An analysis of diversity in the cognitive performance of elderly community dwellers: individual differences in change scores as a function of age.

This longitudinal study investigated whether age is associated with increases in interindividual variability across 4 ability domains using a sample of 426 elderly community dwellers followed over 3.5 years. Interindividual variability in change scores increased with age for memory, spatial functioning, and speed but not for crystallized intelligence for the full sample and in a subsample that excluded dementia or probable dementia cases. Hierarchical regression analyses indicated that being female, having weaker muscle strength, and having greater symptoms of illness and greater depression were associated with overall greater variability in cognitive scores. Having a higher level of education was associated with reduced variability. These findings are consistent with the view that there is a greater range of responses at older ages, that certain domains of intelligence are less susceptible to variation than others and that variables other than age affect cognitive performance in later life.     

Longitudinal changes in the contribution of genetic and environmental influences to symptoms of depression in older male twins

Genetically informative longitudinal data on self-reported symptoms of depression allow for an investigation of the causes of stability and change in depression symptoms throughout adult life. In this report, the authors investigated the relative contribution of genetic and environmental influences to symptoms of depression in 83 monozygotic and 84 dizygotic male twin pairs from the National Heart, Lung, and Blood Institute (NHLBI) Twin Study. Participants first completed the Center for Epidemiologic Studies-Depression (CES-D) scale in 1985-1986 and again during 1995-1997. Mean age of twins at baseline was 63 years, range 59 to 70. From cross-sectional genetic analyses we estimated the heritability of CES-D to be 25% (95% confidence interval [CI], 11%-39%) at baseline and 55% (95% CI, 40%-71%) at follow-up. Fitting longitudinal genetic models to the two-wave data, we found that stability of symptoms over the 10-year follow-up was due primarily to continuity of genetic influences.     

Development of Children's perceptions of internal locus of control: A cross-sectional and longitudinal analysis

Elementary school children between the ages of eight and thirteen were administered the Children's Nowicki/Strickland Locus of Control Scale annually for three years. As predicted, children's mean locus of control scores were found to be significantly different from one age group to the next (cross-sectional analysis) as well as from one year to the next (longitudinal analysis). Older children had significantly more internal scores than did younger children, and the same 97 children demonstrated significant increases in internal perceptions over each succeeding year. No significant sex differences were observed in this generally linear developmental trend. The study supports the hypothesis that increases in internal perceptions are associated with growing older. The data are explained using a confluent theoretical perspective drawing upon cognitive as well as behavioral theory.     

Predictors of self-reported prospective and retrospective memory in a population-based sample of older adults

In this article, the authors examined predictors of self-reported everyday memory failures using the Prospective and Retrospective Questionnaire (PRMQ; Smith, Della Sala, Logie, & Maylor, 2000) in a population-based sample of older adults (age range = 60-90 years; N = 250). The results showed that a higher frequency of reported failures was associated with lower scores on the personality dimension of self-directedness as assessed by the Temperament and Character Inventory (TCI; Cloninger, Dragan, Svrakic, & Przybeck, 1993) and more depressive symptoms on the Center for Epidemiological Studies Depression Scale (CES-D; Radloff, 1977). However, PRMQ scores showed no relationships with objective memory ability, as reflected by a series of retrospective memory measures and a measure of prospective memory. Neither were the PRMQ scales associated with general cognitive functioning as assessed by the Mini-Mental State Examination (MMSE; Folstein, Folstein, & McHugh, 1977). Taken together, the results indicate that within the older population, self-reported memory as assessed by the PRMQ may reflect mood-state and personality factors rather than individual differences in memory and cognitive ability.     

Performance variability is related to change in cognition: evidence from the Victoria Longitudinal Study

Performance variability across repeated task administrations may be an important indicator of age-related cognitive functioning. In the present investigation, the authors examined whether age differences and change in inconsistency were related to 6-year (3 occasion) cognitive change. Inconsistency scores were computed from 4 reaction time tasks performed by 446 older adults (54-89 years). Replicating previous cross-sectional results, greater inconsistency was observed for older participants even after controlling for differences in response speed. New longitudinal results demonstrated (a) associations between inconsistency at baseline measurement and 6-year change in cognitive performance; (b) longitudinal change in inconsistency; and (c) intraindividual covariation between 6-year change in inconsistency and 6-year change in level of cognitive function. These findings support the view that performance variability serves as a marker of cognitive aging.     

