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DOI: 10.1055/a-0584-9803
Kriteriumsvalidität der deutschsprachigen Version der CES-D in der Allgemeinbevölkerung
Criterion Validity of the German Version of the CES-D in the General PopulationPublikationsverlauf
Publikationsdatum:
17. April 2018 (online)
![](https://www.thieme-connect.de/media/psychiat-praxis/201808/lookinside/thumbnails/769_10-1055-a-0584-9803-1.jpg)
Zusammenfassung
Ziel der Studie Bisher gibt es keine Studien zur Kriteriumsvalidität der deutschen Version der CES-D in der Allgemeinbevölkerung.
Methodik Für 508 Personen aus Österreich wurden die CES-D mit ICD-Diagnosen basierend auf einem SCAN-Interview verglichen.
Ergebnisse Die gesamte Diskriminationsfähigkeit für beide Geschlechter betrug 0,836 (Receiver Operating Characteristics). Bei einem optimalen Cut-off (9/10) fand sich eine Sensitivität von 81,1 % und eine Spezifität von 74,3 %.
Schlussfolgerung Die CES-D zeigt eine ausreichende Kriteriumsvalidität sowohl für Männer als auch Frauen.
Abstract
Objective The “Center of Epidemiologic Studies – Depression scale“ (CES-D) is a well-known screening tool for depression. Until now the criterion validity of the German version of the CES-D was not investigated in a sample of the adult general population.
Methods 508 study participants of the Austrian general population completed the CES-D. ICD-10 diagnoses were established by using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN). Receiver Operating Characteristics (ROC) analysis was conducted. Possible gender differences were explored.
Results Overall discriminating performance of the CES-D was sufficient (ROC-AUC 0,836). Using the traditional cut-off values of 15/16 and 21/22 respectively the sensitivity was 43.2 % and 32.4 %, respectively. The cut-off value developed on the basis of our sample was 9/10 with a sensitivity of 81.1 % und a specificity of 74.3 %. There were no significant gender differences.
Conclusion This is the first study investigating the criterion validity of the German version of the CES-D in the general population. The optimal cut-off values yielded sufficient sensitivity and specificity, comparable to the values of other screening tools.
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