Abstract
Childhood depression is a serious mental problem and has detrimental effects on child development. The Children’s Depression Inventory (CDI) has been commonly used to measure childhood depression in developmental research across the world. The present study aimed at meta-analyzing estimates of Cronbach’s alpha reported in previous studies and identifying study characteristics that affect score reliability. The final sample included 331 alphas obtained from 114,023 children in 283 primary studies conducted in 44 countries and areas by using 25 different languages. Although alphas reported in the literature were generally high with a point estimate of .840, 95 % CI [.834, .846], considerable heterogeneity existed between studies. The long form of CDI with 27 items had higher alphas than the short form with 10 items. Sample size and group heterogeneity were correlated with alpha. Moreover, alphas did not differ across linguistic forms of the CDI, indicating the cross-cultural equivalence of score reliability. Implications for future applied and methodological research were discussed.
Similar content being viewed by others
References
Abela, J. R., & Hankin, B. L. (Eds.). (2008). Handbook of depression in children and adolescents. New York, NY: Guilford.
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(4), 351–366.
Allen, K. L., Byrne, S. M., Blair, E. M., & Davis, E. A. (2006). Why do some overweight children experience psychological problems? The role of weight and shape concern. International Journal of Pediatric Obesity, 1(4), 239–247.
Allgaier, A. K., Krick, K., Opitz, A., Saravo, B., Romanos, M., & Schulte-Körne, G. (2014). Improving early detection of childhood depression in mental health care: the Children’s Depression Screener (ChilD-S). Psychiatry Research, 217(3), 248–252.
Baugh, F. (2002). Correcting effect sizes for score reliability: A reminder that measurement and substantive issues are linked inextricably. Educational and Psychological Measurement, 62, 254–263.
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186–3191.
Bonett, D. G. (2002). Sample size requirements for testing and estimating coefficient alpha. Journal of Educational and Behavioral Statistics, 27, 335–340.
Bonett, D. G. (2010). Varying coefficient meta-analytic methods for alpha reliability. Psychological Methods, 15(4), 368–385.
Carr, A. (2008). Depression in young people: Description, assessment and evidence-based treatment. Developmental Neurorehabilitation, 11(1), 3–15.
Chang, H., Lin, M., & Lin, K. (2007). The mediating and moderating roles of the cognitive triad on adolescent suicidal ideation. Nursing Research, 56(4), 252–259.
Costello, E., Copeland, W., & Angold, A. (2011). Trends in psychopathology across the adolescent years: What changes when children become adolescents, and when adolescents become adults? Journal of Child Psychology and Psychiatry, 52(10), 1015–1025.
Costello, E., Erkanli, A., & Angold, A. (2006). Is there an epidemic of child or adolescent depression? Journal of Child Psychology and Psychiatry, 47(12), 1263–1271.
Crick, N. R., Murray-Close, D., & Woods, K. (2005). Borderline personality features in childhood: A short-term longitudinal study. Development and Psychopathology, 17(4), 1051–1070.
Daignault, I. V., & Hebert, M. (2009). Profiles of school adaptation: Social, behavioral and academic functioning in sexually abused girls. Child Abuse and Neglect, 33(2), 102–115.
Dieleman, G. C., van der Ende, J., Verhulst, F. C., & Huizink, A. C. (2010). Perceived and physiological arousal during a stress task: Can they differentiate between anxiety and depression? Psychoneuroendocrinology, 35(8), 1223–1234.
Feiring, C., Simon, V. A., & Cleland, C. M. (2009). Childhood sexual abuse, stigmatization, internalizing symptoms, and the development of sexual difficulties and dating aggression. Journal of Consulting and Clinical Psychology, 77(1), 127–137.
Figueras, A., Amador-Campos, J. A., Gómez-Benito, J., & del Barrio, V. (2010). Psychometric properties of the Children’s Depression Inventory in community and clinical sample. The Spanish Journal of Psychology, 13, 990–999.
Friedberg, R. D., & McClure, J. M. (2002). Clinical practice of cognitive therapy with children and adolescents: The nuts and bolts. New York, NY: Guilford.
Gjersing, L., Caplehorn, J. R., & Clausen, T. (2010). Cross-cultural adaptation of research instruments: Language, setting, time and statistical considerations. BMC Medical Research Methodology, 10(1), 13–22.
Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. Journal of Clinical Epidemiology, 46(12), 1417–1432.
Hakstian, A. R., & Whalen, T. E. (1976). A k-sample significance test for independent alpha coefficients. Psychometrika, 41, 219–231.
