Evidence map›Paper›PMID 40535791›Full record

ArticleInternational journal of nursing studies advances2025

Psychometric evaluation of the Arabic version of the Eight-item Center for Epidemiological Studies Depression Scale (CESD-8): Specific cultural considerations for the assessment of depression.

Amira M Ali, Saeed A Al-Dossary, Feten Fekih-Romdhane, Rana Ali Alameri, Carlos Laranjeira, Haitham Khatatbeh, Mohamed Ali Zoromba, Abdulmajeed A Alkhamees, Musheer A Aljaberi, Annamaria Pakai and 1 more

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Article in International journal of nursing studies advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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

11 authors.

Amira M AliDepartment of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Smouha, Alexandria 21527.
Saeed A Al-DossaryDepartment of Psychology, College of Education, University of Ha'il, Ha'il 1818, Saudi Arabia.
Feten Fekih-RomdhaneTunis Al Manar University, Faculty of Medicine of Tunis, Tunis, Tunisia.
Rana Ali AlameriFundamentals of Nursing Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia.
Carlos LaranjeiraSchool of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal.
Haitham KhatatbehFaculty of Nursing, Yarmouk University, Irbid, Jordan, 21163, Haitham.
Mohamed Ali ZorombaDepartment of Nursing, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Abdulmajeed A AlkhameesDepartment of Psychiatry, College of Medicine, Qassim University, Buraidah, Al Qassim 52571, Saudi Arabia.
Musheer A AljaberiDepartment of Internal Medicine, Section Nursing Science, Erasmus University Medical Center (Erasmus MC), 3015 GD Rotterdam, The Netherlands.
Annamaria PakaiInstitute of Nursing Sciences, Basic Health Sciences and Health Visiting, Faculty of Health Sciences, University of Pécs, Pécs 7622, Hungary.
Heba Emad El-GazarDepartment of Nursing Administration, Faculty of Nursing, Port Said University, Port Said, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite extensive evaluations of the Center for Epidemiological Studies Depression Scale (CESD), its shortest version, the Eight-Item version (CESD-8), is less investigated, with absolute lack of information on its psychometric properties in the Arab world. Methods: To fill the gap, data collected via an anonymous online survey from Saudi samples of students ( Results: Exploratory factor analysis produced two factors (negative affect and positive affect) with eigen values >1, which explained 86.4 % of the variance. In confirmatory factor analysis, the crude exploratory factor analysis model had good fit while the fit of the unidimensional CESD-8 and another two-factor structure (depressed affect and somatic complaints) was improved by correlating the residuals of the items of positive affect (CESD4 and CESD6). A three-factor model (depressed affect, somatic complaints, and positive affect) expressed the best fit in the absence of error correlations. This model was invariant across groups of students and employees, gender, and age. The scale and its three dimensions demonstrated adequate internal consistency (alpha coefficient range = 0.65-0.89), convergent validity (item total correlation range = 0.43-0.80 and range of correlations with the CESD-8 = -0.68-0.92), and criterion validity (range of correlations with happiness scores = -0.40-0.60). Conclusions: The CESD-8 is a valid short scale for quick identification of people with depressive psychopathologies. Using the CESD-8 to detect heterogenous depressive symptoms, rather than assessing depression as a whole condition, may influence our understanding of the dynamics and treatments of depression in specific groups/cultures, with emphasis on absence of positive affect in the definition of depression among Arabs. Replications of the three-factor structure in different cultures are needed.

Indexed as

Culture/Arab/SaudiDepression/depressive symptoms/ somatic complaints/negative affect/positive affectEight-item Center for Epidemiological Studies Depression Scale (CESD-8)Psychometric properties/factor structure/measurement invariance/validity/reliability

Identifiers

PMID40535791
PMCPMC12175662

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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.