Authors
Abstract
The Center for Epidemiological Studies (CES) of the United States introduced, along with the Depression Scale (CES-D) and another scale to rapidly quantify suicidal ideation (CED-IS) during the two most recent weeks. However, little is known about the psychometric performance of this instrument. The objective of this study was to verify the psychometric performance of the CES-IS in school enrolled adolescents from a small town in Boyacá, Colombia. A validation study was carried out with the participation of 363 students between 10 and 17 years of age (mean=13, SD=1.8); 55.4% female students and 44.5% male students. The adolescents completed the four items of the CES-IS, a ten-item version of the CES-D-10 and the Rosenberg Self-esteem Scale (RSS). Internal consistency (Cronbach alpha and McDonald omega), dimensional structure (confirmatory factorial analysis, AFC) and convergence with CES-D-10 (Spearman correlation, rs ) were estimated. The CES-IS scores were observed between 4 and 20 (M=6.1, SD=3.5, Me=4, IQR=4-7) and the CES-D between 11 and 44 (M=23.3, SD=6.8, Me=22, IQR=18-27). The CES-IS showed Cronbach alpha of 0.86 and McDonald’s omega of 0.87, a dimension that explained 71.2% of the variance, the adjustment indicators RMSEA=0.00, 90%CI 0.00-0.09; CFI=1.00, TLI=1.00 and SRMR = 0.01, convergent correlation of rs =0.59 (p=0.001) with the CES-D-10 and divergent correlation of rs =-0.38 (p=0.001) with the RSS. It is concluded that the CES-IS among adolescents of a small town in Boyacá, Colombia, has high internal consistency, a onedimensional structure and high convergence with CES-D-10 and divergence with the RSS. It is necessary to investigate the performance of this instrument in Colombian adolescents with other distinctive characteristics.
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References
2. Klonsky ED, May AM, Saffer BY. Suicide, suicide attempts, and suicidal ideation. Annual review of clinical psychology. 2016; 12: 307-330.
3. Hawton K, Saunders KEA, O’Connor RC. Self-harm and suicide in adolescents. Lancet. 2012; 379 (9834): 2373-2382.
4. Paholpak P, Rangseekajee P, Arunpongpaisal S, Piyavhatkul N, Thepsuthammarat K, Paholpak S. Characteristics and burden of hospitalization because of intentional self-harm: Thai National, HospitalBased Data for 2010. Journal of the Medical Association of Thailand. 2012; 95 (7): 156-162.
5. Jeffrey W. Getting serious about reducing suicide more “how” and less “why”. JAMA. 2015; 314 (21): 2229-2230.
6. Ghasemi P, Shaghaghi A, & Allahverdipour H. Measurement scales of suicidal ideation and attitudes: a systematic review article. Health Promotion Perspectives, 2015; 5(3), 156-168.
7. Nock MK, Borges G, Bromet EJ, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry, 2008; 192: 98-105.
8. O’Connor, RC, Nock, MK. The psychology of suicidal behaviour. The Lancet. Psychiatry, 2014; 1, 1, 73-85.
9. Instituto de Medicina Legal y Ciencias Forenses, Colombia. Forensis, Datos para la vida. Disponible en: http://medicinalegal.gov.co.Consultadomayode2018.
10. Ministerio de Salud, Colombia. Encuesta Nacional de Salud Mental, 2015. Bogotá. Disponible en: http://www.visiondiweb.com/insight/lecturas/Encuesta_Nacional_de_Salud_Mental_Tomo_I.pdf
11. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied psychological measurement. 1977; 1 (3): 385-401.
12. Roberts R. Reliability of the CES-D Scale in different ethnic contexts. Psychiatry Research. 1980; 2 (2): 125-134.
13. González-Forteza C, García G, Medina-Mora ME, Sánchez MA. Indicadores psicosociales predictores de ideación suicida en dos generaciones de estudiantes universitarios. Salud Mental. 1998; 21 (3): 1-9.
14. Terrones-González A, Estrada-Martínez S, Lechuga-Quiñones AM, Salvador-Moysén J, Martínez-López Y, La-Llave-León O. Propiedades psicométricas de la CES-D/IS en población universitaria de la ciudad de Durango, México. Salud Mental. 2012; 35 (4): 305-313.
15. González-Forteza C, Berenzon-Gorn S, Tello-Granados AM, Facio-Flores D, Icaza, Medina-Mora ME. Ideación suicida y características asociadas en mujeres adolescentes. Salud Pública de México. 1998; 40 (5): 430-437.
16. Rosales-Pérez JC, Córdova-Osnaya M, Cortés-Granados R. Confiabilidad y validez de la Escala de Ideación Suicida de Roberts. Journal of Behavior, Health & Social Issues. 2016; 7 (2): 31-41.
17. Campo-Arias A, Herazo E, Oviedo HC. Análisis de factores: fundamentos para la evaluación de instrumentos de medición en salud mental. Rev Colomb Psiquiatr. 2012 (3); 41: 659-671.
