Objective: To examine the criterion validity and cutoff scores of the Center for Epidemiologic Studies Depression Scales(CES-D) and the Chinese version of Beck Depression inventory Ⅱ(BDI-Ⅱ-C) for Chinese adolescents. Methods: A total of 5565 junior-and high-school adolescents completed the CES-D and BDI-Ⅱ-C. Diagnoses of major depressive disorder(MDD) and any other depressive disorders were made on the DSM-IV. Results: ① At the optimal cutoffs, the CES-D scores of ≥29 and ≥24, separately, for detecting adolescent MDD and any depressive disorder were with a sensitivity of 94% to 97%, a specificity of 74% to 79%, a positive predict value(PPV) of 21% to 30%, and an area under receiver operating characteristic(ROC) curve(AUC) of 0.88 to 0.91. Similarly, the BDI-Ⅱ-C scores of ≥28 and ≥15, separately, for detecting adolescent MDD and any depressive disorder were with a sensitivity of 91% to 95%, a specificity of 80% to 83%, a PPV of 23% to 35%, and an AUC of 0.88 to 0.91. ② At the commonly used cutoffs of CES-D, the specificity of 55% to 70% and PPV of 16% to 20% were lower than those at the optimal cutoffs. Meanwhile, at the commonly used cutoffs of the BDⅢ-C, all index were similar to those at the optimal cutoffs. ③ When compared to the BDI-Ⅱ-C, the specificity of the CESD was lower. Conclusion: Depression scales show good criterion validity for screening adolescent depression. Neither the BDI-Ⅱ-C nor the CES-D could be used by themselves as methods for case ascertainments, although the BDI-Ⅱ-C is somewhat better than the CES-D as a screener. For detecting adolescent depression, the optimal cutoffs are suggested to be used for the CES-D and the common cutoffs to be used for BDI-Ⅱ-C in China.
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