Assessments · CES-D

CES-D

Center for Epidemiologic Studies Depression Scale

The CES-D measures depressive symptomatology in the general population over the past week. Developed for community and research use, it's a brief, free self-report scale with a well-known cutoff.

Measures: Depressive symptomsItems: 20Range: 0–60Cutoff: ≥16

What the CES-D measures

The CES-D asks how often a person experienced 20 depression-related feelings and behaviors over the past week, from mood and guilt to appetite and sleep. It was developed by the NIMH for epidemiologic research and is widely used as a free screening measure.

Who it's for

Adults in community, primary-care, and research settings. It is a screening measure of symptom level, not a diagnostic instrument.

Scoring

Each of the 20 items is scored 0–3 (four are reverse-scored), for a total of 0–60. A score of 16 or above is the standard cutoff suggesting clinically significant depressive symptoms that warrant further assessment.

Severity bands

ScoreInterpretation
0–15Below cutoff
16+Significant depressive symptoms

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Frequently asked questions

What is a high CES-D score?

A total of 16 or above is the conventional cutoff for clinically significant depressive symptoms. Higher scores indicate greater symptom burden, up to a maximum of 60.

Is the CES-D a diagnosis of depression?

No. The CES-D measures the level of depressive symptoms over the past week. A score above the cutoff indicates further evaluation is warranted, not a diagnosis.

In crisis? Call or text 988 (Suicide & Crisis Lifeline, US) — free, confidential, 24/7. This page is educational and is not a diagnostic tool or a substitute for professional evaluation.