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Health and Quality of Life Outcomes

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Open Access 01-12-2007 | Research

A longitudinal evaluation of the Center for Epidemiologic Studies-Depression scale (CES-D) in a Rheumatoid Arthritis Population using Rasch Analysis

Authors: Tanya Covic, Julie F Pallant, Philip G Conaghan, Alan Tennant

Published in: Health and Quality of Life Outcomes | Issue 1/2007

Abstract

Background

The aim of this study was to test the internal validity of the total Center for Epidemiologic Studies-Depression (CES-D) scale using Rasch analysis in a rheumatoid arthritis (RA) population.

Methods

CES-D was administered to 157 patients with RA over three time points within a 12 month period. Rasch analysis was applied using RUMM2020 software to assess the overall fit of the model, the response scale used, individual item fit, differential item functioning (DIF) and person separation.

Results

Pooled data across three time points was shown to fit the Rasch model with removal of seven items from the original 20-item CES-D scale. It was necessary to rescore the response format from four to three categories in order to improve the scale's fit. Two items demonstrated some DIF for age and gender but were retained within the 13-item CES-D scale. A new cut point for depression score of 9 was found to correspond to the original cut point score of 16 in the full CES-D scale.

Conclusion

This Rasch analysis of the CES-D in a longstanding RA cohort resulted in the construction of a modified 13-item scale with good internal validity. Further validation of the modified scale is recommended particularly in relation to the new cut point for depression.

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Symmons D, Turner G, Webb R, Asten P, Barrett E, Lunt M, Scott D, Silman A: The prevalence of rheumatoid arthritis in the United Kingdom: new estimates for a new century. Rheumatology 2002, 41: 793–800. 10.1093/rheumatology/41.7.793PubMedCrossRef

Sheehy C, Murphy E, Barry M: Depression in rheumatoid arthritis—underscoring the problem. Rheumatology 2006, 45: 1325–1327. 10.1093/rheumatology/kel231PubMedCrossRef

Dickens C, McGowan L, Clark-Carter D, Creed F: Depression in rheumatoid arthritis: a systematic review of the literature with meta-analysis. Psychosom Med 2002,64(1):52–60.PubMedCrossRef

Covic T, Tyson G, Spencer D, Howe G: Depression in rheumatoid arthritis patients: demographic, clinical, and psychological predictors. J Psychosom Res 2006, 60: 469–476. 10.1016/j.jpsychores.2005.09.011PubMedCrossRef

Hyrich K, Symmons D, Watson K, Silman A: BSRBR Control Centre Consortium on behalf of the British Society for Rhematology. Biologics Register Baseline comorbidity levels in biologic and standard DMARD treated patients with rheumatoid arthritis: results form a national patient register. Ann Rheum Dis 2006, 65: 895–8.PubMed

Katon W, Schulberg H: Epidemiology of depression in primary care. Gen Hosp Psychiatry 1992, 14: 237–47.PubMed

Radloff L: The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement 1977, 1: 385–401. 10.1177/014662167700100306CrossRef

Rhee SH, Petroski GF, Parker JC, Smarr KL, Wright GE, Multon KD, Buchholz JL, Komatireddy GR: A confirmatory factor analysis of the Center for Epidemiologic Studies Depression Scale in rheumatoid arthritis patients: Additional evidence for a four-factor structure. Arthritis Care Res 1999, 12: 392–400. Publisher Full Text 10.1002/1529-0131(199912)12:6<392::AID-ART7>3.0.CO;2-9PubMedCrossRef

McCauley SR, Pedroza C, Brown SA, Boake C, Levin HS, Goodman HS, Merritt SG: Confirmatory factor structure of the Center for Epidemiologic Studies-Depression scale (CES-D) in mild-to-moderate traumatic brain injury. Brain Injury 2006, 20: 519–527. 10.1080/02699050600676651PubMedCrossRef

10.

Pandya R, Metz L, Patten SB: Predictive value of the CES-D in detecting depression among candidates for disease-modifying multiple sclerosis treatment. Psychosomatics 2005, 46: 131–134. 10.1176/appi.psy.46.2.131PubMedCrossRef

11.

Hann D, Winter K, Jacobsen P: Measurement of depressive symptoms in cancer patients: evaluation of the CES-D. J Psychosom Res 1999, 46: 437–443. 10.1016/S0022-3999(99)00004-5PubMedCrossRef

12.

Pickard AS, Dalal MR, Bushnell DM: A Comparison of Depressive Symptoms in Stroke and Primary Care: Applying Rasch Models to Evaluate the Center for Epidemiologic Studies-Depression Scale. Value Health 2006, 9: 59–64. 10.1111/j.1524-4733.2006.00082.xPubMedCrossRef

13.

Cole JC, Rabin AS, Smith TL, Kaufman AS: Development and validation of a Rasch-derived CES-D short form. Psychol Assess 2004, 16: 360–372. 10.1037/1040-3590.16.4.360PubMedCrossRef

14.

Beck AT: Cognitive models of depression. Journal of Cognitive Psychotherapy: An International Quarterly 1987, 1: 5–37.

15.

Callahan LF, Kaplan MR, Pincus T: The Beck Depression Inventory, Center for Epidemiological Studies Depression Scale (CES-D), and General Well-Being Schedule depression subscale in rheumatoid arthritis. Criterion contamination of responses. Arthritis Care Res 1991, 4: 3–11. 10.1002/art.1790040103PubMedCrossRef

16.

