The opinions of this publication are those of the grantee and do not necessarily reflect those of the Department of Education or the Department of Veterans' Affairs.
Assessment of depression in rheumatoid arthritis: A modified version of the center for epidemiologic studies depression scale†
Version of Record online: 1 AUG 2003
Copyright © 2003 by the American College of Rheumatology
Arthritis Care & Research
Volume 49, Issue 4, pages 549–555, 15 August 2003
How to Cite
Martens, M. P., Parker, J. C., Smarr, K. L., Hewett, J. E., Slaughter, J. R. and Walker, S. E. (2003), Assessment of depression in rheumatoid arthritis: A modified version of the center for epidemiologic studies depression scale. Arthritis & Rheumatism, 49: 549–555. doi: 10.1002/art.11203
- Issue online: 1 AUG 2003
- Version of Record online: 1 AUG 2003
- Manuscript Accepted: 27 AUG 2002
- Manuscript Received: 21 MAR 2002
- National Institute on Disability and Rehabilitation Research of the US Department of Education. Grant Number: #H133B30039
- Pfizer, Inc.
- Medical Research Service of the Department of Veterans'Affairs
- Rheumatoid arthritis;
The Center for Epidemiologic Studies Depression Scale (CES-D) is an instrument commonly used to assess depressive symptoms. Although the psychometric properties of the instrument are well established, the instrument's ability to identify confirmed cases of major depression has been unclear. The purpose of this study was to evaluate the ability of cutoff scores from both a full scale and a modified CES-D to detect major depression in people with rheumatoid arthritis (RA).
Data were analyzed from 457 persons with RA, including 91 who met criteria for major depression.
Results indicated that, in general, a full scale cutoff score of 19 was the most efficient in identifying cases of major depression; the cutoff score of 19 outperformed a variety of other cutoff scores from the modified scale. Even the most efficient cutoff scores, however, demonstrated problems in accurately identifying people with depression.
The CES-D, while potentially useful as a screening tool, should not be used to identify cases of major depression.