The CES-D as a Screen for Depression and Other Psychiatric Disorders in Adolescents

CAROL Z. GARRISON, CHERYL L. ADDY, KIRBY L. JACKSON, ROBERT E. McKEOWN, JENNIFER L. WALLER

Research output: Contribution to journalArticle

273 Scopus citations

Abstract

The performance of the Center for Epidemiologic Studies Depression Scale (CES-D) as a screen for depression was explored in a two-stage epidemiological study of adolescents. The study consisted of a CES-D screening stage completed by a school sample of 2,465 young adolescents and a structured psychiatric interview stage completed by 332 mother-adolescent pairs. Adolescents with interview validated depression had elevated screening scores (X = 31.10, SD = 11.30) compared with individuals with no disorder (X = 21.01, SD = 11.77). Using receiver operating characteristic curves, a cut point of 12 for males produced the best overall screening characteristics (sensitivity = 0.85, specificity = 0.49), while for females, a cut point of 22 was optimal (sensitivity = 0.83, specificity = 0.77).

Original languageEnglish (US)
Pages (from-to)636-641
Number of pages6
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume30
Issue number4
DOIs
StatePublished - Jan 1 1991
Externally publishedYes

Keywords

  • adolescence
  • depression
  • depressive symptoms
  • psychiatric disorder
  • screening

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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