A depressive symptom scale for the California Psychological Inventory: construct validation of the CPI-D

To facilitate life span research on depressive symptomatology, a depressive symptom scale for the California Psychological Inventory (CPI) is needed. The authors constructed such a scale (the CPI-D) and compared its psychometric properties with 2 widely used self-report depression scales: the Beck Depression Inventory and the Center for Epidemiological Studies Depression Scale. Construct validity of the CPI-D was examined in 3 studies. Study 1 established content validity, classifying CPI-D items into Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition depressive symptoms. Study 2 used 3 large samples to gather evidence for reliability and validity: correlational analyses demonstrated alpha reliability and convergent and discriminant validity; factor analysis provided evidence for discriminant validity with anxiety; and regression analyses demonstrated comparative validity with existing standard PI scales. Study 3 used clinician ratings of depression and anxiety as criteria for external validity.     

Development and validation of the Inventory of Depression and Anxiety Symptoms (IDAS)

The authors describe a new self-report instrument, the Inventory of Depression and Anxiety Symptoms (IDAS), which was designed to assess specific symptom dimensions of major depression and related anxiety disorders. They created the IDAS by conducting principal factor analyses in 3 large samples (college students, psychiatric patients, community adults); the authors also examined the robustness of its psychometric properties in 5 additional samples (high school students, college students, young adults, postpartum women, psychiatric patients) who were not involved in the scale development process. The IDAS contains 10 specific symptom scales: Suicidality, Lassitude, Insomnia, Appetite Loss, Appetite Gain, Ill Temper, Well-Being, Panic, Social Anxiety, and Traumatic Intrusions. It also includes 2 broader scales: General Depression (which contains items overlapping with several other IDAS scales) and Dysphoria (which does not). The scales (a) are internally consistent, (b) capture the target dimensions well, and (c) define a single underlying factor. They show strong short-term stability and display excellent convergent validity and good discriminant validity in relation to other self-report and interview-based measures of depression and anxiety.     

Depression in children: Parent,teacher, and child perspectives

Depressed and nondepressed children were found to differ in the types of behavior problems manifested at home and at school. Children rated as depressed by their parents on the Personality Inventory for Children evidenced significantly more conduct problems, anxiety, impulsive hyperactivity, learning problems, psychosomatic problems, perfectionism, and muscular tension at home than children rated as nondepressed. Depressed children were rated by their teachers as displaying more inattentionpassivity than nondepressed children. A significant but modest relationship was found between parent report and child selfreport of the child's depression. Depressed children attributed positive events to external causes and negative events to internal causes significantly more than did nondepressed children. The specificity of these results to depression was also examined;the particular features of childhood depression are compared to the features of adult depression. The investigators would like to thank Jim McFerren and Ralph Zalazar for their work as research assistants and David Watson for his help with the statistical analyses. The helpful comments of Eric Klinger and Auke Tellegen are gratefully acknowledged. The cooperation of Dr. Loren Benson, director of personnel services of the Hopkins School District #274; Mr. Edward Ryshavy, principal of Glen Lake Elementary School; and the teachers of that school is greatly appreciated.     

Relationships between self-perceptions and negative affect in adult Flemish psychiatric in-patients suffering from mood disorders

Objectives. To compare measures of physical self-perceptions and self-esteem of adult psychiatric patients suffering from mood disorders with norms of non-patients and to investigate the comparative influence of physical self-perceptions and self-esteem on indices of negative affect in these patients.Method. Cross-sectional. Adult psychiatric patients (53 males, 124 females), all with DSM-IV diagnosis of mood disorder and with elevated depression scores, completed the Physical Self-Perception Profile subscales assessing perceived sports competence and condition, body attractiveness, physical strength, and a domain scale of physical self-worth. Also assessed were global self-esteem, using the Rosenberg Self-Esteem Inventory, depression, with the Beck Depression Inventory, and anxiety with the State-Trait Anxiety Inventory.Results. Depressed patients scored significantly lower on physical self-perceptions and global self-esteem than non-patients, consistent with the symptomatology of depression and anxiety. Partial correlation analysis and path analysis indicated that physical self-perceptions explained a significant proportion of variance in negative affects (R² from 0.37 to 0.49). With the exception of trait anxiety in male patients, direct pathways became non-significant when global self-esteem was added to the model. Model fit parameters using structural equation modelling indicated the superior fit of the indirect model with global self-esteem as a mediator.Conclusion. The relationship between physical self-perceptions and negative affect is mainly indirect and mediated by global self-esteem in mood disordered psychiatric patients. The Expanded Exercise and Self-Esteem Model, which includes physical self-perceptions and self-esteem estimates, might be considered as a valuable framework for furthering our understanding of the depression and anxiety reducing potential of exercise and physical activity in clinically depressed individuals.     

