J Med Assoc Thai 1997; 80 (8):491

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The Children's Depression Inventory as a Screen for Depression in Thai Children
Trangkasombat U Mail, Likanapichitkul D

This study examines the utilization of the Children's Depression Inventory (CDI), Thai version,
as a screen for depression in Thai children. Subjects which consisted of 139 children aged
10-15 years filled out the CDI and were evaluated with structured psychiatric interview by a child
psychiatrist who was blind to the results of the CD I. Children with interview validated depression had
significantly elevated CDI scores (mean = 18.5, SD = 6.1) compared with nondepressed children
(mean = 9.3, SD = 4.1), P> 10(-6). Furthermore, the CDI scores increased as the severity of depression
increased. Using the Receiver Operating Characteristic Curve, a cut-point of 15 produced the
best overall screening characterstics (sensitivity = 79%, specificity =91% and accuracy = 87% ).
The results of this study indicate that the CDI efficiently differentiated depressed from nondepressed
children. Since the CDI is an economical, easy to adiminister and readily analyzable
instrument, it should be used as a screen for depression and a supplant for clinical evaluation and
follow-up in the treatment of depression in children.

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