Propiedades psicométricas del Centro de Estudios Epidemiológicos, Escala de depresión para adolescentes en Bulgaria

  • Ivelina Tsocheva University of Roehampton (United Kingdom)
  • Bilge Uzun Bahcesehir University (Turkey)
  • Cecilia A. Essau University of Roehampton (United Kingdom)


En el presente estudio se evaluaron las propiedades psicométricas de la versión búlgara de la “Centre for Epidemiological Studies Depression Scale” (CES-DC), una escala auto-informada de 20 ítems diseñada para medir síntomas depresivos en niños y adolescentes. Un total de 700 adolescentes (323 niñas y 377 niños), de 13 a 17 años, participaron en el estudio. Además de la escala CES-DC, los adolescentes también contestaron el “Strength and Difficulties Questionnaire” (SDQ) y el “Spence Child Anxiety Scale” (SCAS). Los resultados del análisis factorial confirmatorio mostraron índices de ajuste adecuados, demostrando la validez de las cuatro dimensiones de la escala original. La CES-DC correlacionó de manera significativa con las puntuaciones totales de la SDQ y sus subescalas, mostrando que niveles elevados de síntomas depresivos se asocian con niveles altos de problemas emocionales y conductuales. En general, los resultados evidencian la validez factorial y fiabilidad de la versión búlgara de la escala CES-DC en muestras adolescentes de Bulgaria.


Achenbach, T.M. (1991). Manual for the Youth Self-report and 1991 profile. Burlington: University of Vermont.

Angold, A., Weismann, M.M., Merikangas, K.R., Prusof, P., Wich-ramaratne, G., Gammon, G.D. & Warner, V. (1987). Parent and child’s reports of depressive symptoms of at high and low risk of depression. Journal of Child Psychology & Psychiatry, 28, 901-915.

Arbuckle, J.L., & Wothke, W. (1999). Amos 4.0 user’s guide. Chicago, IL: SPSS.

Bandalos, D.L. (2008). Is parceling really necessary? A comparison of results from Item parceling and categorical variable methodology. Structural Equation Modeling, 15, 211-240.

Barkmann, C., Erhart, M., & Schulte-Markwort, M. (2008) The German version of the Centre for Epidemiological Studies Depression Scale for Children: Psychometric evaluation in a population-based survey of 7 to 17 years old children and adolescents – results of the BELLA study. European Child & Adolescent Psychiatry 17, 116–124.

Bentler, M. (1990). Comparative fit indices in structural models. Psychological Bulletin, 107, 238- 246.

Bentler, P. M. & Bonett, D.G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606.

Berganza, C.E. & Aguilar, G. (1992). Depression in Guatemalan adolescents. Adolescence 27, 771–782.

Beekman, A.T.F., Deeg, D.J.H., van Limbeek, J. et al. (1997). Criterion validity of the Center for Epidemiologic Studies Depression scale (CES-D): Results from a community based sample of older adults in the Netherlands. Psychological Medicine, 27(1), 231-235.

Birleson, P., Hudson, I., Buchanan, D.G., & Wolf, S.L. (1987). Clinical evaluation of a self-rating scale for a depressive disorder in childhood (Depression Self-Rating Scale). Journal of Child Psychology & Psychiatry & Allied Disciplines, 28(1), 43-60.

Canino, G., & Bravo, M. (1999). The Translation and adaptation of diagnostic instruments for cross-cultural use. In D. Shaffer, C.P. Lucas, & J.E. Richters (Eds.), Diagnostic assessments in child and adolescent psychopathology (pp. 285-298). New York: The Guilford Press.

Chen, J. & Wei, H. (2011). The impact of school violence on self-esteem and depression among Taiwanese junior high school students. Social Indicators Research, 100(3), 479-498.

Cunningham, N.R. & Ollendick, T.H. (2010). Comorbidity of anxiety and conduct problems in children: Implications for clinical research and practice. Clinical Child and Family Psychology, 13, 333–347

Dershem, L.D., Patsiorkovski, V.V. & O’Brien, D.J. (1996). The use of the CES-D for measuring symptoms of depression in three rural Russian villages. Social Indicators Research, 39, 89-108.

Duggal, S., Carlson, E.A., Sroufe, L.A. & Egeland, B. (2001). Depressive symptomatology in childhood and adolescence. Developmental Psychopathology, 13, 143–164.

Essau, A.C., Olaya, B., Pasha, G., Gilvarry, G., & Bray, D. (2012). Depressive symptoms among children and adolescents in Iran: A confirmatory factor analytic study of the Centre for Epidemiologic Studies Depression Scale for children. Child Psychiatry and Human Development: An International Journal, 44(1), 123-136.

Faulstich, M.E., Carey, M.P., Ruggiero, L., Enyart, P., & Gresham, F. (1986) Assessment of depression in childhood and adolescence: an evaluation of the Center for Epidemiological Studies Depression Scale for Children (CES-DC). American Journal of Psychiatry 143, 1024–1027.

Fava, G.A. (1983). Assessing depressive symptoms across cultures: Italian validation of the CESD Self-Rating Scale. Journal of Clinical-Psychology, 39(2), 249- 251.

Fendrich, M., Weissman, M.M., & Warner, V. (1990). Screening for depressive disorder in children and adolescents: Validating the Centre for Epidemiological Studies Depression Scale for Children. American Journal of Epidemiology, 131, 538–551.

Flaherty, J.A., Gaviria, F.M., Pathak, D., Mitchell, T., Wintrop, R., Richman, J.A., et al. (1988). Developing instruments for cross-cultural psychiatric research. The Journal of Nervous and Mental Disease, 176(5), 257-263.

