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Anxiety, Depression and Coping: CDI, MASC and CRI-Y for Screening Purposes in Schools

Published online by Cambridge University Press:  10 January 2013

Margarida Gaspar de Matos*
Affiliation:
Universidade Técnica de Lisboa (Portugal)
Gina Tomé
Affiliation:
Universidade Técnica de Lisboa (Portugal)
Ana Inês Borges
Affiliation:
Universidade Técnica de Lisboa (Portugal)
Dina Manso
Affiliation:
Universidade Técnica de Lisboa (Portugal)
Celeste Simões
Affiliation:
Universidade Técnica de Lisboa (Portugal)
Aristides Ferreira
Affiliation:
Universidade Técnica de Lisboa (Portugal)
*
Correspondence concerning this article should be addressed to Margarida Gaspar de Matos. FMH/UTL, Estrada da Costa Cruz Quebrada, 1499 Lisboa CODEX (Portugal). Phone: + 351 214149152. E-mail: [email protected]

Abstract

This study used depression (CDI – Kovacs, 1981), anxiety (MASC – March, 1997) and coping strategy (CRI-Y – Moos, 1993) scales and studied the fitness and discriminant validity of reduced versions. The sample consisted of 916 Portuguese pupils, 54.3% feminine, aged 10 to 21 years old. The participants were selected from a set of public schools nation-wide. Two classes were chosen from the 5th to the 12th grades.

A set of principal component analyses was carried out in a randomly chosen sample (n = 394) and all the three reduced measures were found to be strongly correlated with the previous. Confirmatory factor analyses (CFA) using the other part of the sample (n = 522) revealed adjustment indexes suggesting a good fit for both the whole model and gender and age groups separately. All scales revealed a good internal consistency. Globally, girls were more anxious and developed more coping strategies than boys. Older students tended to be less depressed, while younger adolescents present higher scores in depression and anxiety and less coping strategies. Reduced scales are sensitive to gender and age differences and can be used in school settings in order to establish a baseline and roadmaps for both universal and selective mental health school based programs.

Este estudio utilizó las escalas de depresión (CDI – Kovacs, 1981), ansiedad (MASC – Marzo, 1997) y estrategia de afrontamiento (CRI-Y – Moos, 1993), y estudió el ajuste y la validez discriminante de las versiones reducidas. La muestra consistió en 916 alumnos portugueses, 54,3% mujeres, con edades entre 10 a 21 años de edad. Los participantes fueron seleccionados de un conjunto de escuelas públicas en todo el país. Dos clases fueron seleccionadas entre el 5° y el 12° grado.

Una serie de análisis de componentes principales se llevó a cabo en una muestra seleccionada al azar (n = 394) y se encontró una fuerte correlación entre las versiones reducidas y las versiones previas. El análisis factorial confirmatorio (CFA) utilizando la otra parte de la muestra (n = 522) reveló que se sugiere un buen ajuste, tanto para el modelo en su conjunto, así como para el de género y de grupos de edad por separado. Todas las escalas mostraron una buena consistencia interna. Globalmente, las niñas son más ansiosas y desarrollan más estrategias de afrontamiento que los niños. Los estudiantes mayores puntúan menos en depresión, mientras que los adolescentes más jóvenes presentan puntuaciones más altas en depresión y ansiedad y menores puntuaciones en estrategias de afrontamiento. Las escalas reducidas son sensibles a las diferencias de género y edad y se pueden utilizar en el entorno escolar con el fin de establecer una línea base para la prevención universal y selectiva en los programas escolares de salud mental.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2012

