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6/14/2015

CESDR:CenterforEpidemiologicStudiesDepressionScaleRevisedOnlineDepressionAssessmentCESDRExplanation

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06.08CESDRExplanation
UsingtheCESDR:
TheCESDRisinthepublicdomainsoitisfreetouseinyourresearch.
Belowisanexplanationofthealgorithmusedtocalculatethedepressionscoresandcategories,
intendedforresearcherswhomaywanttousetheCESDR.
The20itemsinCESDRscalemeasuresymptomsofdepressioninninedifferentgroupsasdefinedby
theAmericanPsychiatricAssociationDiagnosticandStatisticalManual,fifthedition.Thesesymptom
groupsareshownbelow,withtheirassociatedscalequestionnumberstotheright.
1. Sadness(Dysphoria):Questionnumbers2,4,6
2. LossofInterest(Anhedonia):Questionnumbers8,10
3. Appetite:Questionnumbers1,18
4. Sleep:Questionnumbers5,11,19
5. Thinking/concentration:Questionnumbers3,20
6. Guilt(Worthlessness):Questionnumbers9,17
7. Tired(fatigue):Questionnumbers7,16
8. Movement(Agitation):Questionnumbers12,13
9. Suicidalideation:Questionnumbers14,15
CalculatingtheoverallCESDstylesymptomscore
Theresponsevaluesforeachquestionare:
Notatallorlessthanoneday=0
12days=1
34days=2
57days=3
Nearlyeverydayfor2weeks=4
TheTotalCESDRScoreiscalculatedasasumofresponsestoall20questions.Inordertomakethe
revisedCESDRhavethesamerangeastheoriginalversioni.e.,theCESDstylescore),thevalues
forthetoptworesponsesaregiventhesamevalue:
Notatallorlessthanoneday=0
12days=1
34days=2
http://cesdr.com/cesdr/

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6/14/2015

CESDR:CenterforEpidemiologicStudiesDepressionScaleRevisedOnlineDepressionAssessmentCESDRExplanation

57days=3
Nearlyeverydayfor2weeks=3
AsintheoriginalCESDtherangeofpossiblescoresisbetween0(forthosewhosaynotatallorless
thanonedaytoall20questionsand60(forthosewhosay57daysornearlyeverydayfor2
weeksforall20questions).
Determiningcategories
Thedeterminationofpossibledepressivesymptomcategoryisbaseduponanalgorithmwiththe
followinglogic:
MeetscriteriaforMajordepressiveepisode:Anhedoniaordysphorianearlyeverydayfor
thepasttwoweeks,plussymptomsinanadditional4DSMsymptomgroupsnotedasoccurring
nearlyeverydayforthepasttwoweeks
Probablemajordepressiveepisode:Anhedoniaordysphorianearlyeverydayforthepasttwo
weeks,plussymptomsinanadditional3DSMsymptomgroupsreportedasoccurringeither
nearlyeverydayforthepasttwoweeks,or57daysinthepastweek
Possiblemajordepressiveepisode:Anhedoniaordysphorianearlyeverydayforthepasttwo
weeks,plussymptomsinanadditional2otherDSMsymptomgroupsreportedasoccurring
eithernearlyeverydayforthepasttwoweeks,or57daysinthepastweek
Subthreshholddepressionsymptoms:PeoplewhohaveaCESDstylescoreofatleast16but
donotmeetabovecriteria
Noclinicalsignificance:PeoplewhohaveatotalCESDstylescorelessthan16acrossall20
questions.
CESDRwebsitedesignedanddevelopedbyInternetSolutionsforKids,Inc.

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