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What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis

BACKGROUND: The main objective of the current study was to gain insight into the heterogeneity and profiles of depressive symptoms in Chinese individuals aged 45 and over and to determine the optimal cut-off point for the 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) to provid...

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Autores principales: Fu, Hanlin, Si, Lulu, Guo, Ruixia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963942/
https://www.ncbi.nlm.nih.gov/pubmed/35360127
http://dx.doi.org/10.3389/fpsyt.2022.820777
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author Fu, Hanlin
Si, Lulu
Guo, Ruixia
author_facet Fu, Hanlin
Si, Lulu
Guo, Ruixia
author_sort Fu, Hanlin
collection PubMed
description BACKGROUND: The main objective of the current study was to gain insight into the heterogeneity and profiles of depressive symptoms in Chinese individuals aged 45 and over and to determine the optimal cut-off point for the 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) to provide a reference for future practical application. METHODS: The participants were 16,997 Chinese community-dwelling adults aged 45 years or older who completed survey interviews for the 2018 China Health and Retirement Longitudinal Study. The current study utilised latent profile analysis (LPA) to identify distinct profiles based on participants’ responses to CES-D-10 items, and receiver operating characteristic (ROC) curve analyses were applied to determine the optimal cut-off point for the CES-D-10 scale. RESULTS: A three-profile solution was suggested as the optimum and included a “minimal depression” group (63.1%), “mild depression” group (23.4%) and “moderate-severe depression” group (13.5%); 36.9% (95% CI: 36.2 ∼ 37.6%) were considered at risk for probable depression. The “minimal depression” group was viewed as “non-cases,” and the remaining were viewed as “cases” that served as the reference standard for the ROC analysis, which obtained an AUC value of 97.8% (95% CI: 97.7–98.0%) and identified an optimal cut-off point of 10 (sensitivity:91.93%, specificity: 92.76%, and accuracy: 92.45). CONCLUSION: The identification of these distinct profiles underscores the heterogeneity in depressive symptoms among Chinese middle-aged and older adults. The CES-D-10 scale was demonstrated to have acceptable psychometric properties, with a cut-off point of 10 recommended for future research and practical application.
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spelling pubmed-89639422022-03-30 What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis Fu, Hanlin Si, Lulu Guo, Ruixia Front Psychiatry Psychiatry BACKGROUND: The main objective of the current study was to gain insight into the heterogeneity and profiles of depressive symptoms in Chinese individuals aged 45 and over and to determine the optimal cut-off point for the 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) to provide a reference for future practical application. METHODS: The participants were 16,997 Chinese community-dwelling adults aged 45 years or older who completed survey interviews for the 2018 China Health and Retirement Longitudinal Study. The current study utilised latent profile analysis (LPA) to identify distinct profiles based on participants’ responses to CES-D-10 items, and receiver operating characteristic (ROC) curve analyses were applied to determine the optimal cut-off point for the CES-D-10 scale. RESULTS: A three-profile solution was suggested as the optimum and included a “minimal depression” group (63.1%), “mild depression” group (23.4%) and “moderate-severe depression” group (13.5%); 36.9% (95% CI: 36.2 ∼ 37.6%) were considered at risk for probable depression. The “minimal depression” group was viewed as “non-cases,” and the remaining were viewed as “cases” that served as the reference standard for the ROC analysis, which obtained an AUC value of 97.8% (95% CI: 97.7–98.0%) and identified an optimal cut-off point of 10 (sensitivity:91.93%, specificity: 92.76%, and accuracy: 92.45). CONCLUSION: The identification of these distinct profiles underscores the heterogeneity in depressive symptoms among Chinese middle-aged and older adults. The CES-D-10 scale was demonstrated to have acceptable psychometric properties, with a cut-off point of 10 recommended for future research and practical application. Frontiers Media S.A. 2022-03-14 /pmc/articles/PMC8963942/ /pubmed/35360127 http://dx.doi.org/10.3389/fpsyt.2022.820777 Text en Copyright © 2022 Fu, Si and Guo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Fu, Hanlin
Si, Lulu
Guo, Ruixia
What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis
title What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis
title_full What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis
title_fullStr What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis
title_full_unstemmed What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis
title_short What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis
title_sort what is the optimal cut-off point of the 10-item center for epidemiologic studies depression scale for screening depression among chinese individuals aged 45 and over? an exploration using latent profile analysis
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963942/
https://www.ncbi.nlm.nih.gov/pubmed/35360127
http://dx.doi.org/10.3389/fpsyt.2022.820777
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