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References

Arbuckle, J. L. (2005). AMOS 6.0 User's Guide. Chicago, IL: SPSS Inc.Google Scholar
Bentler, P. M. (1990) Comparative fit indexes in structural models. Psychological Bulletin, 107, 238246. http://dx.doi.org/10.1037//0033-2909.107.2.238CrossRefGoogle ScholarPubMed
Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In Bollen, K. A. & Long, J. S. (Eds.), Testing Structural Equation Models. Newbury Park, CA: Sage.Google Scholar
Byrne, B. (2000). Relationships between anxiety, fear, self-esteem and coping strategies. Adolescence, 26, 316322.Google Scholar
Byrne, B. (2001). Structural Equation Modeling with AMOS. Mahwah, NJ: Lawrence Erlbaum Associates Publishers.Google Scholar
Duggal, S., Carlson, E., Sroufe, A., & Egeland, B. (2001). Depressive symptomatology in childhood and adolescence. Development and Psychopathology, 13, 143164. http://dx.doi.org/10.1017/S0954579401001109CrossRefGoogle ScholarPubMed
Endler, N. S., & Parker, J.A. (1990). Multidimensional assessment of coping: A critical evaluation. Journal of Personality and Social Psychology, 58, 844854. http://dx.doi.org/10.1037//0022-3514.58.5.844CrossRefGoogle ScholarPubMed
Essau, C. A., Conradt, J., & Petermann, F. (2000). Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. Journal of Anxiety Disorders, 14, 263279. http://dx.doi.org/10.1016/S0887-6185(99)00039-0CrossRefGoogle ScholarPubMed
Fonseca, A. C. (1998). Problemas de ansiedade em crianças e adolescentes: Elementos para a sua caracterização e para o seu diagnóstico [Anxiety problems in children and adolesncents: features for characterising and diagnosis]. Revista Portuguesa de Pedagogia, 18(2), 734.Google Scholar
Ford, J. K., MacCallum, R. C., & Tait, M. (1986). The application of exploratory factor analysis in applied psychology: Critical review and analysis. Personnel Psychologist, 39, 292314. http://dx.doi.org/10.1111/j.1744-6570.1986.tb00583.xGoogle Scholar
GTES (2005). Relatório de Preliminar, do Grupo de Trabalho paraa Educação Sexual, [Preliminary report: Ministerial group for health education implementation]. Portugal: Ministerio da Educaçao. Retrieved from http://www.dgidc.min-edu.pt/EducacaoSexualGoogle Scholar
GTES (2007). Relatório Final, do Grupo de Trabalho para a Educação Sexual [Final report: Ministerial group for health education implementation]. Portugal: Ministerio da Educaçao. Retrieved from http://www.dgidc.min-edu.pt/EducacaoSexualGoogle Scholar
Hakstian, A. R., Rogers, W. T., & Cattell, R. B. (1982). The behavior of number-of-factors rules with simulated data. Multivariate Behavioral Research, 17, 193219. http://dx.doi.org/10.1207/s15327906mbr1702_3CrossRefGoogle ScholarPubMed
Hale, W. III, Raaijmakers, Q., Muris, P., Hoof, A., & Meeus, W. (2008). Developmental trajectories of adolescent anxiety disorder symptoms: A 5-year prospective community study. Journal of the American Academy of Child & Adolescent Development, 47, 556564. http://dx.doi.org/10.1097/CHI.0b013e3181676583CrossRefGoogle ScholarPubMed
Holahan, C., Moos, R., & Schaefer, S. (1996). Coping, stress and resistence and growth: Conceptualizing adaptative functioning. In Zeidner, M. & Endler, N. S. (Eds.), Handbook of coping: Theory, research, applications (pp. 2445). New York, NY: Wiley.Google Scholar
Hu, L. T., & Bentler, P. (1995). Evaluating model fit. In Hoyle, R. H. (Ed.), Structural equation modeling. Concepts, issues, and applications (pp. 7699). London, England: Sage.Google Scholar
Hussong, A. M., & Chassin, L. (2004). Stress and coping among children of alcoholic parents through the young adult transition. Development and Psychopathology, 16, 9851006.CrossRefGoogle ScholarPubMed
Kovacs, M. K. (1981). Children's Depression Inventory. Toronto, Canada: Multi-Health, IncGoogle Scholar
Kovacs, M. K., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psychology and Psychiatry, 19(4), 4763. http://dx.doi.org/10.1017/S0021963097001765CrossRefGoogle Scholar
Lau, B. W. (2002). Does the stress in childhood and adolescence matter? A psychological perspective. Journal of the Royal Society of Health, 122, 238244. http://dx.doi.org/10.1177/146642400212200411CrossRefGoogle Scholar
March, J. (1997). Multidimensional Anxiety Scale for children. Technical manual. Etobicoke,. Ontário, Canada: MHS, Inc.Google Scholar
Mash, E. J., & Wolfe, D. A. (2002). Abnormal Child Psychology (2nd Ed.). Belmont. CA: Wodsworth Thomson Learning.Google Scholar