Unidimensionality and bandwidth in the Center for Epidemiologic Studies Depression (CES-D) Scale

In this study, we compared classical test theory (CTT) and item response theory (IRT) approaches in analyzing the Center for Epidemiological Studies Depression (CES-D) Scale (Radloff, 1977). Standard item analyses, as well as Rasch (1960) analyses, both revealed item departures from unidimensionality in a sample of 2,455 older persons responding to the CES-D. Positive affect items in the scale performed poorly overall, their removal reducing the scale's bandwidth only slightly. Modeling depression scores derived from Rasch measures and raw totals showed subtle but important differences for statistical inference. The assessment of depressive risk was slightly enhanced by using 16-item scale measures obtained from the results of the Rasch analysis as the dependent variable. Confirmatory factor analysis and parallel analysis verified the advantages of removing positively worded items. IRT and CTT techniques proved to be complementary in this study and can be usefully combined to improve measuring depression.     

Are old people more depressed? Cross-sectional data on Center for Epidemiological Studies Depression Scale factors

Age differences on the 20-item Center for Epidemiological Studies Depression Scale (CES-D) were examined for 4 age-cohort groups: 20-39 years (n = 548), 40-54 years (n = 218), 55-69 years (n = 352), and 70-98 years (n = 212). On total CES-D, there was a significant age effect and quadratic trend, with means for the middle aged least and those for the oldest most elevated. On 4 CES-D subscales--Depressed Mood, Psychomotor Retardation, Lack of Well-being (i.e., reverse-scored items), and Interpersonal Difficulties--the oldest group scored highest only on lack of well-being. Somatic symptoms of depression were not elevated. Young adults scored highest on depressed mood. Adults who are now old were not generally characterized by elevated self-reports of depressive symptoms; however, on items asking whether the respondent has a hopeful outlook, those aged 70 and older were more likely to endorse a lack of such positive feelings.     

Dispersion in Cognitive Ability as a Function of Age: A Longitudinal Study of an Elderly Community Sample

This longitudinal study investigated whether age is associated with increased dispersion among major domains of cognitive ability. Three samples were examined: the full sample of 760 elderly community dwellers aged 70 years and older who were tested in 1990; a subset of the original sample who died between testing occasions; and the sample of 426 who survived with full data sets in 1994 (followed up for a mean 3.5 years). Dispersion, as measured by the within-individual standard deviation of ability scores and by the within-individual deviations from crystallized intelligence for speed, memory and spatial functioning, was significantly correlated with age in all three samples at Wave 1 and at Wave 2 (for the longitudinal sample). The rate at which dispersion increased was not significantly correlated with age. In a more detailed analysis of the 426 survivors, dispersion as a function of age was similar for demented persons within this sample, those without dementia, those with poor and excellent educational levels, and those with a physical disability. Activities of daily living was a predictor of larger-than-average changes in dispersion – but not age, education, or activity. Greater dispersion was associated with faster deterioration in memory and speed performance. Contrary to some recent reports, there was evidence for greater within-individual variability among cognitive domains in older individuals.     

Prenatal cortisol, prematurity and low birthweight

Three hundred depressed pregnant women were recruited at approximately 20 weeks gestation. They were then divided by a median split into high and low urinary cortisol level groups. The high cortisol group had higher CES-D depression scores and higher inhibition (BIS) scores prenatally. Their fetuses had smaller head circumference, abdominal circumference, biparietal diameter and fetal weight. The high cortisol group neonates were shorter gestational age and lower birthweight and they had lower Brazelton habituation and higher Brazelton reflex scores. Discriminant function analyses suggested that cortisol levels more accurately classified short gestation and low birthweight groups than CES-D depression scores.     

Memory training and strategy use in older adults: results from the ACTIVE study

Little is known about the long-term effects of memory training in later life on strategy use. Data from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study (n = 1,401) were used to describe strategy use in a community-dwelling sample of older adults. Strategy clustering scores on verbal list learning tasks of episodic memory were used to test the impact of memory training on strategy use and study longitudinal associations between strategy clustering, memory performance, and everyday functioning. Results suggested that younger, female, white, healthier, and more educated participants show higher strategy clustering scores initially but no characteristics were consistently associated with different trajectories in strategy clustering across all strategy clustering measures together. Memory training had significant immediate effects on all measures of strategy use that were maintained through five years of follow-up. With respect to longitudinal mediation, pre-post training changes in most strategy clustering scores mediate changes in objective memory performance and everyday functioning, implying that strategies can be modified and are closely related to both memory ability and the ability to function independently. This study provides evidence that older adults can be trained to use cognitive strategies, the effects are durable, and strategies are associated with memory and everyday functioning.     

