Korean Clinical Psychology Association

Journal Archive

Korean Journal of Clinical Psychology - Vol. 38 , No. 2

[ Original Article ]
Korean Journal of Clinical Psychology - Vol. 37 , No. 2 , pp.177-186
ISSN: 2466-197X (Online)
publication date 31 May 2018
Received 17 Oct 2017 Revised 16 Feb 2018 Accepted 17 Feb 2018
DOI: https://doi.org/10.15842/kjcp.2018.37.2.005

Psychometric Properties of the Children’s Depression Inventory-2 among a Community-Based Sample of Korean Children and Adolescents
Hyo-Jeong Kim1, ; Eun-Ho Lee2 ; Soon-Taeg Hwang3 ; Sang-Hwang Hong4 ; Ji-Hae Kim1
1Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul
2Depression Center, Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul
3Department of Psychology, Chungbuk National University, Cheongju
4Department of Education, Chinju National University of Education, Jinju, Korea

Correspondence to : Hyo-Jeong Kim, Department of Psychiatry, Samsung Medical Center, 81 Irwon-ro, Gangnam-gu, Seoul, Korea; E-mail: mypaenna@gmail.com


© 2018 Korean Clinical Psychology Association

Abstract

Childhood depression is a disorder with negative and long-lasting effects through to adulthood. At present, the Children’s Depression Inventory is the most globally used tool for evaluating depression in a pediatric group, and the Children’s Depression Inventory-2 (CDI-2) was developed considering a birth-cohort effect. The current study has two main objectives: (a) to investigate the psychometric properties of the self-rated version of the CDI-2 and (b) to investigate its factorial structure in Korean nonclinical children and adolescent populations. A convenient sample considering age, sex, and area was used. The total sample comprised 1,036 children and adolescents aged 7 to 17 years living in 3 different areas. The psychometric properties of the CDI-2, including internal consistency, interrater reliability, and concurrent validity, were evaluated. Exploratory structural equation modeling (ESEM) analysis was also conducted to determine the internal structure of the CDI-2 for Korean children and adolescents. The gender difference was is significant, and age also affected the total score. The interaction effect of age and sex in the total score is statistically significant. The Korean CDI-2 appeared to have good internal consistency. Correlations among the CDI-2 scores of self-report, parent-report, and teacher-report forms were statistically significant and moderate in size. ESEM analysis demonstrated that a two-factor structure could be a best-fit model for our sample. The sample of the study consisted entirely of non-clinical children and adolescents, and therefore more researches targeting the clinical population are necessary to generalize these results. Future studies could identify a cut-off score or predictive validity.


Keywords: child depression inventory, korean adolescent, childhood depression, CDI-2

Acknowledgments

Portions of this research were presented at the annual meeting of the American Psychological Association, Washington, August, 2017.


