Cross-Cultural Confirmatory Factor Analysis of the CES-D in Spanish and Mexican Dementia Caregivers

  1. Losada, Andrés 1
  2. Villareal, Mª de los Angeles 2
  3. Nuevo Benítez, Roberto 3
  4. Márquez González, María 4
  5. Salazar González, Bertha Cecilia 5
  6. Romero Moreno, Rosa 1
  7. Carrillo, Ana L. 2
  8. Fernández Fernández, Virginia 1
  1. 1 Universidad Rey Juan Carlos
    info

    Universidad Rey Juan Carlos

    Madrid, España

    ROR https://ror.org/01v5cv687

  2. 2 Universidad Autónoma de Coahuila
    info

    Universidad Autónoma de Coahuila

    Saltillo, México

    ROR https://ror.org/00dpnh189

  3. 3 Hospital Universitario de Getafe
    info

    Hospital Universitario de Getafe

    Getafe, España

    ROR https://ror.org/01ehe5s81

  4. 4 Universidad Autónoma de Madrid
    info

    Universidad Autónoma de Madrid

    Madrid, España

    ROR https://ror.org/01cby8j38

  5. 5 Universidad Autónoma de Nuevo León
    info

    Universidad Autónoma de Nuevo León

    San Nicolás de los Garza, México

    ROR https://ror.org/01fh86n78

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Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Any de publicació: 2012

Volum: 15

Número: 2

Pàgines: 783-792

Tipus: Article

DOI: 10.5209/REV_SJOP.2012.V15.N2.38890 DIALNET GOOGLE SCHOLAR lock_openAccés obert editor

Altres publicacions en: The Spanish Journal of Psychology

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Resum

The Center for Epidemiologic Studies-Depression Scale (CES-D) is the most frequently used scale for measuring depressive symptomatology in caregiving research. The aim of this study is to test its construct structure and measurement equivalence between caregivers from two Spanish-speaking countries. Face-to-face interviews were carried out with 595 female dementia caregivers from Madrid, Spain, and from Coahuila, Mexico. The structure of the CES-D was analyzed using exploratory and confirmatory factor analysis (EFA and CFA, respectively). Measurement invariance across samples was analyzed comparing a baseline model with a more restrictive model. Significant differences between means were found for 7 items. The results of the EFA clearly supported a four-factor solution. The CFA for the whole sample with the four factors revealed high and statistically significant loading coefficients for all items (except item number 4). When equality constraints were imposed to test for the invariance between countries, the change in chi-square was significant, indicating that complete invariance could not be assumed. Significant between-countries differences were found for three of the four latent factor mean scores. Although the results provide general support for the original four-factor structure, caution should be exercised on reporting comparisons of depression scores between Spanish-speaking countries.

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Informació de finançament

The preparation of this article was supported in part by grants from the Spanish Ministerio de Educación (Grant SEJ2006-02489/PSIC) and the Spanish Ministerio de Ciencia e Innovación (Grant PSI2009-08132/PSIC).