Henson, R. K. (2001). Understanding internal consistency reliability estimates: A conceptual primer on coefficient alpha. Measurement and Evaluation in Counseling and Development, 34, 177–189.
Herdman, M., Fox-Rushby, J., & Badia, X. (1997). “Equivalence” and the translation and adaptation of health-related quality of life questionnaires. Quality of Life Research, 6(3), 237–247.
Huang, C., & Dong, N. (2013). Dimensionality of the Children’s Depression Inventory: Meta-analysis of pattern matrices. Journal of Child and Family Studies. Advance online publication. doi 10.1007/s10826-013-9779-1.
Ivarsson, T., Svalander, P., & Litlere, O. (2006). The Children’s Depression Inventory (CDI) as measure of depression in Swedish adolescents: A normative study. Nordic Journal of Psychiatry, 60(3), 220–226.
Janicke, D. M., Marciel, K. K., Ingerski, L. M., Novoa, W., Lowry, K. W., Sallinen, B. J., et al. (2007). Impact of psychosocial factors on quality of life in overweight youth. Obesity, 15(7), 1799–1807.
Jaycox, L. H., Stein, B. D., Paddock, S., Miles, J. N., Chandra, A., Meredith, L. S., et al. (2009). Impact of teen depression on academic, social, and physical functioning. Pediatrics, 124(4), e596–e605.
Jewkes, R. K., Dunkle, K., Nduna, M., Jama, P. N., & Puren, A. (2010). Associations between childhood adversity and depression, substance abuse and HIV and HSV2 incident infections in rural South African youth. Child Abuse and Neglect, 34(11), 833–841.
Kovacs, M. (1985). The Children’s Depression Inventory (CDI). Psychopharmacology Bulletin, 2, 995–998.
Kovacs, M. (1992). Children’s Depression Inventory (CDI). Toronto, ON: Multi-Health Systems Inc.
Kovacs, M. (1997a). Children’s Depression Inventory Parent Version (CDI-P). North Tonawanda, NY: Multi-Health Systems Inc.
Kovacs, M. (1997b). Children’s Depression Inventory Teacher Version (CDI-T). North Tonawanda, NY: Multi-Health Systems Inc.
Kovacs, M. (2003). Children’s Depression Inventory: Technical manual update. North Tonawanda, NY: Multi-Health Systems.
Kovacs, M. (2010). Children’s Depression Inventory 2nd Edition (CDI2). North Tonawanda, NY: Multi-Health Systems Inc.
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.
Mazefsky, C. A., Kao, J., & Oswald, D. P. (2011). Preliminary evidence suggesting caution in the use of psychiatric self-report measures with adolescents with high-functioning autism spectrum disorders. Research in Autism Spectrum Disorders, 5(1), 164–174.
Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989.
Merry, S. N., Hetrick, S. E., Cox, G. R., Brudevold-Iversen, T., Bir, J. J., & McDowell, H. (2012). Cochrane Review: Psychological and educational interventions for preventing depression in children and adolescents. Evidence-Based Child Health: A Cochrane Review Journal, 7(5), 1409–1685.
Mikami, A. Y., & Pfiffner, L. J. (2008). Sibling relationships among children with ADHD. Journal of Attention Disorders, 11(4), 482–492.
Millsap, R. E. (2012). Statistical approaches to measurement invariance. New York: Routledge.
Muller, B. E., & Erford, B. T. (2012). Choosing assessment instruments for depression outcome research with school-age youth. Journal of Counseling & Development, 90(2), 208–220.
Nassen, L. M. (2008). An internal consistency reliability generalization of the Child Behavior Checklist. Unpublished dissertation, University of Northern Colorado.
Park, C. M., Kim, M. D., Hong, S. C., Kim, Y., Hyun, M. Y., Kwak, Y. S., et al. (2009). Effects of obesity and obesity-induced stress on depressive symptoms in Korean elementary school children. International Journal of Social Psychiatry, 55(4), 322–335.
Pinquart, M., & Shen, Y. (2011). Depressive symptoms in children and adolescents with chronic physical illness: An updated meta-analysis. Journal of Pediatric Psychology, 36(4), 375–384.
Reise, S. P. (2013). The Rediscovery of Bifactor Measurement Models. Multivariate Behavioral Research, 47, 667–696.
Rivera, C. L., Bernal, G., & Rosselló, J. (2005). The Children Depression Inventory (CDI) and the Beck Depression Inventory (BDI): Their validity as screening measures for major depression in a group of Puerto Rican adolescents. International Journal of Clinical and Health Psychology, 5(3), 485–498.
