Validation of the Center for Epidemiologic Studies Depression Scale in screening for major depressive disorder among retired firefighters exposed to the World Trade Center disaster

Details

• Personal Author:
  Chiu, Sophia ; Gustave J ; Kelly KJ ; Lee R ; Prezant DJ ; Rizzotto L ; Webber MP ; Zeig-Owens R
• Description:
  BACKGROUND: We evaluated the performance of a modified Center of Epidemiologic Studies Depression Scale (CES-D-m), which captured symptoms in the past month, in comparison to the Diagnostic Interview Schedule (DIS) in identification of major depressive disorder (MDD) in World Trade Center (WTC)-exposed retired Fire Department, City of New York (FDNY) firefighters. METHODS: From 12/2005 to 7/2007, FDNY enrolled retired firefighters in its Medical Monitoring and Treatment Program. All participants completed the CES-D-m and the DIS on the same day. Sensitivity, specificity, receiver operating characteristic (ROC) curves, and Youden's index were used to assess properties of the CES-D-m. Multivariate logistic regression analyses were also used. RESULTS: 7 percent of 1915 retired male firefighters were diagnosed with MDD using the DIS. Using the most common CES-D cutoff score of 16, the prevalence of elevated risk was 36 percent, which declined to 23 percent using a cutoff score of 22, as determined by Youden's index. At 22, CES-D-m sensitivity was 0.84, specificity was 0.82, and the area under the ROC curve was 0.89 relative to DIS MDD diagnosis. LIMITATIONS: Participants were more likely than non-participants to live in the New York City area. CONCLUSIONS: This is the first study of WTC rescue/recovery workers to assess the performance of a one-month version of the CES-D. The CES-D-m performed well in identifying those at elevated risk. Since diagnostic follow-up is time consuming and costly, it is important to correctly distinguish those at elevated risk using a screening tool that has been validated in the population under study. [Description provided by NIOSH]
• Subjects:
  Diagnosis Emergency Responders Epidemiology Firefighters Health Care Facilities Workforce And Services Mental Disorders Mental Health Occupational Exposure Occupational Health Risk Assessment Risk Factors Safety September 11 Terrorist Attacks Stress, Psychological

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• Keywords:
  Author Keywords: Depression Center For Epidemiologic Studies Depression Scale Diagnostic-techniques Diagnostic-tests Emergency-responders Emotional-stress Employee-exposure Employee-health Fire-fighters Firefighter Health-care Medical-monitoring Medical-treatment Mental-disorders Mental-health Psychological-disorders Psychological-effects Rescue-workers Risk-analysis Risk-factors Screening-methods Screening-programs Statistical-analysis Validation World Trade Center

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• ISSN:
  0165-0327
• Document Type:
  Text
• Funding:
  Grant ; Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  212-219
• Volume:
  121
• Issue:
  3
• NIOSHTIC Number:
  nn:20039589
• Citation:
  J Affect Disord 2010 Mar; 121(3):212-219
• Contact Point Address:
  Mayris P. Webber, New York City Fire Department, Bureau of Health Services, 9 Metrotech Center, Brooklyn, NY 11201, USA
• Email:
  webberm@fdny.nyc.gov
• Federal Fiscal Year:
  2010
• Peer Reviewed:
  False
• Source Full Name:
  Journal of Affective Disorders
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:76517a4ddaa0210a6e2a0d618eb886d75ffbeb1cced73331b243538faf34a13ad369f4b59e84b001ba71e1c47c73f7dd26c75bb6b001dd96e2dae3c8678a31a3
• Download URL:
  https://stacks.cdc.gov/view/cdc/192780/cdc_192780_DS1.pdf
• File Type:
  [PDF - 318.28 KB ]