Psychiatr Prax 2014; 41(03): 135-141
DOI: 10.1055/s-0033-1343176
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Depressionsscreening am Telefon mittels der Allgemeinen Depressionsskala (ADS)

Ergebnisse einer bevölkerungsrepräsentativen ErhebungScreening for Depression by Telephone Using the German Version of the Center for Epidemiological Studies Depression Scale (CES-D)Results from a Representative Survey
Janine Stein
1   Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig
,
Melanie Luppa
1   Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig
,
Jette Mahnke
1   Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig
2   Institut für Psychologie, Fakultät für Biowissenschaften, Pharmazie und Psychologie, Universität Leipzig
,
Siegfried Weyerer
3   Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim/Universität Heidelberg, Mannheim
,
Georg Schomerus
4   Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsmedizin Greifswald
,
Steffi G. Riedel-Heller
1   Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
13. Mai 2013 (online)

Zusammenfassung

Anliegen: Analyse der Reliabilität und Validität der Allgemeinen Depressionsskala (ADS) sowie die Ermittlung von Normwerten im Rahmen einer Telefonbefragung.

Methode: 868 Personen (18 – 94 Jahre) wurden interviewt.

Ergebnisse: Die Analyse der psychometrischen Güte der ADS erbrachte moderate bis gute Werte. Es wurden Prozentrangnormen ermittelt.

Schlussfolgerung: Die ADS erwies sich als ein reliables und valides Verfahren zur telefonischen Erfassung von depressiven Symptomen. In der vorliegenden Arbeit werden aktuelle Normwerte speziell für den Einsatz in telefonischen Befragungen vorgelegt.

Abstract

Objective: Analyses of the reliability and validity of the German version of the Center for Epidemiological Studies Depression Scale (CES-D) and the assessment of normative values.

Method: A representative sample of 868 people (German population, 18 to 94 years) was assessed via structured interviews in a telephone survey.

Results: According to the cut-off score of 16 points, 8.5 % of the total sample (11.0 % women and 5.6 % men) showed relevant depressive symptoms. When using the cut-off score of 22 points, 3.5 % of the subjects of the total sample, 4.2 % of the women and 2.5% of the men, were classified as depressed. The analysis of the psychometric properties of the instrument such as internal consistency, test-retest reliability, construct validity and factor structure revealed moderate to good results. Percentile standard values were determined.

Conclusion: The German version of the CES-D can be described as a reliable and valid instrument for detecting depressive symptoms. The present study offers current normative data for the specific use in telephone surveys.

