The Role of the cesd in finding mothers in need

1. The Role of the cesd in finding mothers in need Jenny Yang, Department of Biostatistics, UNC-Chapel Hill Todd Schwartz, DrPH; Linda Beeber, PhD, RN, CS

2. Motivation • What is the difference in screening? • CESD • HRSD • SCID – Gold Standard • Minor Depression – (What is it?) • Compromised Parenting • Lower Participation in preventative programs

3. Instruments of Interest • Center for Epidemiologic Studies Depression Scale CES-D: 16 • Hamilton Rating Scale for Depression HRSD: 17 • Structured Clinical Interview for DSM Disorders SCID dichotomous trichotomous None Major None Minor Major

4. Sample

5. Analysis Overview Preliminary Logistic Regression Modeling Factorial Analysis

6. Risk Factors • Demographic • Age, Child’s Age, Child’s Gender, Ethnicity, Sampling Region, Years in School • Self-Reported Household • Disability, Welfare, Family Conflict, Number of times moved, Poverty Ratio, Spouse Living Situation, Witness to violence • Qualitative • Support from relationships, conflict from relationships, stress, physical wellbeing

7. At a Glance At a glance

9. SCID vs. HRSD and CESDROC Curves

10. SCID vsHRSD and CESD

11. Factorial ANOVA • Modeling of the Percent Contribution to CESD Score per Item using CESD and SCID diagnosis and their interaction term • Looking for significance of interaction • Items of Interest • Item 5: “I Felt Sad” • Item 2: “Everything I did was an Effort”

12. Conclusions

13. Acknowledgements The National Institute of Mental Health (Beeber, PI: RO1 MH065524) Staff of the “Hilda” Project