Masten, A. S., Garmezy, N., Tellegen, A., Pellegrini, D. S., Larkin, K., & Larsen, A. (1988). Competence and stress in school children: The moderating effects of individual and family qualities. Journal of Child Psychology and Psychiatry, 29, 745764. http://dx.doi.org/10.1111/j.1469-7610.1988.tb00751.xCrossRefGoogle ScholarPubMed
Matos, M. G., Negreiros, J., Simões, C., & Gaspar, T. (2009). Definição do Problema e caracterização fenómeno [Problem definition and phenomena characteristics]. In Filho, H. C. & Borges, C. Ferreira- (Org.), Gestão de Problemas de Saúde em Meio Escolar: Violência, Bullying e Delinquência [Managing health problems in schools settings: violence, bullying and delinquency] (Vol. III, pp. 2353). Lisboa, Portugal: Coisas de Ler.Google Scholar
Matos, M. G. & Sampaio, D. (2009). Jovens com saúde: Diálogos com uma geração [Youths with health: dialoge with one generation]. Lisboa, Portugal: Texto Editores.Google Scholar
Matos, M. G. (Coord.) (2010). Sexualidade: Afectos, cultura e saúde. Gestão de problemas de saúde em meio escolar [Sexuality: Affect, culture and health. Health management in school settings]. Lisboa, Portugal: Coisas de Ler.Google Scholar
Matos, M. G., Baptista, M. I., Simões, C., Gaspar, T., Sampaio, D., Diniz, J. A., … Sardinha, L. (2007). Portugal: from research to practice-promoting positive health for adolescents in schools. In WHO/HBSC FORUM 2007 Social cohesion for mental well-being among adolescents. Copenhagen, Denmark: Author.Google Scholar
Matos, M. G. (2005). Comunicação, gestão de conflitos e saúde na escola [Communication, conflict management and health in school]. Lisboa, Portugal: FMH.Google Scholar
Matos, M. G., Barrett, P., Dadds, M., & Shortt, A. (2003). Anxiety, depression, and peer relationships during adolescence: Results from the Portuguese national health behaviour in school-aged children survey. European Journal of Psychology of Education, 18, 314. http://dx.doi.org/10.1007/BF03173600CrossRefGoogle Scholar
McGee, R., Feehan, M., Williams, S., & Anderson, J. (1992). DSM-III disorders from age 11 to 15 years. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 5059. http://dx.doi.org/10.1097/00004583-199201000-00009CrossRefGoogle Scholar
Meyer, S. E., Chrousos, G. P., & Gold, P. W. (2001). Major depression and the stress system: A life span perspective. Development and Psychopathology, 13, 565580. http://dx.doi.org/10.1017/S095457940100308XCrossRefGoogle ScholarPubMed
Moos, R. H. (1993). Coping Responses Inventory. Odessa, FL: Psychological Assessment Resources, Inc.Google Scholar
Nunnally, J. C. (1978). Psychometric theory. New York, NY: McGraw-Hill.Google Scholar
Pine, D. S., Cohen, P., Gurley, D., Brook, J., & Ma, Y (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55, 5664. http://dx.doi.org/10.1001/archpsyc.55.1.56CrossRefGoogle ScholarPubMed
Rosen, J. B., & Schulkin, J. (1998). From normal fear to pathological anxiety. Psychological Review, 105, 325350. http://dx.doi.org/10.1037//0033-295X.105.2.325CrossRefGoogle ScholarPubMed
Sandberg, S., Rutter, M., Pickles, A., McGuinness, D., & Angold, A. (2001). Do high-threat life events really provoke the onset of psychiatric disorder in children? Journal of Child Psychology and Psychiatry, 42, 523532. http://dx.doi.org/10.1111/1469-7610.00746CrossRefGoogle ScholarPubMed
Schraedly, P. K., Gotlib, I. H., & Hayward, C. (1999). Gender differences in correlates o depressive symptoms in adolescents. Journal of Adolescent Health, 25, 98108.CrossRefGoogle Scholar
Selffge-Krenke, I. (2000). Causal links between stressful events, coping style and adolescent symptomatology. Journal of Adolescence, 23, 675691.CrossRefGoogle Scholar
Simões, C. (2007). Comportamentos de risco na adolescência [Risk Behaviours in adolescents] Lisboa, Portugal: Fundação Calouste Gulbenkian/Fundação para a Ciência e Tecnologia.Google Scholar
Simões, C., Matos, M. G., Tomé, G., & Ferreira, M. (2009). Ultrapassar adversidades e vencer os desafios [Overcoming adversity and wining challenges]. Lisboa, Portugal: Aventura Social e Saúde/Faculdade de Motricidade Humana.Google Scholar
Tabachnick, B. G., & Fidell, L. S. (2001). Multivariate statistics (4th ed.). Boston, MA: Allyn & Bacon.Google Scholar
Wenger, N., Sharrer, V., & Wynd, C. (2000). Stress, coping, and health in children. In Rice, V. (Ed.), Handbook of stress, coping, and health implications for nursingresearch, theory, and practice (pp. 265289). Thousand Oaks, CA: Sage Publications, Inc.Google Scholar