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Referències bibliogràfiques

  • Aguilera-Guzmán, R. M., Carreño-García, M. S., & García, F. J. (2004). Características psicométricas de la CESD en una muestra de adolescentes rurales mexicanos de zonas con alta tradición migratoria [Psychometric properties of the CES-D in a sample of Mexican rural adolescents from areas with strong migratory tradition]. Salud Mental, 27, 57-66.
  • Alzheimer's Disease International. (2009). Alzheimer's Disease International. World Alzheimer Report. London, England: Author Retrieved from http://www.alz.co.uk/research/files/WorldAlzheimerReport.pdf
  • Aranda, M. P., & Knight, B. G. (1996). The influence of ethnicity and culture on the caregiver stress and coping process: A sociocultural review and analysis. The Gerontologist, 37, 342-354. http://dx.doi.org/10.1093/geront/37.3.342
  • Berr, C., Wancata, J., & Ritchie, K. (2005). Prevalence of dementia in the elderly in Europe. European! europsychopharmacology, 15, 463-471. http://dx.doi.org/10.1016/j.euroneuro.2005.04.003
  • Brodaty, H. (2007). Meaning and measurement or caregiver outcomes. International Psychogeriatrics, 19, 363-381. http://dx.doi.org/10.1017/S1041610207005182
  • Calvete, E., Estévez, A., Landín, C., Martínez, Y., Cardeñoso, O., Villardón, L., & Villa A. (2005). Self talk and affective problems in college students: Valence of thinking and cognitive content specificity. The Spanish Journal of Psychology, 8, 56-67.
  • Campo-Arias, A., Díaz-Martínez, L. A., Rueda-Jaimes, G. E., Cadena-Afanador, L. P., & Hernández, N. L. (2007). Psychometric properties of the CES-D Scale among Colombian adults from the general population. Revista Colombiana de Psiquiatría, 36, 664-674.
  • Cook, R. D., & Weisberg, S. (1983). Diagnostics for heteroscedasticity in regression. Biometrika, 70, 1-10. http://dx.doi.org/10.1093/biomet/70.1.1
  • Flora, D. B., & Curran, P. J. (2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological Methods, 9, 466-491. http://dx.doi.org/10.1037/1082-989X.9.4.466
  • Golding, J. M., & Aneshensel, C. S. (1989). Factor structure of the Center for Epidemiologic Studies Depression Scale among Mexican Americans and Non-Hispanic whites. Psychological Assessment, 1, 163-168. http://dx.doi.org/10.1037//1040-3590.1.3.163
  • González, V., Stewart, A., Ritter, P., & Lorig, K. (1995). Translation and validation of arthritis outcome measures into Spanish. Arthritis and Rheumatism, 38, 1429-1446. http://dx.doi.org/10.1002/art.1780381010
  • Hilgeman, M. M., Durkin, D. W., Sun, F., DeCoster, J., Allen, R. S, Gallagher-Thompson, D., & Burgio, L. D. (2009). Testing a theoretical model of the stress process in Alzheimer's caregivers with race as a moderator. The Gerontologist, 49, 248-261. http://dx.doi.org/10.1093/geront/gnp015
  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling, 6, 1-55. http://dx.doi.org/10.1080/10705519909540118
  • Knight, B. G., & Sayegh, P. (2010). Cultural values and caregiving: Updated sociocultural stress and coping model. Journals of Gerontology: Psychological Sciences, 65B, 5-13. http://dx.doi.org/10.1093/geronb/gbp096
  • Knight, R. G., Williams, S., McGee, R., & Olaman, S. (1997). Psychometric properties of the Centre for Epidemiologic Studies Depression Scale (CES-D) in a sample of women in middle life. Behaviour Research and Therapy, 35, 373-380. http://dx.doi.org/10.1016/S0005-7967(96)00107-6
  • Llibre Rodriguez, J. J., Ferri, C. P., Acosta, D., Guerra, M., Huang, Y., Jacob, K. S., 10/66 Dementia Research Group (2008). Prevalence of dementia in Latin America, India, and China: A population-based cross-sectional survey. Lancet, 372, 464-474. http://dx.doi.org/10.1016/S0140-6736(08)61002-8
  • Losada, A., Márquez-González, M., & Romero-Moreno, R. (2011). Mechanisms of action of a psychological intervention for dementia caregivers: Effects of behavioral activation and modification of dysfunctional thoughts. International Journal of Geriatric Psychiatry, 26, 1119-1127. http://dx.doi.org/10.1002/gps.2648
  • Losada, A., Peñacoba, C., Márquez-González, M., & Cigarán, M. (2008). Cuidar Cuidándose. Evaluación e intervención interdisciplinar con cuidadores familiares de personas con demencia [Caregiving caring of yourself. Assessment and multidisciplinary intervention for family caregivers of people with dementia]. Madrid, Spain: Obra Social Caja Madrid.