Low-end specificity of childhood measures of emotional distress: consistent effects for anxiety and depressive symptoms in a nonclinical population

Previous research regarding the low-end specificity of self-report measures of affective distress in children suggests that defensiveness acts differentially to lower scores on self-report measures of depressive symptoms, but not on self-report measures of anxiety. This investigation examined this issue in a nonclinical sample of 442 children, ages 7 to 16. Participants completed measures of depressive symptoms (Children's Depression Inventory), anxiety symptoms (State-Trait Anxiety Inventory for Children) and defensiveness (Children's Social Desirability Scale). In contrast to previous research, the results in this study indicated similar effects of defensiveness on measures of depressive symptoms and anxiety. Low-end depression participants obtained significantly higher defensiveness scores, as did low-end anxious participants. In an attempt to circumvent the effects of defensiveness, we measured anhedonia (Pleasure Scale for Children, or PSC) as a proxy of depressive symptoms. We also found the PSC to be subject to the effects of defensiveness at approximately the same magnitude as the measures of anxiety and depressive symptoms.     

Factor structure and psychometric characteristics of the beck depression inventory-II

The present study evaluated the factor structure and psychometric properties of the Beck Depression Inventory-II (BDI-II; Beck, Steer, & Brown, 1996) in the nonclinical sample of 230 young adults. The BDI-II is a revised version of the BDI-IA. We evaluated the fit of three alternative models to the sample data, using confirmatory factor analysis. Results provided support for the fit of the oblique three-factor model. The BDI-II and factor scales had satisfactory coefficient alpha indices. We obtained gender differences on the BDI-II item, total, and factor scale scores. We examined the relations of the BDI-II with demographic variables and with other self-report measures of social desirability, anxiety, depression, stress, and self-esteem. We also examined the issue of whether specific self-report measures of anxiety and depression assess separate or different constructs. We discuss the limitations of the present study.     

Multimethod Assessment of Depression in Sexually Abused Girls

This study measured depression in sexually abused Black girls using the Children's Depression Inventory (Kovacs & A. T. Beck, 1977), the Internalization scale of the Child Behavior Checklist (Achenbach & Edelbrock, 1983), and the Rorschach Depression Index (Exner, 1986). There were no significant correlations between these self-report, behavior observation (by parental report), and projective measures. The abused subjects had high scores on the behavior observation and Rorschach scales. Consistent with past research, negative results were obtained with the self-report instrument. We suggest that the low scores on self-report measures of distress produced by sexually abused children may be the result of guardedness or defensiveness rather than a genuinely low level of dysphoria in this population. There were no significant relations between abuse characteristics and scores on the depression measures. Scores on Rorschach measures of organizational activity (Zf) and available coping resources (EA) were generally positively related to depression within the abuse group and negatively related to depression within the control group.     

Multimethod assessment of depression in sexually abused girls

This study measured depression in sexually abused Black girls using the Children's Depression Inventory (Kovacs & A. T. Beck, 1977), the Internalization scale of the Child Behavior Checklist (Achenbach & Edelbrock, 1983), and the Rorschach Depression Index (Exner, 1986). There were no significant correlations between these self-report, behavior observation (by parental report), and projective measures. The abused subjects had high scores on the behavior observation and Rorschach scales. Consistent with past research, negative results were obtained with the self-report instrument. We suggest that the low scores on self-report measures of distress produced by sexually abused children may be the result of guardedness or defensiveness rather than a genuinely low level of dysphoria in this population. There were no significant relations between abuse characteristics and scores on the depression measures. Scores on Rorschach measures of organizational activity (Zf) and available coping resources (EA) were generally positively related to depression within the abuse group and negatively related to depression within the control group.     

A multimethod analysis of selected self-esteem measures

This study investigated the convergent and discriminant validity of selected measures of global self-esteem and social self-esteem, using the multitrait-multimethod design. Orderliness was included as the third trait for appraising the discriminant validity of the self-esteem measures. Each trait was measured by three different methods: true-false self-report inventory, multipoint self-report inventory, and simple self-ratings. The Tennessee Self-Concept Scale and the Coopersmith Self-Esteem Inventory (short form) were the selected measures of global self-esteem. The revised Janis-Field Feelings of Inadequacy Scale and the Self-esteem scale of the Jackson Personality Inventory were included as measures of social self-esteem, while orderliness measures included the Order scales from the Personality Research Form and Comrey Personality Scales. Results from the multitrait-multimethod matrix and the multimethod factor analysis of data based on 93 males and 103 females provided strong evidence for the convergent and discriminant validity of the various trait measures.     

Correlates of depressed mood in normal children

Two instruments which have been proposed as measures of clinical depression in children and an ad hoc teacher rating were given to a group of 109 normal children. The Children's Depression Inventory (CDI), the Peer Nomination Inventory for Depression (PNID), and a teacher rating of depression were given along with the Conner s Teacher Rating Scale (TRS), teacher ratings of somatic complaints, peer popularity, and absenteeism, and peer ratings of popularity to examine the behavioral correlates of depressed mood in normal children. While few sex differences were found on mean depression scores, different patterns of correlations were found for the two sexes. For males, there were no significant correlations among the three depression measures, but all three depression measures were correlated with unpopularity and conduct problem ratings on the TRS. For females, the three depression measures were adequately intercorrelated. The teacher rating of depression was correlated with general deviance as measured by the TRS, but the CDI and PNID were correlated with TRS ratings of conduct problems, with peer ratings of unpopularity, and with teacher ratings of somatic complaints. Implications for the issue of the possible existence of a clinical syndrome of depression in children were discussed.     

