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Somatic complaints and the CES-D.

G A Foelker1, R M Shewchuk

  • 1Iatreia Institute, Ft. Worth, TX 76112.

Journal of the American Geriatrics Society
|March 11, 1992
PubMed
Summary
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The Center for Epidemiology Surveys-Depression (CES-D) scale, including its Somatic scale, is not significantly affected by non-depression-related physical symptoms in older adults. This indicates the CES-D remains a valid depression screening tool for this population.

Area of Science:

  • Gerontology
  • Psychometrics
  • Epidemiology

Background:

  • The Center for Epidemiology Surveys-Depression (CES-D) scale is widely used for depression screening.
  • Concerns exist regarding potential overestimation of depression due to somatic complaints, particularly in older adults.
  • The Multi-Level Assessment Instrument's Physical Health Domain Index (PHDI) measures physical health.

Purpose of the Study:

  • To assess if the CES-D scale yields false positives for depression due to somatic complaints in community-dwelling elderly.
  • To evaluate the relationship between somatic symptomatology and CES-D scores.

Main Methods:

  • Cross-sectional correlation analysis of random multi-cluster samples.
  • 1,060 participants aged 55 and older from thirteen Alabama counties.

Related Experiment Videos

  • Examined the relationship between the PHDI (composite and component scores) and the CES-D (total and subscale scores), focusing on the CES-D Somatic scale.

    • Main Results:

    • CES-D total and Somatic scale scores were not correlated with age, PHDI scores, or PHDI subgroups.
    • Among depressed individuals, PHDI scores did not correlate with most CES-D subscales.
    • The CES-D Somatic scale showed a positive relationship with somatic complaints only in depressed individuals with the highest number of complaints.

    Conclusions:

    • The CES-D scale and its Somatic scale are largely unbiased by somatic complaints in the elderly.
    • The CES-D demonstrates validity for depression screening in this population, even with co-occurring physical symptoms.