  • Losada, A., Robinson Shurgot, G., Knight, B. G., Márquez, M., Montorio, I., Izal, M., & Ruiz, M.A. (2006). Crosscultural study comparing the association of familism with burden and depressive symptoms in two samples of Hispanic dementia caregivers. Aging and Mental Health, 10, 69-76. http://dx.doi.org/10.1080/13607860500307647
  • McCauley, S. R., Pedroza, C., Brown, S. A., Boake, C., Levin, H. S., Goodman, H. S., & Merritt, S. G. (2006). Confirmatory factor structure of the Center for Epidemiologic Studies-Depression Scale (CES-D) in mildto-moderate traumatic brain injury. Brain Injury, 20, 519-527. http://dx.doi.org/10.1080/02699050600676651
  • Moniz-Cook, E., Vernooij-Dassen, M., Woods, R., Verhey, F., Chattat, R., de Vugt, INTERDEM group (2008). A European consensus on outcome measures for psychosocial intervention research in dementia care. Aging and Mental Health, 12, 14-29. http://dx.doi.org/10.1080/13607860801919850
  • Muthén, B., & Asparouhov, T. (2002). Latent variable analysis with categorical outcomes: Multiple-group and growth modeling in Mplus. Mplus Web Notes, 4. Retrieved from http://www.statmodel.com/download/webnotes/CatMGLong.pdf
  • Muthén, B., & Christoffersson, A. (1981). Simultaneous factor analysis of dichotomous variables in several groups. Psychometrika, 46, 407-419. http://dx.doi.org/10.1007/BF02293798
  • Muthén, L., & Muthén, B. (1998-2006). Mplus user's guide (4th Ed.). Los Angeles, CA: Author.
  • O'Rourke, N. (2005). Factor structure of the Center for Epidemiologic Studies-Depression Scale (CES-D) among older men and women who provide care to persons with dementia. International Journal of Testing, 5, 265-277. http://dx.doi.org/10.1207/s15327574ijt0503_5
  • Pinquart, M., & Sörensen, S. (2003). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18, 250-267. http://dx.doi.org/10.1037/0882-7974.18.2.250
  • Radloff, L. S. (1977). The CES-D Scale: A Self-Report Depression Scale for research in the general population. Applied Psychological Measurement, 1, 385-401. http://dx.doi.org/10.1177/014662167700100306
  • Reyes-Ortega, M., Soto-Hernández, A. L., Milla-Kegel, J. G., García-Ramírez, A., Hubard-Vignau, L., Mendoza-Sánchez, H.,Wagner-Echegaray, F. A. (2003). Actualización de la Escala de Depresión del Centro de Estudios Epidemiológicos (CES-D). Estudio piloto en una muestra geriátrica Mexicana [Updating of the Center for Epidemiologic Studies- Depression Scale (CES-D). Pilot study in a geriatricMexican sample]. Salud Mental, 26, 59-68.
  • Roth, D. L., Ackerman, M. L., Okonkwo, O. C., & Burgio, L. D. (2008). The four-factor model of depressive symptoms in dementia caregivers: A structural equation model of ethnic differences. Psychology and Aging, 23, 567-576. http://dx.doi.org/10.1037/a0013287
  • Schreiber, J. B., Stage, F. K., King, J., Nora, A., & Barlow, E. A. (2006). Reporting Structural Equation Modelling and Confirmatory Factor Analysis results: A review. The Journal of educational research, 99, 323-338. http://dx.doi.org/10.3200/JOER.99.6.323-338
  • Schulz, R., O'Brien, A. T., Bookwala, J., & Fleissner, K. (1995). Psychiatric and physical morbidity effects of dementia caregiving: Prevalence, correlates, and causes. The Gerontologist, 35, 771-791. http://dx.doi.org/10.1093/geront/35.6.771
  • Soler, J., Pérez-Sola, V., Puigdemont, D., Pérez-Blanco, J., Figueres, M., & Alvarez, E. (1997). Validation study of the Center for Epidemiologic Studies-Depression (CESD) in affective disorders in Spanish population. Actas Españolas de Psiquiatría, 25, 243-249.
  • Stata Statistical Software Release 11.0. (2009). Stata Statistical Software Release 11.0. College Station, TX: Stata Corp.
  • Vandenberg, R. J., & Lance, C. E. (2000). A review and synthesis of the measurement invariance literature: suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3, 4-70. http://dx.doi.org/10.1177/109442810031002
  • Williams, C. D., Taylor, T. R., Makambi, K., Harrell, J., Palmer, J. R., Rosenberg, L., & Adams-Campbell, L. L. (2007). CES-D four-factor structure is confirmed, but not invariant, in a large cohort of African American women. Psychiatry Research, 150, 173-180. http://dx.doi.org/10.1016/j.psychres.2006.02.007
  • Ximénez, C., & Revuelta, J. (2010). Factorial invariance in a repeated measures design: an application to the study of person-organization fit. The Spanish Journal of Psychology, 13, 485-493.
  • Yu, C. Y. (2002). Evaluating cutoff criteria of model fit indices for latent variable models withbinary and continuous outcomes. Los Angeles, CA: University of California.
Fuente de los datos: Dialnet