References
1. Al-Balhan, E. M. (2006). The Children's Depression Inventory as a reliable measure for post-Iraqi invasion Kuwaiti youth. Social Behavior and Personality, 34, 351-366.
2. Bang, Y. R., Park, J. H., & Kim, S. H. (2015). Cut-off scores of the Children's Depression Inventory for screening and rating severity in Korean adolescents. Psychiatry Investigation, 12, 23-28.
3. Breslau, J., Gilman, S. E., Stein, B. D., Ruder, T., Gmelin, T., & Miller, E. (2017). Sex differences in recent first-onset depression in an epidemiological sample of adolescents. Translational Psychiatry, 7, e1139.
4. Carlson, G. A., & Kashani, J. H. (1988). Phenomenology of major depression from childhood through adulthood: Analysis of three studies. The American Journal of Psychiatry, 145, 1222-1225.
5. Cho, S., & Lee, Y. (1990). Development of the Korean form of the Kovacs' Children's Depression Inventory. Journal of the Korean Neuropsychiatric Association, 29, 943-956.
6. Cho, S. J., Jeon, H. J., Kim, M. J., Kim, J. K., Kim, U. S., Lyoo, I. K., & Cho, M. J. (2001). Prevalence and correlates of depressive symptoms among the adolescents in an urban area in Korea. Journal of the Korean Neuropsychiatric Association, 40, 627-639.
7. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (Vol. 2). NJ: Lawrence Earlbaum Associates.
8. Cole, D. A., Hoffman, K., Tram, J. M., & Maxwell, S. E. (2000). Structural differences in parent and child reports of children's symptoms of depression and anxiety. Psychological Assessment, 12, 174-185.
9. Cole, D. A., Martin, J. M., Jacquez, F. M., Tram, J. M., Zelkowitz, R., Nick, E. A., & Rights, J. D. (2017). Time-varying and time-invariant dimensions of depression in children and adolescents: Implications for cross-informant agreement. Journal of Abnormal Psychology, 126, 635-651.
10. De Los Reyes, A., Augenstein, T. M., Wang, M., Thomas, S. A., Drabick, D. A., Burgers, D. E., & Rabinowitz, J. (2015). The validity of the multi-informant approach to assessing child and adolescent mental health. Psychological Bulletin, 141, 858-90.
11. De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131, 483-509.
12. Drucker, P. M., & Greco-Vigorito, C. (2002). An exploratory factor analysis of children's depression inventory scores in young children of substance abusers. Psychol Reports, 91, 131-141.
13. Figueras Masip, A., Amador-Campos, J. A., Gomez-Benito, J., & del Barrio Gandara, V. (2010). Psychometric properties of the Children's Depression Inventory in community and clinical sample. The Spanish Journal of Psychology, 13, 990-999.
14. Fristad, M. A., Emery, B. L., & Beck, S. J. (1997). Use and abuse of the Children's Depression Inventory. Journal of Consulting and Clinical Psychology, 65, 699-702.
15. Garber, J., & Rao, U. (2014). Depression in children and adolescents. In M. Lewis & K. D. Rudolgh (Eds.), Handbook of Developmental Psychopathology (3rd ed., pp. 489-520). New York: Springer.
16. Garcia, L. F., Aluja, A., & Del Barrio, V. (2008). Testing the hierarchical structure of the Children's Depression Inventory: A multigroup analysis. Assessment, 15, 153-164.
17. Glaser, K. (1967). Masked depression in children and adolescents. American Journal of Psychotherapy, 21, 565-574.
18. Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55.
19. Ivarsson, T., Gillberg, C., Arvidsson, T., & Broberg, A. G. (2002). The Youth Self-Report (YSR) and the Depression Self-Rating Scale (DSRS) as measures of depression and suicidality among adolescents. European Child and Adolescent Psychiatry, 11, 31-37.
20. Kessler, R. C., Avenevoli, S., Costello, J., Green, J. G., Gruber, M. J., McLaughlin, K. A., . . . Merikangas, K. R. (2012). Severity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Archives of General Psychiatry, 69, 381-389.
21. Kovacs, M. (1992). Children's Depression Inventory (CDI) Manual. Toronto: Multi-Health Systems.
22. Kovacs, M., & Lopez-Duran, N. (2010). Prodromal symptoms and atypical affectivity as predictors of major depression in juveniles: Implications for prevention. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 51, 472-496.
23. Kovacs, M., & Staff, M. (2003). Children's Depression Inventory (CDI) technical manual update. New York, USA: Multi-Health Systems.
24. Kovacs, M., & Staff, M. (2011). Children's Depression Inventory 2nd edition (CDI-2) technical manual. Toronto: Multi-Health Systems.
