Psychometric testing of a Mandarin Chinese Version of the Clinically Useful Depression Outcome Scale for patients diagnosed with type 2 diabetes mellitus

Lan Fang Hsu, Ching Chiu Kao, Mei Yeh Wang, Chun Jen Chang, Pei Shan Tsai

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: The Clinically Useful Depression Outcome Scale (CUDOS) is a self-report instrument that assesses symptoms and the severity of depression, but its psychometric properties in patients with type 2 diabetes mellitus in Chinese-Speaking populations are unknown. Objectives: To examine the psychometric properties of the Mandarin Chinese version of the CUDOS (CUDOS-Chinese). Design: A methodological research design. Setting: Endocrinology and metabolism outpatient clinics at 2 university-affiliated hospitals in northern Taiwan. Participants: Two-hundred and fourteen type 2 diabetic patients with the mean age of 62.6 years were enrolled, and two-hundred and twelve of them completed the study. Methods: Internal consistency, test-retest reliability, concurrent, and contrasted-groups validity were assessed. A receiver operating characteristic curve analysis was performed to assess sensitivity and specificity. Construct validity by means of confirmatory factor analysis was conducted. Results: Internal consistency (Cronbach α of total scale and four subscales. =. 0.93, 0.80, 0.66, 0.80, and 0.83, respectively), test-retest reliability (intra-class correlation coefficients of total scale and four subscales. =. 0.92, 0.89, 0.94, 0.89, and 0.91, respectively), and strong correlations with the Beck Depression Inventory-II (. r=. 0.87) suggested good reliability and validity. The confirmatory factor analysis supported a four-factor model. A cut-off score of 19/20 yielded 77.8% sensitivity and 75.6% specificity. Conclusions: The CUDOS-Chinese demonstrated satisfactory validity and reliability for detecting depression in type 2 diabetic patients in Taiwan.

Original languageEnglish
Pages (from-to)1595-1604
Number of pages10
JournalInternational Journal of Nursing Studies
Volume51
Issue number12
DOIs
Publication statusPublished - 2014

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Psychometrics
Type 2 Diabetes Mellitus
Depression
Reproducibility of Results
Taiwan
Statistical Factor Analysis
Sensitivity and Specificity
Endocrinology
Ambulatory Care Facilities
ROC Curve
Self Report
Research Design
Equipment and Supplies
Population

Keywords

  • Clinically useful depression outcome scale
  • Depression
  • Depressive symptoms
  • Diabetes mellitus

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)

Cite this

@article{53399aa60212469f93cf3eb4bc55518c,
title = "Psychometric testing of a Mandarin Chinese Version of the Clinically Useful Depression Outcome Scale for patients diagnosed with type 2 diabetes mellitus",
abstract = "Background: The Clinically Useful Depression Outcome Scale (CUDOS) is a self-report instrument that assesses symptoms and the severity of depression, but its psychometric properties in patients with type 2 diabetes mellitus in Chinese-Speaking populations are unknown. Objectives: To examine the psychometric properties of the Mandarin Chinese version of the CUDOS (CUDOS-Chinese). Design: A methodological research design. Setting: Endocrinology and metabolism outpatient clinics at 2 university-affiliated hospitals in northern Taiwan. Participants: Two-hundred and fourteen type 2 diabetic patients with the mean age of 62.6 years were enrolled, and two-hundred and twelve of them completed the study. Methods: Internal consistency, test-retest reliability, concurrent, and contrasted-groups validity were assessed. A receiver operating characteristic curve analysis was performed to assess sensitivity and specificity. Construct validity by means of confirmatory factor analysis was conducted. Results: Internal consistency (Cronbach α of total scale and four subscales. =. 0.93, 0.80, 0.66, 0.80, and 0.83, respectively), test-retest reliability (intra-class correlation coefficients of total scale and four subscales. =. 0.92, 0.89, 0.94, 0.89, and 0.91, respectively), and strong correlations with the Beck Depression Inventory-II (. r=. 0.87) suggested good reliability and validity. The confirmatory factor analysis supported a four-factor model. A cut-off score of 19/20 yielded 77.8{\%} sensitivity and 75.6{\%} specificity. Conclusions: The CUDOS-Chinese demonstrated satisfactory validity and reliability for detecting depression in type 2 diabetic patients in Taiwan.",
keywords = "Clinically useful depression outcome scale, Depression, Depressive symptoms, Diabetes mellitus",
author = "Hsu, {Lan Fang} and Kao, {Ching Chiu} and Wang, {Mei Yeh} and Chang, {Chun Jen} and Tsai, {Pei Shan}",
year = "2014",
doi = "10.1016/j.ijnurstu.2014.05.004",
language = "English",
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journal = "International Journal of Nursing Studies",
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TY - JOUR