Blalock SJ, DeVellis RF, Brown GK, Wallston KA: Validity of the Center for Epidemiological Studies Depression Scale in arthritis populations. Arthritis Rheum 1989, 32: 991–997. 10.1002/anr.1780320808PubMedCrossRef

17.

Sheehan TJ, Fifield J, Reisine S, Tennen H: The measurement structure of the Center for Epidemiologic Studies Depression scale. J Pers Assess 1995, 64: 507–521. 10.1207/s15327752jpa6403_9PubMedCrossRef

18.

Huba GJ, Bentler PM: On the usefulness of latent variable casual modeling in testing theories of naturally occurring events (including adolescent drug use). J Pers Soc Psychol 1982, 43: 604–611.PubMedCrossRef

19.

Olsen LR, Mortensen EL, Bech P: The SCL-90 and SCL-90R versions validated by item response models in a Danish community sample. Acta Psychiatr Scand 2004, 110: 225–229. 10.1111/j.1600-0447.2004.00399.xPubMedCrossRef

20.

Hays RD, Morales LS, Reise SP: Item response theory and health outcomes measurement in the 21st century. Med Care 2000, 38: II28–42. 10.1097/00005650-200009002-00007PubMedCrossRef

21.

Rasch G: Probabilistic models for some intelligence and attainment tests. Chicago , University of Chicago Press; 1960.

22.

Embretson SE, Reise SP: Item response theory for psychologists. Mahwah, NJ , Erlbaum; 2000.

23.

Tennant A, McKenna SP, Hagell P: Application of Rasch analysis in the development and application of quality of life instruments. Value Health 2004, 7: S22-S26. 10.1111/j.1524-4733.2004.7s106.xPubMedCrossRef

24.

Smith AB, Wright EP, Rush R, Stark DP, Velikova G, Selby PJ: Rasch analysis of the dimensional structure of the Hospital Anxiety and Depression Scale. Psychooncology 2006, 15: 817–827. 10.1002/pon.1015PubMedCrossRef

25.

Chan KS, Orlando M, Ghosh-Dastidar B, Duan N, Sherbourne CD: The interview mode effect on the Center for Epidemiological Studies Depression (CES-D) scale: an item response theory analysis. Med Care 2004, 42: 281–289. 10.1097/01.mlr.0000115632.78486.1fPubMedCrossRef

26.

Pallant JF, Tennant A: An introduction to the Rasch measurement model: an example using the Hospital Anxiety and Depression Scale (HADS). Br J Clin Psychol 2007, 46: 1–18. 10.1348/014466506X96931PubMedCrossRef

27.

Andrich D: Rating formulation for ordered response categories. Psychometrika 1978, 43: 561–573. 10.1007/BF02293814CrossRef

28.

Masters G: A Rasch model for partial credit scoring. Psychometrika 1982, 47: 149–174. 10.1007/BF02296272CrossRef

29.

Andrich D, Lyne A, Sheridan B, Luo G: RUMM 2020. Perth , RUMM Laboratory; 2003.

30.

Smith EV: Detecting and evaluation the impact of multidimensionality using item fit statistics and principal component analysis of residuals. J Appl Meas 2002, 3: 205–231.PubMed

31.

Martens MP, Parker JC, Smarr KL, Hewett JE, Slaughter BJ, Walker SE: Development of a shortened Center for Epidemiological Studies Depression scale for assessment of depression in Rheumatoid Arthritis. Rehabil Psychol 2006, 5: 135–139. 10.1037/0090-5550.51.2.135CrossRef

32.

Covic T, Adamson B, Spencer D, Howe G: A biopsychosocial model of pain and depression in rheumatoid arthritis: a 12-month longitudinal study. Rheumatology 2003, 42: 1287–94. 10.1093/rheumatology/keg369PubMedCrossRef

33.

Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS, Medsger Jr TA, Mitchell DM, Neustadt DH, Pinals RS, Schaller JG, Sharp JT, Wilder RL, Hunder GG: The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988, 31: 315–24.PubMed

34.

Spector PE, Van Katwyck PT, Brannick MT, Chen PY: When two factors don’t reflect two constructs: how item characteristics can produce artifactual factors. Journal of Management 1997, 23: 659–677. 10.1177/014920639702300503CrossRef

35.

McPherson J, Mohr P: The role of item extremity in the emergence of keying-related factors: an exploration with the Life Orientation Test. Psychol Methods 2005, 10: 120–131. 10.1037/1082-989X.10.1.120PubMedCrossRef

36.

Schroevers MJ, Sanderman R, Van Sonderen E, Ranchor AV: The evaluation of the Center for Epidemiological Studies Depression (CES-D) scale: depressed and positive affect in cancer patients and healthy reference subjects. Qual Life Res 2000, 9: 1015–1029. 10.1023/A:1016673003237PubMedCrossRef

Title: A longitudinal evaluation of the Center for Epidemiologic Studies-Depression scale (CES-D) in a Rheumatoid Arthritis Population using Rasch Analysis
Authors: Tanya Covic
Julie F Pallant
Philip G Conaghan
Alan Tennant
Publication date: 01-12-2007
Publisher: BioMed Central
Published in: Health and Quality of Life Outcomes / Issue 1/2007
Electronic ISSN: 1477-7525
DOI: https://doi.org/10.1186/1477-7525-5-41

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

A longitudinal evaluation of the Center for Epidemiologic Studies-Depression scale (CES-D) in a Rheumatoid Arthritis Population using Rasch Analysis

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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