two CES-D items are identified as producing biased responses in comparisons of male and female respondents. Three additional CES-D items are excluded on the basis of other psychometric problems, yielding a subset of 15 CES-D items that capture almost all the information of the original 20-item CES-D scale but are free of any gender bias. Gender differences in mean levels of depressive symptomatology are significantly reduced, but not eliminated, when the 15-item scale is used.
ISSN:0165-1781
1872-7123
DOI:10.1016/0165-1781(93)90064-N