Reliability and Validity of a Brief Structured Diagnostic Measure for Depression in Youths
Keywords:
adolescent depression, diagnostic measures, Hispanics, psychometricsAbstract
Disorders characterized by depressive symptoms/signs (DCBDS) are frequent and impairing among adolescents. Psychometrically appropriate diagnostic tools ease clinical research and practices. We assessed the psychometrics of a Brief Structured Diagnostic Measure for Depression (BSDMD) among 621 adolescents from Puerto Rico recruited since November 2010 to December 2012. They completed the Children’s Depression Inventory (CDI) and the Depressive Symptoms Spectrum Assessment Inventory (DSSAI). We examined the diagnostic inter-rater reliability (IRR; Cohen’s κ) of BSDMD-generated diagnoses, assessed the internal consistency (α) of its symptoms and impairment scores, and documented their validity, considering Pearson correlations with external criteria (e.g., CDI, DSAAI, and self-efficacy for depression scores, and youths’ lifetime number of depressive episodes of five or more symptoms) and significant associations (examined via Student’s t-tests and odds ratios) with a history of suicidal attempt or depression treatment, and with CDI and DSSAI cut-off criteria. We found an average diagnostic IRR of .919, alpha coefficients from .74–.89 for continuous scores, and significant associations with external criteria described for continuous and diagnostic data, as applicable. Our findings portray the BSDMD as reliable and valid when assessing DCBDS among Hispanic adolescents for the described sample.
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