 
  • Literatur

  • 1 Wittchen HU, Jacobi F, Rehm J et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol 2011; 21: 655-679
  • 2 Sikorski C, Luppa M, Kersting A et al. Computer-aided cognitive behavioral therapy for depression. Psychiat Prax 2011; 38: 61-68
  • 3 Bermejo I, Klars G, Bohm K et al. Evaluation of Germany's sixth national health target entitled “Depressive illnesses – prevention, early diagnosis, sustainable treatment”. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2009; 52: 897-904
  • 4 Stieglitz RD. Diagnostics of depressive disorders. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2008; 51: 392-398
  • 5 Hautzinger M, Bailer M, Hofmeister D et al. Allgemeine Depressionsskala ADS; Manual. Göttingen: Hogrefe; 2012
  • 6 Stein J, Luppa M. Allgemeine Depressionsskala (ADS). Psychiat Prax 2012; 39: 302-304
  • 7 Pieh C, Altmeppen J, Neumeier S et al. Gender differences in response to CBT-orientated multimodal treatment in depressed patients with chronic pain. Psychiat Prax 2012; 39: 280-285
  • 8 Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1977; 1: 385-401
  • 9 Naughton MJ, Wiklund I. A critical review of dimension-specific measures of health-related quality of life in cross-cultural research. Qual Life Res 1993; 2: 397-432
  • 10 Weyerer S, Geiger-Kabisch C, Denzinger R et al. Die deutsche Version der CES-D Skala. Ein geeignetes Instrument zur Erfassung von Depressionen bei älteren Menschen?. Diagnostica 1992; 38: 354-365
  • 11 Aquilino W. Effects of Interview Mode on Measuring Depression in Younger Adults. J Off Stat 1998; 14: 15-29
  • 12 Hood K, Robling M, Ingledew D et al. Mode of data elicitation, acquisition and response to surveys: a systematic review. Health Technol Assess 2012; 16: 1-162
  • 13 Chan KS, Orlando M, Ghosh-Dastidar B et al. 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
  • 14 Sikorski C, Luppa M, Braehler E et al. Obese Children, Adults and Senior Citizens in the Eyes of the General Public: Results of a Representative Study on Stigma and Causation of Obesity. Plos One 2012; 7: e46924
  • 15 Hautzinger M, Bailer M. Allgemeine Depressions-Skala ADS. Manual. Weinheim: Beltz; 1993
  • 16 Brauns H, Steinmann S. Educational reform in France, West-Germany and the United Kingdom: Updating the CASMIN educational classification. ZUMA-Nachrichten 1999; 44: 7-44
  • 17 Moock J. Preference-based Measurement of Health-Related Quality of Life: the EQ-5D Questionnaire. Phys Rehab Kur Med 2008; 18: 245-249
  • 18 Lienert G, Raatz U. Testaufbau und Testanalyse. Weinheim: Beltz; 1998
  • 19 Hautzinger M. Die CES-D Skala: Ein Depressionsmeßinstrument für Untersuchungen in der Allgemeinbevölkerung. Diagnostica 1988; 34: 167-173
  • 20 Cho MJ, Nam JJ, Suh GH. Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res 1998; 81: 341-352
  • 21 Riediger M, Linden M, Wilms H-U. Die deutsche Version der CES-D als Instrument in der gerontologischen Forschung. Z Klin Psychologie Psychother 1998; 46: 344-346
  • 22 Weissman MM, Sholomskas D, Pottenger M et al. Assessing depressive symptoms in five psychiatric populations: a validation study. Am J Epidemiol 1977; 106: 203-214
  • 23 Kurth B-M. Erste Ergebnisse aus der „Studie zur Gesundheit Erwachsener in Deutschland“ (DEGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2012; 55: 980-990
  • 24 Mossakowski KN. The influence of past unemployment duration on symptoms of depression among young women and men in the United States. Am J Public Health 2009; 99: 1826-1832
  • 25 Whooley M, Kiefe C, Chesney M et al. Depressive symptoms, unemployment, and loss of income: The CARDIA Study. Arch Intern Med 2002; 162: 2614-2620
  • 26 Husaini BA, Neff JA, Harrington JB et al. Depression in rural communities: Validating the CES-D scale. J Community Psychol 1980; 8: 20-27
  • 27 Donker T, van Straten A, Marks I et al. Brief self-rated screening for depression on the Internet. J Affect Disord 2010; 122: 253-259
  • 28 Fountoulakis KN, lacovides A, Samolis S et al. Reliability, validity and psychometric properties of the Greek translation of the Zung Depression Rating Scale. BMC Psychiatry 2001; 1: 6
  • 29 Crawford J, Cayley C, Lovibond PF et al. Percentile Norms and Accompanying Interval Estimates from an Australian General Adult Population Sample for Self-Report Mood Scales (BAI, BDI, CRSD, CES-D, DASS, DASS-21, STAI-X, STAI-Y, SRDS, and SRAS). Aust Psychol 2011; 46: 3-14
  • 30 Pettit JW, Lewinsohn PM, Seeley JR et al. Association between the Center for Epidemiologic Studies Depression Scale (CES-D) and mortality in a community sample: An artifact of the somatic complaints factor?. Int J Clin Health Psychol 2008; 8: 383-397
  • 31 Ensel W. Measuring depression: The CES-D scale. In: Lin N, Dean A, Ensel W, Hrsg. Social support, life events, and depression. Orlando: Academic Press; 1986: 51-70
  • 32 Lewinsohn PM, Seeley JR, Roberts RE et al. Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychol Aging 1997; 12: 277-287
  • 33 Roberts RE. Reliability of the CES-D Scale in different ethnic contexts. Psychiatry Res 1980; 2: 125-134
  • 34 Sritharan K, Lane TR, Davies AH. The burden of depression in patients with symptomatic varicose veins. Eur J Vasc Endovasc Surg 2012; 43: 480-484
  • 35 Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30: 473-483
  • 36 Gerbershagen HU, Lindena G, Korb J et al. Health-related quality of life in patients with chronic pain. Schmerz 2002; 16: 271-284
  • 37 Knight RG, Williams S, McGee R et al. Psychometric properties of the Centre for Epidemiologic Studies Depression Scale (CES-D) in a sample of women in middle life. Behav Res Ther 1997; 35: 373-380
  • 38 Fountoulakis K, Iacovides A, Kleanthous S et al. Reliability, validity and psychometric properties of the Greek translation of the Center for Epidemiological Studies-Depression (CES-D) Scale. BMC Psychiatry 2001; 1: 3
  • 39 Goncalves B, Fagulha T. The Portuguese version of the Center for Epidemiologic Studies Depression Scale (CES-D). Eur J Psychol Assess 2004; 20: 339-348
  • 40 Matschinger H, Schork A, Riedel-Heller SG et al. Zur Anwendung der CES-D bei älteren Menschen: Dimensionsstruktur und Meßartefakte. Diagnostica 2000; 46: 29-37
  • 41 Sjostrom O, Holst D. Validity of a questionnaire survey: response patterns in different subgroups and the effect of social desirability. Acta Odontol Scand 2002; 60: 136-140
  • 42 der Wiel AB, van Exel E, de Craen AJ et al. A high response is not essential to prevent selection bias: results from the Leiden 85-plus study. J Clin Epidemiol 2002; 55: 1119-1125
  • 43 Raab-Steiner E, Benesch MT. Der Fragebogen. Von der Forschungsidee zur SPSS-Auswertung. Stuttgart: UTB GmbH; 2010
  • 44 American Psychiatric Association. Diagnostic and statistical manual of mental disorders-DSM-IV-TR. Washington, DC: American Psychiatric Association; 2000