Journal of Korean Neuropsychiatric Association (신경정신의학)

Korean Neuropsychiatric Association (대한신경정신의학회)
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Factor Analysis of Children's Depression Inventory - In a Population of General Children in a Small City in Korea -

소아우울척도(Children's Depression Inventory)의 요인 구조 - 일 소도시의 일반 아동 중심으로 -

Park, Jong-Ik
박종익

  • Published : 20081100
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Abstract

Objectives：The Children’s Depression Inventory (CDI) is one of the most widely used self-report instruments for the assessment of childhood depression, and it has been especially valid for epidemiological purposes. The aim of this study is to assess self-reported depressive symptoms in 5th grade students in a small city by gender, using the Korean version of the CDI. In addition, factorial analysis was performed on the 27 items of the CDI in the subjects in order to identify potential composite dimensions. Methods：The participants were 2,293 5th grade students from elementary schools (1,148 males and 1,145 females). The initial factors were extracted by maximum likelihood factor analysis and then rotated according to promax criteria in order to achieve a simple structure. Only those items with a loading of .30 or greater were included in the identified factors. Results：The mean CDI score was 13.95±7.11. A total of 557 (24.3%) children showed clinically significant scores of more than 19 points. There was no significant difference in mean score between the boys and girls. Factorial analysis yielded four factors: dysphoria/biological dysregulation, externalizing/self-deprecation, social problems and school problems. The factor that accounted for the highest variability was externalizing/self-depreciation in boys and dysphoria/biological dysregulation in girls. Conclusion：The cut-off score on the CDI in children should be considered to be higher than that in previous studies. The factorial structure for 11-year-old children in Korea seems to be similar to that of adolescents in Western countries.

본 연구는 우리나라에서 처음으로 대규모의 지역사회 아동을 대상으로 CDI의 요인 분석을 시도하였다. 절단점은 기존 연구에 비하여 높은 25점을 제안하였고, 이는 외국과는 다른 문화적인 차이를 반영한다. 모두 4개의 요인이 추출되었는데 불쾌감 및 생물학적 조절장애, 외현화 및 자기 비하, 사회적 문제, 학업 문제였다.

Keywords

References

  1. Cytryn L, McKnew DHJ, Bunney WE Jr. Diagnosis of depression in children: a reassessment. Am J Psychiatry 1980;137:22-25 https://doi.org/10.1176/ajp.137.1.22
  2. Lewis M. Child and adolescent psychiatry. 3rd ed., Baltimore: Williams and Wilkins;2002. p.767-781
  3. Poli P, Sbrana B, Marcheschi M, Masi G. Self-reported depressive symptoms in a school sample of Italian children and adolescents. Child Psychiatry Hum Dev 2003;33:209-226 https://doi.org/10.1023/A:1021404613832
  4. Kovacs M. Children's Depression Inventory, CDI, Manual. Ontario: Multi-Health Systems Inc;1992
  5. Poznanski E, Mokros H. Children's Depression Rating Scale-Revised (CDRS-R). Los Angeles: WPS;1996
  6. Beck AT, Wark CH, Mendelson M, Mock J, Frbaugh J. An inventory of measuring depression. Arch Gen Psychiatry 1961;4:561-571 https://doi.org/10.1001/archpsyc.1961.01710120031004
  7. Cho SC, Go BJ, Kim BN, Kim JW, Shin MS, Yoo HI, et al. The 2005 Seoul Child and Adolescent Mental Health Survey. Seoul: Seoul Child and Adolescent Mental Health Center;2006
  8. Smucker MR. Craighead WE, Craighead LW, Green BJ. Normative and reliability data the Children's Depression Inventory. J Abnorm Child Psychol 1986;14:25-39 https://doi.org/10.1007/BF00917219
  9. Davanzo P, Kerwin L, Nikore V, Esparza C, Forness S, Murelle L. Spanish translation and reliability testing of the Child Depression Inventory. Child Psychiatry and Human Development 2004;35:75-92 https://doi.org/10.1023/B:CHUD.0000039321.56041.cd
  10. Frigerio A, Pesenti S, Molteni M, Snider J, Battaglia M. Depressive symptoms as measured by the CDI in a population of northern Italian children. Eur Psychiatry 2001;16:33-37 https://doi.org/10.1016/S0924-9338(00)00533-2
  11. Kovacs M. Rating scales to assess depression in school-aged children. Acta Paedopsychiatr 1981;46:305-315
  12. Barney TP, Bhate SR, Kolvin I, Famuyiwa OO, Barrett ML, Fundudis T, et al. Reliability and validity of two self-rating scales in the assessment of childhood depression. Br J Psychiatry Suppl 1991:36-40
  13. Reynolds WM, Anderson G, Bartell N. Measuring depression in children: a multimethod assessment investigation. J Abnorm Child Psychol 1985;13:513-526 https://doi.org/10.1007/BF00923138
  14. Ivarsson T, Svalander P, Litlere O. The Children's Depression Inventory (CDI) as measure of depression in Swedish adolescents. A normative study. Nord J Psychiatry 2006;60:220-226 https://doi.org/10.1080/08039480600636395
  15. Zalsman G, Misgav S, Sommerfeld E, Kohn Y, Brunstein-Klomek A, Diller R, et al. Children's Depression Inventory (CDI) and the Children's Depression Rating Scale-Revised (CDRS-R): reliability of the Hebrew version. Int J Adolesc Med Health 2005;17:255-257
  16. Chareeb GA, Beshai JA. Arabic version of the Children's Depression Inventory: reliability and validity. J Clin Child Psychol 1989;18:323-326 https://doi.org/10.1207/s15374424jccp1804_5
  17. Dong Q, Yang B, Ollendick TH. Fears in Chinese children and adolescents and their relations to anxiety and depression. J Child Psychol Psychiatry 1994;35:351-363 https://doi.org/10.1111/j.1469-7610.1994.tb01167.x
  18. Charman T, Pervova I. Self-reported depressed mood in Russian and UK school-children. A research note. J Child Psychol Psychiatry 1996;37:879-83 https://doi.org/10.1111/j.1469-7610.1996.tb01484.x
  19. Blaczer DG, Kessler RC, McGonagle KA, Swartz MS. The prevalence and distribution of major depression in a national community sample: The National Comorbidity Survey. Am J Psychiatry 1994:151;979-986 https://doi.org/10.1176/ajp.151.7.979
  20. Weiss B, Weisz JR, Politano M, Carey M, Nelson WM, Finch AJ. Developmental differences in the factor structure of the Children's Depression Inventory. Psychol Assess 1991;3:1-8
  21. Kim EK, Yang JW, Chung YS, Hong SD, Kim JH. Factor structure of the Children's Depression Inventory in children and adolescents. Kor J Clin Psychology 2005;24:693-707
  22. Craighead WE, Smucker MR, Craighead LW, Ilardi SS. Factor analysis of the Children's Depression Inventory in a community sample. Psychol Assess 1998;10:156-65 https://doi.org/10.1037/1040-3590.10.2.156
  23. Cho SC, Lee YS. Development of the Korean form of the Kovacs' Children's Depression Inventory. J Korean Neuropsychiatr Assoc 1990;29:943-955
  24. Gorsuch RL. Factor analysis. 2nd ed. Hillsdale, NJ: Erlbaum;1983
  25. Kovacs M. Children's depression inventory: technical manual update. Toronto: Multi-Health Systems;2003
  26. Kovacs M. The Children's Depression Inventory. Psychopharmacol Bull 1985;21:995-998
  27. 유팔무. 지방사회의 비교: 성경륜 등 지방자치와 지역 발전, 민음사 1997. p.165-166