@article {4886, title = {Validating the Center for Epidemiological Studies Depression Scale for Children in Rwanda}, journal = {J Am Acad Child Adolesc Psychiatry}, volume = {51}, number = {12}, year = {2012}, note = {Betancourt, Theresa
Scorza, Pamela
Meyers-Ohki, Sarah
Mushashi, Christina
Kayiteshonga, Yvonne
Binagwaho, Agnes
Stulac, Sara
Beardslee, William R
eng
K01 MH077246/MH/NIMH NIH HHS/
R34MH084679-02/MH/NIMH NIH HHS/
K01MH077246-05/MH/NIMH NIH HHS/
T32 MH096724/MH/NIMH NIH HHS/
R34 MH084679/MH/NIMH NIH HHS/
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov{\textquoteright}t
2012/12/04 06:00
J Am Acad Child Adolesc Psychiatry. 2012 Dec;51(12):1284-92. doi: 10.1016/j.jaac.2012.09.003. Epub 2012 Nov 8.}, month = {Dec}, pages = {1284-92}, abstract = {OBJECTIVE: We assessed the validity of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) as a screen for depression in Rwandan children and adolescents. Although the CES-DC is widely used for depression screening in high-income countries, its validity in low-income and culturally diverse settings, including sub-Saharan Africa, is unknown. METHOD: The CES-DC was selected based on alignment with local expressions of depression-like problems in Rwandan children and adolescents. To examine criterion validity, we compared CES-DC scores to depression diagnoses on a structured diagnostic interview, the Mini International Neuropsychiatric Interview for Children (MINI KID), in a sample of 367 Rwandan children and adolescents aged 10 through 17 years. Caregiver and child or adolescent self-reports endorsing the presence of local depression-like problems agahinda kenshi (persistent sorrow) and kwiheba (severe hopelessness) were also examined for agreement with MINI KID diagnosis. RESULTS: The CES-DC exhibited good internal reliability (alpha = .86) and test-retest reliability (r = .85). The area under the receiver operating characteristic curve for the CES-DC was 0.825 when compared to MINI KID diagnoses, indicating a strong ability to distinguish between depressed and nondepressed children and adolescents in Rwanda. A cut point of>/=30 corresponded with a sensitivity of 81.9\% and a specificity of 71.9\% in this referred sample. MINI KID diagnosis was well aligned with local expressions of depression-like problems. CONCLUSION: The CES-DC demonstrates good psychometric properties for clinical screening and evaluation in Rwanda, and should be considered for use in this and other low-resource settings. Population samples are needed to determine a generalizable cut point in nonreferred samples.}, keywords = {*Depression/diagnosis/epidemiology/psychology, *Mass Screening/methods/standards, Adolescent, Behavioral Symptoms/*diagnosis, Child, Female, Humans, Male, Predictive Value of Tests, Psychiatric Status Rating Scales/*standards, Reproducibility of Results, ROC Curve, Rwanda/epidemiology, Translations}, isbn = {1527-5418 (Electronic)
0890-8567 (Linking)}, author = {Betancourt, T. S. and Scorza, P. and Meyers-Ohki, S. and Mushashi, C. and Kayiteshonga, Y. and Binagwaho, A. and Stulac, S. and Beardslee, W. R.} }