Fuhrer, R., & Rouillon, F. (1989). La version francaise de l'echelle CES-D (Center for Epidemiologic Studies-Depression Scale). Description et traduction de l'echelle d'autoevaluation. [The French version of the CES-D (Center for Epidemiologic StudiesDepression Scale]. European-Psychiatry, 4(3), 163-166.

Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581-586.

Gupta, R., & Yick, A. (2001). Validation of CES-D Scale for older Chinese immigrants. Journal of Mental Health and Aging, 7(2), 257-272.

Hambleton, R.K. (2005). Issues, designs, and technical guidelines for adapting tests into multiple languages and cultures. In R. K. Hambleton, P. F. Merenda, & C. D. Spielberger (Eds.), Adapting educational and psychological tests for cross-cultural assessment (pp. 3-38). Mahwah, New Jersey: Lawrence Erlbaum.

Harter, S., & Nowakowski, M. (1987). Manual for the Dimensions of Depression Profile for Children and Adolescents. Denver. CO: University of Denver.

Iwata, N. & Roberts, R.E. (1994). Age differences among Japanese on the Center for Epidemiologic Studies Depression Scale: An ethnocultural perspective on somatization. Social Science & Medicine, 43(6), 967-974.

Kirkcaldy, B., & Siefen, G. (1998). Depression, anxiety and self-image among children and adolescents. School Psychology International, 19, 135–149.

Koplin, B. & Agathen J. (2002). Suicidality in children and adolescents: a review. Current Opinion in Pediatrics 14, 713–717.

Kovacs, M. (1992). Children's Depression Inventory: [manual]. Multi-Health Systems.

Lang, M., & Tisher, M. (1978). Children's depression scale. Victoria, Australia: Australian Council for Educational Research.

Lewinsohn, P.M., Seeley, I.R., Roberts, R.E., & Allen, N.B. (1997). Center for Epidemiological Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and Aging, 12, 277-287.

Li, H.C.W., Chung, O.K.J., & Ho, K.Y. (2010). Center for Epidemiologic Studies Depression Scale for Children: Psychometric testing of the Chinese version. Journal of Advanced Nursing, 66(11), 2582–2591.

Lin, L., Shi-Zhong, W., Changmin, Z., Qifu, F., Keqiang, L., & Golinag, S. (1996). Psychological long-term effects of sterilization on anxiety and depression. Contraception, 54, 345-357.

Ministry of Health (2008) National health strategy 2008–2013. Sofia, Ministry of Health.

Nasser, F., & Wisenbaker, J. (2003). A Montecarlo study investigating the impact of item parceling on measures of fit in confirmatory fator analysis. Educational & Psychological Measurement, 63, 729-757.

Noh, S., Avison, W., & Kaspar, V. (1992). Depressive symptoms among Korean immigrants: Assessment of a translation of the Center for Epidemiologic Studies Depression Scale. Psychological Assessment, 4(1), 84-91.

Olsson, G., & von Knorring, A.L. (1997). Depression among Swedish adolescents measured by the self-rating scale Center for Epidemiology Studies Depression Child (CES-DC). European Child & Adolescent Psychiatry 6, 81–87.

Radloff, R.S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401.

Rao, U., Hammen, C., & Daley, S. E. (1999). Continuity of depression during the transition to adulthood: A 5 year longitudinal study of young women. Journal of the American Academy of Child & Adolescent Psychiatry, 38(7), 908-915.

Reynolds, W.M. (1987). Reynolds adolescent depression scale (RADS). Psychological Assessment Resources, FL: Odessa.

Reynolds, W.M. (1989). Reynolds Child Depression Scale: RCDS: Professional Manual. Psychological Assessment Resources.

Reynolds, W.M., & Grave, A. (1989). Reliability of children report’s of depressive symptomology. Journal of Abnormal Psychology, 17(6), 647-655.

Schumacker, R.E., & Lomax, R.G. (1996). A beginner’s guide to structural equation modeling. Mahwah, NJ: Lawrence Erlbaum.

Spence, S.H. (1997). The structure of anxiety symptoms among children: A confirmatory factor analytic study. Journal of Abnormal Psychology, 106, 280–297.

Tabachnick, B.G., & Fidel, L.S. (2001). Using multivariate statistics (4 ed.). London: Allyn and Bacon.

Tisher, M., & Lang, M., (1983). The Children’s Depression Scale: Review and further developments, in D. P. Cantwell & C. A. Carlson (Eds), Affective Disorders in Childhood and Adolescents: An Updates. NY: Spectrum.

Tisher, M., Lang-Takac, E., & Lang, M., (1992). The Children Depression Scale: Review of Australian and overseas experience. Australian Journal of Psychology, 44(1), 27-35.

Tsocheva, I., Sasagawa, S., Georgiou, G., & Essau, A.C. (2013). Psychometric properties of the Bulgarian translation of the Spence Children’s Anxiety Scale. Journal of Psychological Abnormalities in Children, 1(1), 2-6.

Weissman, M.M., Orvaschel, H., & Padian, N. (1980). Children’s Symptom and Social Functioning Self-report Scales comparison of mothers’ and children’s reports. The Journal of Nervous and Mental Disease, 168(12), 736–740.

Weyerer, S., Geiger-Kabisch, C., Denzinger, R., & Pfeifer-Kurda, M. (1992). Die deutsche Version der CES-D Skala. Ein geeignetes Instrument zur Erfassung von Depressionen bei alteren Menschen? [The German version of the CES-D Scale: A suitable instrument for assessing depression in older adults?]. Diagnostica, 38(4), 354-365.

Wong, Y.I. (2000). Measurement properties of the Centre for Epidemiologic Studies-Depression Scale in a homeless population. Psychological Assessment, 12(1), 69-76.