Screening for adolescent depression in paediatric care: validity of a new brief version of the Center for Epidemiological Studies Depression Scale

Authors

  • Kathrin Pietsch,

    1. Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
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    • Both authors contributed equally to the manuscript.
  • Antje-Kathrin Allgaier,

    1. Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
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    • Both authors contributed equally to the manuscript.
  • Barbara Frühe,

    1. Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
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  • Anne Hoyler,

    1. Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
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  • Sabine Rohde,

    1. Department of Paediatrics, Klinikum Schwabing, Technical University Munich, Munich, Germany
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  • Gerd Schulte-Körne

    Corresponding author
    • Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
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gerd.schulte-koerne@med.uni-muenchen.de

Abstract

Background

The study assessed the criterion validity of the 15-item version of the Center for Epidemiological Studies Depression Scale (CES-D-15) as a screening instrument in paediatric care.

Method

A total of 327 patients (13–16 years) completed the CES-D-15 and a diagnostic interview serving as gold standard diagnosis for validation.

Results

Receiver operating characteristics yielded an overall accuracy of area under the curve (AUC) = .90 (95% CI [.85, .95]) for the detection of any depressive disorder. At the optimal cut-off point of 14, sensitivity (.85) and specificity (.84) were good.

Conclusions

The CES-D-15 is a promising tool for paediatricians to enhance the recognition rate of juvenile depression.

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