Psychometric Validity of the CES-D Scale for Assessing Depressive Symptoms in University Students in Bogotá. Colombia

CES-D量表在评估哥伦比亚波哥大大学生抑郁症状中的心理测量学效度研究

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Abstract

INTRODUCTION: The Center for Epidemiological Studies Depression Scale (CES-D) is a widely used tool for assessing depressive symptoms. This study examined its psychometric properties in a sample of 1738 university students in Bogotá. METHODS: Instrumental study with a cross-sectional, single-center design with two-stage sampling. Exploratory and two-factor factorial analyses were applied, along with reliability estimates and subgroup analyses by gender and social stratum. RESULTS: Exploratory factor analysis revealed a three-factor structure (depressive affect, positive affect, and social aspects), which explained 56% of the total variance. The KMO index was 0.95, and Bartlett's sphericity test was significant (χ(2) = 17,902.82, df = 190, p < 0.001). The bifactor model showed a strong overall factor (hierarchical omega = 0.85; ECV = 0.71), supporting the use of a total score. Internal consistency was high (α = 0.93; ω = 0.94). Women scored significantly higher than men (p < 0.001). Differentiated cut-off points by sex are proposed: ≥ 52 for women and ≥ 45 for men. CONCLUSIONS: These findings support the validity and reliability of the CES-D as a unidimensional measure of depressive symptoms in the Colombian university population and highlight its usefulness as a screening tool in public health settings, particularly within Latin American regional contexts where early detection of mental health problems is a priority.

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