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Centre for Epidemiological Studies Depression Scale: 8 Item (CESD-8)

Description: The frequency and severity with which symptoms of depression are experienced in the general population.

Number of Items: 8

Item Question Wording TILDA Variable
1 I felt depressed mh006
2 I felt that everything I did was an effort mh007
3 My sleep was restless mh011
4 I was happy mh012
5 I felt lonely mh014
6 I enjoyed life mh016
7 I felt sad mh018
8 I could not get "going" mh020

Scoring Method:

  • 4-point Likert Scale

    • 0 = Rarely or none of the time (less than 1 day)

    • 1 = Some or a little of the time (1-2 days)

    • 2 = Occasionally or a moderate amount of time (3-4 days)

    • 3 = All of the time (5-7 days)

  • Survey coding is 1-4 so all items should be reconfigured to 0-3 coding prior to scoring.

  • A cumulative score is generated with higher scores representing greater levels of depression (range 0-24).

  • Items 4 and 6 are negatively worded and reverse scored prior to calculation.

  • Scores ≥ 9 represent clinically significant depressive symptoms.

Citation:

  • Radloff, L.S. (1977). The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, 1(3): 385–401. https://doi.org/10.1177/014662167700100306 (Original Scale)

  • Briggs, R., Carey, D., O’Halloran, A.M., Kenny, R.A. and Kennelly, S.P. (2018). Validation of the 8-item Centre for Epidemiological Studies Depression Scale in a cohort of community-dwelling older people: data from The Irish Longitudinal Study on Ageing (TILDA). European Geriatric Medicine, 9(5): 681–687. https://doi.org/10.1007/s41999-017-0016-0

Example TILDA Papers:

  • O’Halloran, A.M., Kenny, R.A. and King-Kallimanis, B.L. (2014). The latent factors of depression from the short forms of the CES-D are consistent, reliable and valid in community-living older adults. European Geriatric Medicine, 5(2): 97–102. https://doi.org/10.1016/j.eurger.2013.12.004

  • Orr, J., Tobin, K., Carey, D., Kenny, R. A., & McGarrigle, C. (2019). Religious Attendance, Religious Importance, and the Pathways to Depressive Symptoms in Men and Women Aged 50 and Over Living in Ireland. Research on Aging, 41(9), 891-911. https://doi.org/10.1177/0164027519860270

  • Ward M, Briggs R, McGarrigle CA, De Looze C, O’Halloran AM, Kenny RA. (2023), The bi-directional association between loneliness and depression among older adults from before to during the COVID-19 pandemic. Int J Geriatr Psychiatry, 38: 1-8. https://doi.org/10.1002/gps.5856

Code

  • Stata
  • R
  • SPSS
gen cesd = 0

foreach posq in mh006 mh007 mh011 mh014 mh018 mh020 {
    replace cesd = cesd + (`posq' - 1)
    replace cesd = . if `posq' == 98 | `posq' == 99 | `posq' == -1
}

foreach negq in mh012 mh016 {
    replace cesd = cesd + (4 - `negq')
    replace cesd = . if `negq' == 98 | `negq' == 99 | `negq' == -1
}

gen cesd_capi = cesd
label variable cesd_capi "CES-D (short form) from CAPI"

rename cesd_capi MHcesd_capi_sf
drop cesd

Download Stata .do file

posq <- c("mh006", "mh007", "mh011", "mh014", "mh018", "mh020")
negq <- c("mh012", "mh016")

df[ , c(posq, negq)] <- lapply(df[ , c(posq, negq)], function(x) {
  x[x %in% c(98, 99, -1)] <- NA
  x
})

df$MHcesd_capi_sf <-
  rowSums(df[ , posq] - 1, na.rm = FALSE) +
  rowSums(4 - df[ , negq], na.rm = FALSE)

Download R file

RECODE mh006 mh007 mh011 mh014 mh018 mh020 mh012 mh016
    (98 = SYSMIS)
    (99 = SYSMIS)
    (-1 = SYSMIS).

COMPUTE MHcesd_capi_sf =
    (mh006 - 1) +
    (mh007 - 1) +
    (mh011 - 1) +
    (mh014 - 1) +
    (mh018 - 1) +
    (mh020 - 1) +
    (4 - mh012) +
    (4 - mh016).

VARIABLE LABELS MHcesd_capi_sf
    "CES-D (short form) from CAPI".

EXECUTE.

Download SPSS .sps file

CESD-20
CIDI-SF-Anxiety

Copyright 2026, The Irish Longitudinal Study on Ageing (TILDA)

 

TILDA, Department of Health and Health Research Board