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The Children’s Depression Inventory in Worldwide Child Development Research: A Reliability Generalization Study

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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.

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References

  • Abela, J. R., & Hankin, B. L. (Eds.). (2008). Handbook of depression in children and adolescents. New York, NY: Guilford.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Bonett, D. G. (2002). Sample size requirements for testing and estimating coefficient alpha. Journal of Educational and Behavioral Statistics, 27, 335–340.

    Article  Google Scholar 

  • Bonett, D. G. (2010). Varying coefficient meta-analytic methods for alpha reliability. Psychological Methods, 15(4), 368–385.

    Article  PubMed  Google Scholar 

  • Carr, A. (2008). Depression in young people: Description, assessment and evidence-based treatment. Developmental Neurorehabilitation, 11(1), 3–15.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Friedberg, R. D., & McClure, J. M. (2002). Clinical practice of cognitive therapy with children and adolescents: The nuts and bolts. New York, NY: Guilford.

    Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Hakstian, A. R., & Whalen, T. E. (1976). A k-sample significance test for independent alpha coefficients. Psychometrika, 41, 219–231.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kovacs, M. (1985). The Children’s Depression Inventory (CDI). Psychopharmacology Bulletin, 2, 995–998.

    Google Scholar 

  • Kovacs, M. (1992). Children’s Depression Inventory (CDI). Toronto, ON: Multi-Health Systems Inc.

    Google Scholar 

  • Kovacs, M. (1997a). Children’s Depression Inventory Parent Version (CDI-P). North Tonawanda, NY: Multi-Health Systems Inc.

    Google Scholar 

  • Kovacs, M. (1997b). Children’s Depression Inventory Teacher Version (CDI-T). North Tonawanda, NY: Multi-Health Systems Inc.

    Google Scholar 

  • Kovacs, M. (2003). Children’s Depression Inventory: Technical manual update. North Tonawanda, NY: Multi-Health Systems.

    Google Scholar 

  • Kovacs, M. (2010). Children’s Depression Inventory 2nd Edition (CDI2). North Tonawanda, NY: Multi-Health Systems Inc.

    Google Scholar 

  • Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Mikami, A. Y., & Pfiffner, L. J. (2008). Sibling relationships among children with ADHD. Journal of Attention Disorders, 11(4), 482–492.

    Article  PubMed  Google Scholar 

  • Millsap, R. E. (2012). Statistical approaches to measurement invariance. New York: Routledge.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Reise, S. P. (2013). The Rediscovery of Bifactor Measurement Models. Multivariate Behavioral Research, 47, 667–696.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Rodriguez, M. C., & Maeda, Y. (2006). Meta-analysis of coefficient alpha. Psychological Methods, 11, 306–322.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Sun, S. (2011). Meta-analysis of Cohen’s Kappa. Health Services and Outcomes Research Methodology, 11, 145–163.

    Article  Google Scholar 

  • Thompson, B. (1994). Guidelines for authors. Educational and Psychological Measurement, 54, 837–847.

    Google Scholar 

  • Thompson, B. (Ed.). (2002). Score reliability: Contemporary thinking on reliability issues. Thousand Oaks, CA: Sage.

    Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • Thompson, B., & Vacha-Haase, T. (2000). Psychometrics is datametrics: The test is not reliable. Educational and Psychological Measurement, 60, 174–195.

    Article  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Vacha-Haase, T. (1998). Reliability generalization: Exploring variance in measurement error affecting score reliability across studies. Educational and Psychological Measurement, 58, 6–20.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1–48.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Yin, P., & Fan, X. (2000). Assessing the reliability of Beck Depression Inventory scores: Reliability generalization across studies. Educational and Psychological Measurement, 60, 201–223.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

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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

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