Symptoms of depression and related factors among Spanish university students

A 554-member stratified random sample of students at a Spanish university (65.9% women; aged 18-34 years) was screened for symptoms of depression using a new Castilian Spanish translation of the Center for Epidemiologic Studies Depression Scale (CES-D) that had been validated by back-translation. Mean CES-D score was 14.2 (SD = 10.3, range 0-54), with a significant difference between the scores of women (M = 15.5; SD = 10.9) and men (M = 11.8; SD = 8.4; t552 = 4.06, p < .0005). Some 33%, of the sample screened positive with the usual CES-D screening threshold of 16, and 16% with the threshold of 24 recommended by Clarke and coworkers. The symptoms most commonly experienced all or most of the time were hopelessness, given the maximum rating by 18.8% of students, difficulty in concentration (17.7%), fatigue (13.9%), inadequacy (13.0%), and disturbance of sleep (12.4%).     

The psychometric properties of the center for epidemiological studies-depression scale (ces-d) when used with adults with physical disabilities

Abstract

Psychometric properties of the Center for Epidemiological Studies Depression Scale (CES-D) were examined in a sample of 790 adults with physical disabilities and compared to the responses obtained from non-disabled samples (Craig and Van Natta, 1976; Radloff, 1977). Findings suggested the CES-D is a valid measure of depressive symptoms among adults with physical disabilities. Scores on the CES-D scale were not elevated by somatic issues related to physical disability as evidenced by the lack of statistically significant differences in the persistence percentages reported by adults with physical disabilities and non-disabled adults for four of the seven items composing the somatic dimension of the CES-D. Moreover, the factor structure obtained via principal components analysis was highly similar to that obtained with non-disabled adults. Likewise, the Cronbach alpha value for the total score was within acceptable ranges and scores on the CES-D scale were moderately correlated with scores on a number of related but putatively distinct constructs.     

Psychometric properties of reverse-scored items on the CES-D in a sample of ethnically diverse older adults

Reverse-scored items on assessment scales increase cognitive processing demands and may therefore lead to measurement problems for older adult respondents. In this study, the objective was to examine possible psychometric inadequacies of reverse-scored items on the Center for Epidemiologic Studies Depression Scale (CES-D) when used to assess ethnically diverse older adults. Using baseline data from a gerontologic clinical trial (n = 460), we tested the hypotheses that the reversed items on the CES-D (a) are less reliable than nonreversed items, (b) disproportionately lead to intraindividually atypical responses that are psychometrically problematic, and (c) evidence improved measurement properties when an imputation procedure based on the scale mean is used to replace atypical responses. In general, the results supported the hypotheses. Relative to nonreversed CES-D items, the 4 reversed items were less internally consistent, were associated with lower item-scale correlations, and were more often answered atypically at an intraindividual level. Further, the atypical responses were negatively correlated with responses to psychometrically sound nonreversed items that had similar content. The use of imputation to replace atypical responses enhanced the predictive validity of the set of reverse-scored items. Among older adult respondents, reverse-scored items are associated with measurement difficulties. It is recommended that appropriate correction procedures such as item readministration or statistical imputation be applied to reduce the difficulties.     

WOMEN WHO USE DOMESTIC VIOLENCE SHELTERS Changes in Depression Over Time

This study examined the levels of depression reported by women who had used a domestic violence shelter. Depressive symptoms were assessed three times: immediately after shelter exit, 10 weeks thereafter, and 6 months later. Whereas 83% of the women reported at least mild depression on the Center for Epidemiological Studies Depression (CES-D) scale upon shelter exit, only 58% were depressed 10 weeks later. This did not change at the 6–month follow-up. An ecological, longitudinal model was evaluated to predict battered women's depression 8/12 months postshelter exit. Results of hierarchical regression analyses suggested that, after controlling for previous levels of depression, the women's feelings of powerlessness, experience of abuse, and decreased social support contributed to their depression symptoms. The women's scores on these three variables (feelings of powerlessness, abuse, and social support) at 10 weeks postshelter exit and at 6-month follow-up predicted depression at 6 months. Thus, there were both predictive and concurrent effects for these constructs. Implications for clinical and community interventions are discussed.     