Rivera-Medina, C. L., Caraballo, J. N., Rodríguez-Cordero, E. R., Bernal, G., & Dávila-Marrero, E. (2010). Factor structure of the CES-D and measurement invariance across gender for low-income Puerto Ricans in a probability sample. Journal of Consulting and Clinical Psychology, 78(3), 398–408.
Rodriguez, M. C., & Maeda, Y. (2006). Meta-analysis of coefficient alpha. Psychological Methods, 11, 306–322.
Ryngala, D. J., Shields, A. L., & Caruso, J. C. (2005). Reliability generalization of the revised Children’s Manifest Anxiety Scale. Educational and Psychological Measurement, 65, 259–271.
Sánchez-Meca, J., López-López, J. A., & López-Pina, J. A. (2013). Some recommended statistical analytic practices when reliability generalization studies are conducted. British Journal of Mathematical and Statistical Psychology, 66(3), 402–425.
Santalahti, P., Sourander, A., Aromaa, M., Helenius, H., Ikheimo, K., & Piha, J. (2008). Victimization and bullying among 8-year-old Finnish children: A 10-year comparison of rates. European Child and Adolescent Psychiatry, 17(8), 463–472.
Schmidt, F. L., & Hunter, J. E. (1977). Development of a general solution to the problem of validity generalization. Journal of Applied Psychology, 62(5), 529–540.
Smith, S. D., Schwartz, R. C., George, R. G., & Panke, D. (2004). Convergent validity of the Beck depression inventory for youth. Psychological Reports, 94(3), 1444–1446.
Sun, S. (2011). Meta-analysis of Cohen’s Kappa. Health Services and Outcomes Research Methodology, 11, 145–163.
Thompson, B. (1994). Guidelines for authors. Educational and Psychological Measurement, 54, 837–847.
Thompson, B. (Ed.). (2002). Score reliability: Contemporary thinking on reliability issues. Thousand Oaks, CA: Sage.
Thompson, A. H. (2012). Childhood depression revisited: Indicators, normative tests, and clinical course. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 21(1), 5–8.
Thompson, B., & Vacha-Haase, T. (2000). Psychometrics is datametrics: The test is not reliable. Educational and Psychological Measurement, 60, 174–195.
Tolan, P. H., & Dodge, K. A. (2005). Children’s mental health as a primary care and concern: A system for comprehensive support and service. American Psychologist, 60(6), 601–614.
Twenge, J. M., & Nolen-Hoeksema, S. (2002). Age, gender, race, socioeconomic status, and birth cohort difference on the children’s depression inventory: A meta-analysis. Journal of Abnormal Psychology, 111(4), 578–588.
Vacha-Haase, T. (1998). Reliability generalization: Exploring variance in measurement error affecting score reliability across studies. Educational and Psychological Measurement, 58, 6–20.
Vacha-Haase, T., Henson, R. K., & Caruso, J. C. (2002). Reliability generalization: Moving toward improved understanding and use of score reliability. Educational and Psychological Measurement, 62, 562–569.
Van Widenfelt, B. M., Treffers, P. D., De Beurs, E., Siebelink, B. M., & Koudijs, E. (2005). Translation and cross-cultural adaptation of assessment instruments used in psychological research with children and families. Clinical Child and Family Psychology Review, 8(2), 135–147.
Vandenberg, R. J., & Lance, C. E. (2000). A review and synthesis of the measurement invariance literature: Suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3(1), 4–70.
Vassar, M., & Bradley, G. (2012). A reliability generalization meta-analysis of coefficient alpha for the Reynolds Adolescent Depression Scale. Clinical Child Psychology and Psychiatry, 17(4), 519–527.
Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1–48.
Viswesvaran, C., & Ones, D. S. (2000). Measurement error in “Big Five Factors” personality assessment: Reliability generalization across studies and measures. Educational and Psychological Measurement, 60, 224–235.
Yin, P., & Fan, X. (2000). Assessing the reliability of Beck Depression Inventory scores: Reliability generalization across studies. Educational and Psychological Measurement, 60, 201–223.
Zeman, J., Shipman, K., & Suveg, C. (2002). Anger and sadness regulation: Predictions to internalizing and externalizing symptoms in children. Journal of Clinical Child and Adolescent Psychology, 31(3), 393–398.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sun, S., Wang, S. The Children’s Depression Inventory in Worldwide Child Development Research: A Reliability Generalization Study. J Child Fam Stud 24, 2352–2363 (2015). https://doi.org/10.1007/s10826-014-0038-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10826-014-0038-x