T1 - Psychometric testing of a Mandarin Chinese Version of the Clinically Useful Depression Outcome Scale for patients diagnosed with type 2 diabetes mellitus

AU - Hsu, Lan Fang

AU - Kao, Ching Chiu

AU - Wang, Mei Yeh

AU - Chang, Chun Jen

AU - Tsai, Pei Shan

PY - 2014

Y1 - 2014

N2 - Background: The Clinically Useful Depression Outcome Scale (CUDOS) is a self-report instrument that assesses symptoms and the severity of depression, but its psychometric properties in patients with type 2 diabetes mellitus in Chinese-Speaking populations are unknown. Objectives: To examine the psychometric properties of the Mandarin Chinese version of the CUDOS (CUDOS-Chinese). Design: A methodological research design. Setting: Endocrinology and metabolism outpatient clinics at 2 university-affiliated hospitals in northern Taiwan. Participants: Two-hundred and fourteen type 2 diabetic patients with the mean age of 62.6 years were enrolled, and two-hundred and twelve of them completed the study. Methods: Internal consistency, test-retest reliability, concurrent, and contrasted-groups validity were assessed. A receiver operating characteristic curve analysis was performed to assess sensitivity and specificity. Construct validity by means of confirmatory factor analysis was conducted. Results: Internal consistency (Cronbach α of total scale and four subscales. =. 0.93, 0.80, 0.66, 0.80, and 0.83, respectively), test-retest reliability (intra-class correlation coefficients of total scale and four subscales. =. 0.92, 0.89, 0.94, 0.89, and 0.91, respectively), and strong correlations with the Beck Depression Inventory-II (. r=. 0.87) suggested good reliability and validity. The confirmatory factor analysis supported a four-factor model. A cut-off score of 19/20 yielded 77.8% sensitivity and 75.6% specificity. Conclusions: The CUDOS-Chinese demonstrated satisfactory validity and reliability for detecting depression in type 2 diabetic patients in Taiwan.

AB - Background: The Clinically Useful Depression Outcome Scale (CUDOS) is a self-report instrument that assesses symptoms and the severity of depression, but its psychometric properties in patients with type 2 diabetes mellitus in Chinese-Speaking populations are unknown. Objectives: To examine the psychometric properties of the Mandarin Chinese version of the CUDOS (CUDOS-Chinese). Design: A methodological research design. Setting: Endocrinology and metabolism outpatient clinics at 2 university-affiliated hospitals in northern Taiwan. Participants: Two-hundred and fourteen type 2 diabetic patients with the mean age of 62.6 years were enrolled, and two-hundred and twelve of them completed the study. Methods: Internal consistency, test-retest reliability, concurrent, and contrasted-groups validity were assessed. A receiver operating characteristic curve analysis was performed to assess sensitivity and specificity. Construct validity by means of confirmatory factor analysis was conducted. Results: Internal consistency (Cronbach α of total scale and four subscales. =. 0.93, 0.80, 0.66, 0.80, and 0.83, respectively), test-retest reliability (intra-class correlation coefficients of total scale and four subscales. =. 0.92, 0.89, 0.94, 0.89, and 0.91, respectively), and strong correlations with the Beck Depression Inventory-II (. r=. 0.87) suggested good reliability and validity. The confirmatory factor analysis supported a four-factor model. A cut-off score of 19/20 yielded 77.8% sensitivity and 75.6% specificity. Conclusions: The CUDOS-Chinese demonstrated satisfactory validity and reliability for detecting depression in type 2 diabetic patients in Taiwan.

KW - Clinically useful depression outcome scale

KW - Depression

KW - Depressive symptoms

KW - Diabetes mellitus

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