25. Lee, Y. S., Krishnan, A., & Park, Y. S. (2012). Psychometric properties of the Children’s Depression Inventory: an item response theory analysis across age in a nonclinical, longitudinal, adolescent sample. Measurement and Evaluation in Counseling and Development, 45, 84-10.
26. Luby, J. L., Gaffrey, M. S., Tillman, R., April, L. M., & Belden, A. C. (2014). Trajectories of preschool disorders to full DSM depression at school age and early adolescence: continuity of preschool depression. The American Journal of Psychiatry, 171, 768-776.
27. Maxwell, S. D., Fineberg, A. M., Drabick, D. A., Murphy, S. K., & Ellman, L. M. (2017). Maternal prenatal stress and other developmental risk factors for adolescent depression: Spotlight on sex differences. Journal of Abnormal Child Psychology, 46, 381-397.
28. Moretti, M. M., Fine, S., Haley, G., & Marriage, K. (1985). Childhood and adolescent depression: Child-report versus parent-report information. Journal of the American Academy of Child Psychiatry, 24, 298-302.
29. Oh, K. J., Ha, E. H., Lee, H. R., & Hong, K. E. (2007). Korean-Youth Self Report (K-YSR). Seoul: Jungang Aptitude Research Center.
30. Piko, B. F., & Fitzpatrick, K. M. (2003). Depressive symptomatology among Hungarian youth: a risk and protective factors approach. The American Journal of Orthopsychiatry, 73, 44-54.
31. Poli, P., Sbrana, B., Marcheschi, M., & Masi, G. (2003). Self-reported depressive symptoms in a school sample of Italian children and adolescents. Child Psychiatry and Human Development, 33, 209-226.
32. Reavley, N. J., Cvetkovski, S., Jorm, A. F., & Lubman, D. I. (2010). Help-seeking for substance use, anxiety and affective disorders among young people: Results from the 2007 Australian National Survey of Mental Health and Wellbeing. The Australian and New Zealand Journal of Psychiatry, 44, 729-735.
33. Roelofs, J., Braet, C., Rood, L., Timbremont, B., van Vlierberghe, L., Goossens, L., & van Breukelen, G. (2010). Norms and screening utility of the Dutch version of the Children's Depression Inventory in clinical and nonclinical youths. Psychological Assessment, 22, 866-877.
34. Saluja, G., Iachan, R., Scheidt, P. C., Overpeck, M. D., Sun, W., & Giedd, J. N. (2004). Prevalence of and risk factors for depressive symptoms among young adolescents. Archives of Pediatrics and Adolescent Medicine, 158, 760-765.
35. Saylor, C. F., Finch, A. J., Jr., Spirito, A., & Bennett, B. (1984). The children's depression inventory: A systematic evaluation of psychometric properties. Journal of Consulting and Clinical Psychology, 52, 955-967.
36. Steele, R. G., Little, T. D., Ilardi, S. S., Forehand, R., Brody, G. H., & Hunter, H. L. (2006). A confirmatory comparison of the factor structure of the Children's Depression Inventory between European American and African American youth. Journal of Child and Family Studies, 15, 773-788.
37. Timbremont, B., Braet, C., & Dreessen, L. (2004). Assessing depression in youth: Relation between the Children's Depression Inventory and a structured interview. Journal of Clinical Child and Adolescent Psychology, 33, 149-157.
38. Twenge, J. M., & Nolen-Hoeksema, S. (2002). Age, gender, race, socioeconomic status, and birth cohort differences on the children's depression inventory: A meta-analysis. Journal of Abnormal Psychology, 111, 578-588.
39. Weiss, B., & Garber, J. (2003). Developmental differences in the phenomenology of depression. Development and Psychopathology, 15, 403-43.
40. Weiss, B., & Weisz, J. R. (1988). Factor structure of self-reported depression: Clinic-referred children versus adolescents. Journal of Abnormal Psychology, 97, 492-495.
41. Weiss, B., Weisz, J. R., Politano, M., Carey, M., Nelson, W. M., & Finch, A. J. (1992). Relations among self-reported depressive symptoms in clinic-referred children versus adolescents. Journal of Abnormal Psychology, 101, 391-397.
42. 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, 736-74.
43. Zalsman, G., Brent, D. A., & Weersing, V. R. (2006). Depressive disorders in childhood and adolescence: An overview: Epidemiology, clinical manifestation and risk factors. Child and Adolescent Psychiatric Clinics of North America, 15, 827-841.
44. Zisook, S., Lesser, I., Stewart, J. W., Wisniewski, S. R., Balasubramani, G. K., Fava, M., . . . Rush, A. J. (2007). Effect of age at onset on the course of major depressive disorder. The American Journal of Psychiatry, 164, 1539-1546.