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FACTOR ANALYSIS OF CORNELL SCALE FOR DEPRESSION IN DEMENTIA AMONG ASSISTED LIVING RESIDENTS

The Cornell Scale for Depression in Dementia (CSDD) was developed to measure depressive symptoms among older adults with dementia. The psychometric qualities of the CSDD have been inconsistent regarding the factor structure, with some studies showing a four-factor model and others a five-factor mode...

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Autores principales: McPherson, Rachel, Resnick, Barbara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9770722/
http://dx.doi.org/10.1093/geroni/igac059.1885
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author McPherson, Rachel
Resnick, Barbara
author_facet McPherson, Rachel
Resnick, Barbara
author_sort McPherson, Rachel
collection PubMed
description The Cornell Scale for Depression in Dementia (CSDD) was developed to measure depressive symptoms among older adults with dementia. The psychometric qualities of the CSDD have been inconsistent regarding the factor structure, with some studies showing a four-factor model and others a five-factor model. The purpose of this study was to test the factor structure of the CSDD as a measure of depression among a sample of assisted living residents. It was hypothesized that a four-factor version of the CSDD would provide a better fit than a five-factor version of the CSDD. The present study used baseline data from the Function-Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC-AL-EIT) intervention study. A total of 511 residents from 85 assisted living facilities were included in the analyses. Confirmatory factor analyses were conducted to examine the factor structure and a chi-square difference test was conducted to compare model fit. Three items were removed from both models due to small factor loadings. The chi-square difference test indicated that the five-factor model fit the data significantly better (χ2 = 796.08, ∆χ2= 22.86, ∆df = 4, p < .001) than the four-factor model, although both the five-factor and four-factor models produced very poor model fits. These findings may be due to the fact that the CSDD relies on information from caregivers, and the measure might benefit from including observational signs of depression. Future work should examine other factors or items that belong in a depression measure among assisted living residents.
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spelling pubmed-97707222022-12-22 FACTOR ANALYSIS OF CORNELL SCALE FOR DEPRESSION IN DEMENTIA AMONG ASSISTED LIVING RESIDENTS McPherson, Rachel Resnick, Barbara Innov Aging Abstracts The Cornell Scale for Depression in Dementia (CSDD) was developed to measure depressive symptoms among older adults with dementia. The psychometric qualities of the CSDD have been inconsistent regarding the factor structure, with some studies showing a four-factor model and others a five-factor model. The purpose of this study was to test the factor structure of the CSDD as a measure of depression among a sample of assisted living residents. It was hypothesized that a four-factor version of the CSDD would provide a better fit than a five-factor version of the CSDD. The present study used baseline data from the Function-Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC-AL-EIT) intervention study. A total of 511 residents from 85 assisted living facilities were included in the analyses. Confirmatory factor analyses were conducted to examine the factor structure and a chi-square difference test was conducted to compare model fit. Three items were removed from both models due to small factor loadings. The chi-square difference test indicated that the five-factor model fit the data significantly better (χ2 = 796.08, ∆χ2= 22.86, ∆df = 4, p < .001) than the four-factor model, although both the five-factor and four-factor models produced very poor model fits. These findings may be due to the fact that the CSDD relies on information from caregivers, and the measure might benefit from including observational signs of depression. Future work should examine other factors or items that belong in a depression measure among assisted living residents. Oxford University Press 2022-12-20 /pmc/articles/PMC9770722/ http://dx.doi.org/10.1093/geroni/igac059.1885 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
McPherson, Rachel
Resnick, Barbara
FACTOR ANALYSIS OF CORNELL SCALE FOR DEPRESSION IN DEMENTIA AMONG ASSISTED LIVING RESIDENTS
title FACTOR ANALYSIS OF CORNELL SCALE FOR DEPRESSION IN DEMENTIA AMONG ASSISTED LIVING RESIDENTS
title_full FACTOR ANALYSIS OF CORNELL SCALE FOR DEPRESSION IN DEMENTIA AMONG ASSISTED LIVING RESIDENTS
title_fullStr FACTOR ANALYSIS OF CORNELL SCALE FOR DEPRESSION IN DEMENTIA AMONG ASSISTED LIVING RESIDENTS
title_full_unstemmed FACTOR ANALYSIS OF CORNELL SCALE FOR DEPRESSION IN DEMENTIA AMONG ASSISTED LIVING RESIDENTS
title_short FACTOR ANALYSIS OF CORNELL SCALE FOR DEPRESSION IN DEMENTIA AMONG ASSISTED LIVING RESIDENTS
title_sort factor analysis of cornell scale for depression in dementia among assisted living residents
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9770722/
http://dx.doi.org/10.1093/geroni/igac059.1885
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