The Eight-Item Center for Epidemiological Studies Depression Scale in the English Longitudinal Study of Aging: Longitudinal and Gender Invariance, Sum Score Models, and External Associations

Assessment. 2023 Oct;30(7):2146-2161. doi: 10.1177/10731911221138930. Epub 2022 Dec 13.

Abstract

The disease burden of depression among older populations is high. Detecting changes in late-life depression is predicated on the seldom-examined assumption of longitudinal measurement invariance (MI). Therefore, we investigated longitudinal MI of the 8-item Center for Epidemiological Studies Depression Scale in core members repeatedly assessed in the English Longitudinal Study of Aging, a nine-wave representative study of the English population above 50 years of age (initial N = 11,391). Based on prior literature, we tested MI of a one-factor solution, a one-factor solution with correlated errors of reversely coded items, and a two-factor solution (depressed affect/somatic complaints). For all factor solutions, residual MI was confirmed across nine waves and gender. Sum score models (i.e., all factor loadings constrained to equity) had a good fit. Depression scores correlated with psychiatric diagnoses, ill health, lower life quality, and female gender. Associations slightly differed depending on the factor solutions, signifying their applicability across contexts.

Keywords: Center for Epidemiological Studies Depression Scale; depression; longitudinal measurement invariance; older-aged populations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aging*
  • Depression* / diagnosis
  • Depression* / epidemiology
  • Depression* / psychology
  • Epidemiologic Studies
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Longitudinal Studies
  • Psychometrics
  • Reproducibility of Results