Depressive symptoms are highly prevalent among people with Spinal Cord Injury (SCI) and yet there is a lack of consensus over psychometrically... Show moreDepressive symptoms are highly prevalent among people with Spinal Cord Injury (SCI) and yet there is a lack of consensus over psychometrically sound diagnostic criteria or screening tools for depression. This is particularly true with the SCI population in China. Currently, there is limited information regarding the prevalence of depression, severity, and depressive symptomatology among individuals with SCI in China. CES-D lOis a simple and quick tool to use, and it avoids over-estimating depression due to frequent somatic complaints associated with SCI. To our best knowledge, the CES-D 10 had not been used among the native Chinese population with SCI. The current study used the CES-D 10 to measure depressive symptoms among individuals with SCI in China. The purpose ofthis study was to examine factorial validity, internal consistency, construct validity, and concurrent validity ofCES-D 10 among 260 Chinese individuals with SCI. Results showed an alarmingly high prevalence of depressive symptoms among the sample. Consistent with existing literature and hypotheses, a two-factor structure of CES-D 10 was replicated based on a confirmatory factor analysis. Hierarchical regression analyses showed several important psychosocial constructs such as acceptance of disability, social support, and functional disability were predictors of overall depressive symptoms. Surprisingly, depressive symptoms were not predictive of employment status. The scale showed low internal consistency, and a cultural response bias in which participants are less likely to endorse positively-stated CES-D items among the current sample. Such finding is consistent with past studies among the East Asian population. Limitations and implications ofthe study were discussed. Ph.D. in Psychology, July 2014 Show less
