Evidence map›Paper›PMID 31112598›Full record

ArticleThe Gerontologist2020

Shades of Blue and Gray: A Comparison of the Center for Epidemiologic Studies Depression Scale and the Composite International Diagnostic Interview for Assessment of Depression Syndrome in Later Life.

Linh Dang, Liming Dong, Briana Mezuk

Open access · greenAbstract readComparative Study
In one paragraph

Article in The Gerontologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
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  5. Dementia and all-cause mortality in older adults: Findings from the ELSI-Brazil study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  7. Inequities in Dementia Diagnosis: Evidence From the ELSI-Brazil Study.International journal of geriatric psychiatry · 2026
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  9. Gender differences in work expectations and psychological distress: insights from the United States and South Korea.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  10. Depression and Multimorbidity among Older Indians Residing in Front-Runner, Achiever and Aspirant States: Insight from Longitudinal Ageing Study in India (LASI) - Wave I.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Linh DangDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor.
Liming DongDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor.
Briana MezukDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor.
University of Michigan–Ann Arbor · US

Funding

Michigan Center for Urban African American Aging Research - RESEARCH CORE (REC)P30AG015281 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETER A. LICHTENBERG, ROBERT Joseph TAYLOR · 1997 to 2026
$19.3M
NIA NIH HHS P30 AG015281
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPsychiatric research lacks the equivalent of a thermometer, that is, a tool that accurately measures mental disorder regardless of context. Instead, the psychometric properties of scales that purport to assess psychopathology must be continuously evaluated. To that end, this study evaluated the diagnostic agreement between the eight-item Center for Epidemiologic Studies Depression Scale (CESD-8) and the Composite International Diagnostic Interview-short form (CIDI-SF) in the Health and Retirement Study (HRS). RESEARCH DESIGN AND

methodsData come from 17,613 respondents aged >50 from the 2014 wave of the HRS. Kappa coefficients were used to assess the agreement between the 2 instruments on depression classification across a range of thresholds for identifying case status, including variation across subgroups defined by age, race/ethnicity, and gender.

resultsThe point prevalence of depression syndrome estimated by the CESD was higher than that estimated by the CIDI-SF (CESD: 9.9%-19.5% depending on the cutoff applied to the CESD vs CIDI-SF: 7.7%). Assuming CIDI-SF as the gold standard, the CESD yielded a sensitivity of 56.2%-70.2% and specificity of 84.7%-94.0% across the range of cutoffs. The agreement on depression classification was weak (κ = 0.32-0.44). DISCUSSION AND IMPLICATIONS: Depression cases identified by the CESD have poor agreement with those identified by the CIDI-SF. Conceptually, psychological distress as measured by the CESD is not interchangeable with depression syndrome as measured by the CIDI-SF. Population estimates of depression among older adults based on the CESD should be interpreted with caution.

Indexed as

Interview, PsychologicalPsychiatric Status Rating ScalesAgedEpidemiologic StudiesEthnicityFemaleHumansLongitudinal StudiesMajor Depressive DisorderMaleMiddle AgedPrevalencePsychological DistressPsychometricsSensitivity and SpecificitySurveys and QuestionnairesCES-DDepression classificationReliabilityValidity

Identifiers

PMID31112598
PMCPMC7228460
OpenAlexW2946690091

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.