18. Keszei AP, Novak M, Streiner DL. Introduction to health measurement scales. J Psychosom Res. 2010; 68 (4): 319-323.
19. Villalobos-Galvis FH. Validez y fiabilidad del Inventario de Ideación Suicida Positiva y Negativa-PANSI, en estudiantes colombianos. Universitas Psychologica, 2010; 9 (2), 509-520.
20. Reise SP, Waller NG, Comrey AL. Factor analysis and scale revision. Psychol Assess 2000; 12 (3): 287-297.
21. Campo-Arias A, Oviedo HC. Propiedades psicométricas de una escala: la consistencia interna. Rev Salud Pública, 2008 (5); 10: 831-9.
22. Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011; 2 (1): 53-5.
23. Myers K, Winters N. Ten-year review of rating scales. I: Overview of scale functioning, psychometric properties, and selection. J Am Acad Child Adolesc Psychiatry 2002; 42 (2): 114-22.
24. Prieto G, Delgado AR. Fiabilidad y validez. Papeles Psicol. 2010; 31 (1): 67-74.
25. Sousa VM, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract 2011; 17 (2): 268-74.
26. Montero I, León O. A guide for naming research studies in psychology. Int J Clin Health Psychol. 2007; 7 (3): 847-62.
27. Resolución 008430 por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Santa Fe de Bogotá: Ministerio de salud; 1993.
28. Bacchetti P. Current sample size conventions: flaws, harms, and alternatives. BMC Med. 2010; 8 (1): 17.
29. Rueda-Jaimes GE, Camacho, PA, & Rangel-Martínez-Villalba, AM. (2009). Validación de dos versiones cortas de la escala para depresión del Centro de Estudios Epidemiológicos en adolescentes colombianos. Atención Primaria, 41(5), 255-261.
30. Rosenberg M. (1989). Society and the adolescent self-image. Revised edition. Middletown: Wesleyan University Press.
31. Cogollo Z, Campo-Arias A, Herazo E. Escala de Rosenberg para autoestima: consistencia interna y dimensionalidad en estudiantes de Cartagena, Colombia. Psychologia: avances de la disciplina 2015; 9 (2): 61-71.
32. Bartlett MS. Test of significance in factor analysis. Br J Psychol. 1950; 3 (1): 77-85.
33. Kaiser HF. An index of factorial simplicity. Psychometrika. 1974; 34 (1): 31-36.
34. Cronbach J. Coefficient alpha and the internal structure of test. Psychometrika. 1951; 16 (3): 297-334.
35. McDonald RP. Theoretical foundations of principal factor analysis and alpha factor analysis. Br J Math Stat Psychol. 1970; 23 (1): 1-21.
36. Pearson K. Determination of the coefficient of correlation. Science. 1909; 30 (757): 23-25.
37. Spearman C. Correlation calculated from faulty data. British Journal of Psychology. 1910; 3 (3): 271-295.
38. Shapiro SS, Wilk MB. An analysis of variance test for normality (complete samples). Biometrika. 1965; 52 (3-4): 591-611.
39. IBM-SPSS Statistics for Windows, version 22.0. Armonk: SPSS. Inc.; 2013.
40. STATA 13.0. College Station: STATA; 2013.
41. Hu L, & Bentler PM. Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 1999; 3, 424-453.
42. Roberts RE & Chen YW. Depressive Symptoms and Suicidal Ideation among Mexican-Origin and Anglo Adolescents. J Am Acad of Child & Adolescent Psychiatry, 1995; 34(1), 81-90.
43. Ceballos-Ospino GA, Suarez-Colorado Y, Suescún-Arregocés J, Gamarra-Vega, LM, González, KE & Sotelo-Manjarres, AP. Ideación suicida, depresión y autoestima en adolescentes escolares de Santa Marta. Duazary, 2015; 12(1), 15-22.
44. Pérez-Gómez N & Salamanca Y. Relación entre autoestima e ideación suicida en adolescentes colombianos, 2017; Revista de Psicología, 8(1), 8-21.
45. Schmidt RC, Iachini AL, George M, Koller J & Weist M. Integrating a suicide prevention program into a school mental health system: A case example from a rural school district. Children & Schools, 2015; 37(1), 18-26.
46. Domínguez-Lara S & Merino-Soto C. Una modificación del coeficiente alfa de Cronbach por errores correlacionados (Cartas al Editor). Revista Médica de Chile, 2017; 145 (2), 270-271.
47. Ventura-León JL & Caycho-Rodríguez T. El coeficiente Omega: un método alternativo para la estimación de la confiabilidad (Cartas al Editor). Revista Latinoamericana de Ciencias Sociales, Niñez y Juventud, 2017; 15(1), 625-627.
48. Guimaraes MB, Haas VJ, Spadoti RA, Marques dos Santos M & Galvão CM. Cultural adaptation and validation of an instrument on barriers for the use of research results. Revista Latinoamericana de Enfermagem, 2017; 25, e.2852.
49. Ramada-Rodilla JM, Serra-Pujadas, C & Delclós-Clanchet, GL. Adaptación cultural y validación de cuestionarios de salud: revisión y recomendaciones metodológicas. Salud Pública de México, 2013; 55(1), 57-66.