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A confirmatory factor analysis of the center for epidemiologic studies depression scale in rheumatoid arthritis patients: Additional evidence for a four-factor model

✍ Scribed by Rhee, Soo Hyun ;Petroski, Gregory F. ;Parker, Jerry C. ;Smarr, Karen L. ;Wright, Gail E. ;Multon, Karen D. ;Buchholz, Janda L. ;Komatireddy, Geetha R.


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
212 KB
Volume
12
Category
Article
ISSN
0004-3591

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✦ Synopsis


To examine the factor structure of the Center for Epidemiologic Studies Depression Scale (CES-D) in a sample of patients with rheumatoid arthritis (RA), testing all of the alternative models suggested by the previous evidence.

Methods. The CES-D was administered to a group of RA patients (n ϭ 685) during a structured telephone interview. The telephone interview was repeated 6 months later (n ϭ 537) and 12 months later (n ϭ 453). Confirmatory factor analyses were conducted to test alternative models.

Results. The correlated 4-factor model and the second-order 4-factor model were the best fitting models.

Conclusion.

The factor structure of the CES-D previously found in the general population was replicated in an RA sample. The results are consistent with previous evidence of criterion contamination in the CES-D when used in an RA sample and provide support for the view that a single summary score may not be the most informative index of the CES-D.