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305108
Screening for Depression in Young Black Men: Does the CES-D Fall Short (Center for Epidemiologic Studies - Depression Scale)?
Monday, November 17, 2014
Danielle Perkins, PhD, RN
,
Department of Community and Health Systems, Indiana University School of Nursing, Indianapolis, IN
Sue Lasiter, PhD, RN
,
Indiana University School of Nursing, Indianapolis, IN
PURPOSE- Recent epidemiological studies on depression incidence support the strong association between women and depression. However, cultural and gender divergences from traditional clinical definitions and symptomatology of depression can complicate accurate identification of depression in Black men. The purpose of this study was to explore perceptions about questions contained on the Center for Epidemiologic Studies Depression Scale (CES-D) by vulnerable young Black men, namely those with a felony record. METHODS- Twenty Black men with a history of incarceration were interviewed to explore their perceptions and understanding about each of the 20 questions contained on the CES-D. Content analysis method was used to analyze the transcribed data. RESULTS- The majority of participants endorsed CES-D questions that screen for depressive and positive affect. However, questions that screen for interpersonal and somatic domains of depression elicited varying responses from participants. Participants indicated that there were questions in these domains that (a) were not related to depression, (b) they didn’t understand, (c) they were unsure were related to depression, or (d) they offered an alternative interpretation that deviated from its original intention. CONCLUSIONS- Findings from this study have implications for clinicians and researchers who screen young Black men who are at risk for depression. Gender and cultural differences impact interpretation, understanding, and at times the pertinence of depression screening questions among the young men. Depression instruments used to screen vulnerable young Black men should be supplemented with interviews to mitigate literacy and health literacy deficiencies, cultural misinterpretation, and gender-bias of traditional depression screening questions.
Learning Areas:
Diversity and culture
Provision of health care to the public
Learning Objectives:
Identify interpersonal and somatic questions contained on the Center for Epidemiologic Studies Depression Scale (CES-D).
Explain perceptions and understanding of interpersonal and somatic depression questions contained on the CES-D by young Black men.
Keyword(s): Health Assessment, African American
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have practiced in psychiatric/mental health nursing for 8 years and have published two manuscripts on the subject of depression in young Black men. One of the aforementioned manuscripts is a theoretical exploration of social constraints associated with felony status, depression, and masculine/cultural divergences from traditional clinical definitions of depression. My research interests concern social determinants of health and mental health disparities in minority men.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
