In the past 30 days‚ how often did you …
1. Feel you had trouble keeping your mind on what you were doing?
2. Feel depressed or very sad?
3. Feel hopeful about the future?
4. Feel bothered by things that don’t usually bother you?
5. Not feel like eating because you felt upset about something?
6. Feel that everything you did was an effort?
7. Think seriously about suicide?
8. Feel scared or afraid?
9. Toss and turn when you slept?
10. Feel that you talked less than usual?
11. Feel nervous or stressed?
12. Feel lonely?
13. Feel people disliked you?
14. Feel you enjoyed life?
(Items 1‚ 2‚ 3‚ 4‚ 6‚ 12‚ 13 and 14 were taken directly from the CES-D Scale developed by Radloff‚ 1977. Items 5‚ 9 and 10 were adapted from the CES-D Scale‚ and items 7‚ 8 and 11 were added by the Rochester Youth Development Study.)
These items measure the frequency of depressive symptoms. Respondents are asked to indicate how often they have felt certain symptoms in the past month. This survey will be useful to programs whose mentors focus on providing emotional support.
This tool touches on the following keywords:
This instrument can be found on pages 91-92 of Measuring Violence-Related Attitudes‚ Behaviors‚ and Influences Among Youths: A Compendium of Assessment Tools‚ available online at: http://www.cdc.gov/violenceprevention/pdf/YV_Compendium.pdf .
Middle school age youth‚ although it could also be adapted for younger or older youth populations.
Point values are assigned as indicated in the instrument (1–4). Point values for all responses are summed‚ with a possible range of 14 to 56. Higher scores indicate more depressive symptoms.
Adapted from: Radloff‚ L.S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement‚ 1:385-401