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Validating the Children’s Depression Inventory-2: Results from the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study

Author

Listed:
  • Nandini Anant
  • Divjyot Kaur
  • Ranjani Nadarajan
  • Desiree Y Phua
  • Yap Seng Chong
  • Peter D Gluckman
  • Fabian Yap
  • Helen Chen
  • Birit Broekman
  • Michael J Meaney
  • Yuen-Siang Ang

Abstract

Childhood-onset depression has adverse consequences that are sustained into adulthood, which increases the significance of detection in early childhood. The Children’s Depression Inventory (CDI) is used globally in evaluating depressive symptom severity in adolescents, and its second version, the CDI-2, was developed by taking into account advances in childhood depression research. Prior research has reported inconsistencies in its factor structure across populations. In addition, the CDI-2 has not yet been empirically validated with Southeast Asian populations. This study sought to empirically validate the CDI-2’s psychometric properties and evaluate its factorial structure with a Singaporean community sample of non-clinical respondents. A total sample of 730 Singaporean children aged between 8.5 and 10.5 years was used. Psychometric properties of the CDI-2, including internal consistency as well as convergent and discriminant validity, were assessed. Factor analyses were conducted to assess the developers’ original two-factor structure for a Southeast Asian population. This two-factor structure was not supported in our sample. Instead, the data provided the best fit for a hierarchical two-factor structure with factors namely, socio-emotional problems and cognitive-behavioural problems. This finding suggests that socio-cultural and demographic elements influence interpretation of depressive symptoms and therefore the emerging factor structure of the construct under scrutiny. This study highlights the need to further examine the CDI-2 and ensure that its interpretation is culture-specific. More qualitative work could also bring to light the idiosyncratic understanding of depressive symptomatology, which would then guide culture-specific validation of the CDI-2.

Suggested Citation

  • Nandini Anant & Divjyot Kaur & Ranjani Nadarajan & Desiree Y Phua & Yap Seng Chong & Peter D Gluckman & Fabian Yap & Helen Chen & Birit Broekman & Michael J Meaney & Yuen-Siang Ang, 2023. "Validating the Children’s Depression Inventory-2: Results from the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study," PLOS ONE, Public Library of Science, vol. 18(5), pages 1-16, May.
  • Handle: RePEc:plo:pone00:0286197
    DOI: 10.1371/journal.pone.0286197
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    References listed on IDEAS

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    1. Martin Jelínek & Petr Květon & Iva Burešová & Helena Klimusová, 2021. "Measuring depression in adolescence: Evaluation of a hierarchical factor model of the Children’s Depression Inventory and measurement invariance across boys and girls," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-17, April.
    2. Samson Bamidele Olorunju & Onoja Matthew Akpa & Rotimi Felix Afolabi, 2018. "Modelling the factor structure of the Child Depression Inventory in a population of apparently healthy adolescents in Nigeria," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-14, March.
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    1. Martin Jelínek & Petr Květon & Iva Burešová & Helena Klimusová, 2021. "Measuring depression in adolescence: Evaluation of a hierarchical factor model of the Children’s Depression Inventory and measurement invariance across boys and girls," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-17, April.

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