FACTORS ASSOCIATED WITH ACCULTURATIVE STRESS AND DEPRESSIVE SYMPTOMATOLOGY AMONG MARRIED MEXICAN IMMIGRANT WOMEN

The purpose of the present study was to describe levels of acculturative stress and individual stressors and their relationship to levels of depressive symptomatology among young Mexican immigrant women. The mean age of the respondents was 25.7 years with a mean of 9.4 years of education. Their age at migration was 18.5 years and their average length of stay in the United States was 7.5 years. Women who in the last three months experienced discrimination, sex-role conflicts, and concern about starting a family in this country had significantly higher (over 16) CES-D scores than women who did not report experiencing those situations. The overall findings suggest that this sample of Mexican women immigrants as a group are at risk for the development of psychological problems.     

Depressive symptomatology during pregnancy: evidence for an association with decreased fetal growth in pregnancies of lower social class women.

The relationship between depressive symptom scores on the Center for Epidemiological Studies Depression Scale (CES-D; L. S. Radloff, 1977) at each trimester of pregnancy and a decrement in either fetal growth or gestational duration was evaluated among 666 pregnant women. There was no association overall, but among 222 women from lower occupational status households, each unit increase on the CES-D at 28 weeks gestation was associated with a reduction of 9.1 g (95% confidence interval [CI] = -16.0, -2.3) in gestational-age-adjusted birth weight. When missing data were multiply imputed, the estimate was -4.6 g (95% CI = - 10.7, 1.5). CES-D score was unrelated to fetal growth or gestational duration in analyses among other potentially high-risk subgroups: smokers, women with a history of adverse outcome, and women with social vulnerabilities. These results raise the possibility that among lower status women, depressive mood may be associated with restricted fetal growth.     

Sibling jealousy in early childhood: longitudinal links to sibling relationship quality

The current investigation examined the long‐term prediction of sibling jealousy assessed in a laboratory‐based paradigm on sibling relationship quality 2 1/2 years later. This multi‐method longitudinal study included mothers, fathers, and two children from 35 families. Younger siblings were 16 months and older siblings were, on average, 4 years at Time 1. Positive longitudinal associations were found between older siblings' jealousy reactions when interacting with the father at Time 1 and sibling conflict at Time 2. These associations continued to exist even when older siblings' behaviour during the mother sessions was considered. Children's inability to regulate their jealous reactions may be indicative of lower levels of emotion regulation skills, which may, in turn, translate to poorer sibling interactions years later. Copyright © 2010 John Wiley & Sons, Ltd.     

A taxometric study of the Center for Epidemiological Studies Depression Scale

The authors assessed the latent structure of depressive symptoms as measured by the Center for Epidemiological Studies Depression Scale (CES-D; L. S. Radloff, 1977). By using taxometric procedures, the authors conducted analyses of CES-D data obtained from a large college student population. These procedures incorporated strategies for interpreting analyses of skewed indicators and small putative taxa. The authors hypothesized that CES-D total scores would be represented as a dimension, with a taxonic distribution of a factor incorporating somatic symptoms. Results indicated that all CES-D factors, including the factor composed of somatic complaints, were dimensional. Administration of the Diagnostic Interview Schedule-IV (L. N. Robins, L. Marcus, & W. Reich, 1996) to one quarter of the participants indicated that the CES-D was effective in identifying cases of current or recent clinical depression. Evidence of the dimensionality of CES-D indicators in a student population is consistent with a continuity view of depressive symptoms.     

Measurement properties of the Center for Epidemiologic Studies-Depression Scale in a homeless population

The measurement properties of the Center for Epidemiologic Studies--Depression Scale (CES-D; L. S. Radloff, 1977) were evaluated in a probability sample of homeless adults residing in a large and demographically diverse community. The findings from this investigation suggest that the CES-D is a reliable measure of depressive symptoms among homeless adults and that the factor structure of the scale replicates the factor structure found in the general population. Change in the CES-D scores was associated with change in residential status, with participants who had made a transition from homelessness to regular domicile, reporting significantly lower levels of depressive symptomatology. This result indicates the scale's sensitivity to current depressive mood, as affected by significant life events encountered by homeless persons.     

A longitudinal study of gender differences in depressive symptoms from age 50 to 80

The Obvious Depression Scale was administered to 739 community residents at ages 50, 60, and 80 years, with 151 present at all waves. Although selective attrition influenced the level of depressive symptoms in cross-sectional vs. longitudinal samples, both sets of analyses revealed higher scores in women than in men at ages 50 and 60, but not at age 80. Men showed increases in depressive symptoms from age 60 to 80, but women did not (interaction p < .002). This interaction was not present in somatic symptoms, which increased across time in both genders. Potential explanations include differential changes in social roles with aging.