Birth order and its relationship to depression, anxiety, and self-concept test scores in children

Children (N = 404), 7 to 12 years old, were given the Children's Depression Inventory, the State-Trait Anxiety Inventory for Children, and the Piers-Harris Self-Concept Scale. First-born children scored significantly lower on depression than second-, third-, fourth-born, and youngest children. First borns showed significantly less trait anxiety than third-born children. First-born children also showed significantly higher levels of self-esteem than second-born and youngest children. Girls in this study showed significantly more trait anxiety than boys.     

Aerobic physical activity effects on psychological well-being in low-income Hispanic children

Psychological well-being has been generally associated with vigorous aerobic activity and structured aerobic activity in adolescents and children. Low-income children are at greater risk than the general population for experiencing high environmental stress and increased mental health problems. This study investigated the effects of a structured physical fitness program on psychological well-being in low-income Hispanic children. A total of 66, 33 girls, 33 boys, in Grade 4 were randomly assigned to either an Aerobic intensity (n = 34) or a Control intensity physical activity program (n = 32) for 6 wk. Psychological well-being was defined as scores on trait anxiety, depression, and self-esteem, measured, respectively, by the Trait Anxiety Inventory, Beck Depression Inventory, and Rosenberg Self-esteem scale. Analysis showed the children in the Aerobic intensity program significantly (p < .05) improved their cardiovascular fitness as measured by the PWC170 test. After the program was over, the children in this Aerobic group reported significantly (p < .05) less depression. The main effect for self-esteem reflected the Aerobic group's greater self-reported self-esteem. No differences were found on trait anxiety. The effects on depression and self-esteem may only be attributed to the cardiovascular improvement given the higher intensity physical activity program because causation was not assessed here.     

Using Self-Report Measures to Corroborate Theories of Depression: The Specificity Problem

Depression scales tend to correlate highly with measures of anxiety and other negative emotional states. If the same is true of scales measuring constructs from depression theories such as negative cognitions and anaclitic depression, it brings into question the specificity Of these models to depression. The overlap has been attributed to the common role of negative affect in depression and anxiety. Using a sample of college students, our study investigated the relationships among measures of depression, anxiety, positive and negative affect, and theory-relevant constructs. Theory-relevant scales related no more strongly to depression than anxiety measures. Furthermore, they related strongly either with negative or positive affect but usually not with both. These findings bring into question the specificity of depression models corroborated through the available self-report measures.     

Affective valence and arousal in self-rated depression and anxiety.

To evaluate the predictive utility of Russell's two-dimensional model of affect to the experience of depression and anxiety, self-report ratings of pleasure and arousal were obtained from 200 undergraduates using the Affect Grid. Ratings of Pleasure and Arousal each accounted for significant variance in predicting depression scores on the Beck Depression Inventory and Profile of Mood States. Only ratings of Pleasure, however, were predictive of Anxiety scores on the Profile of Mood States, whereas the relationship between Arousal ratings and Anxiety scores was more complex, demonstrating possible moderation by variables consistent with a third dimension of Dominance-Submissiveness, as postulated by other investigators.     

Social perspective-taking and teacher ratings of peer interaction in hyperactive boys

Hyperactive and matched control boys at two age levels were compared on teacher ratings of peer interaction and three measures of social perspective-taking. The teachers' ratings of peer interaction discriminated between the hyperactive children and their controls. In addition, a significant interaction effect indicated that teachers rated the older hyperactive group as more deviant with peers than both their younger hyperactive counterparts and their age-matched controls. In a structured laboratory setting, the hyperactive children did not differ from control children on the three measures of social perspective-taking. The perspective-taking measures did, however, show differences across age groups. Implications for treatment are examined.The research reported in this paper is based on master's thesis submitted to the Graduate Faculty of Arts and Sciences of the University of Pittsburgh by the first author. The authors are indebted to Dr. C. Keith Conners for his assistance in recruiting hyperactive subjects and to Drs. Alex Siegel and Carl Barenboim for their critical evaluations regarding this investigation. Appreciation is expressed to the staff, teachers, parents, and students of the Forest Grove Elementary School for their cooperation.     

A preliminary comparison of teacher ratings and child self-report of depression,anxiety, and aggression in inpatient and elementary school samples

Using equivalent scales, the differential utility of teachers' ratings of elementary school (n=142) and inpatient (n=83) 8 to 12yearold children was examined by comparing teachers' correspondence with the inpatient and elementary school children's selfreports of depression, anxiety, and aggression. Teacherchild correspondence was significant for all three traits in the elementary school sample, yet only significant for aggression in the inpatient sample. However, the level or severity of depression and anxiety symptoms that the teachers reported for the inpatient sample was similar to that reported by the children themselves. In contrast, elementary school children reported significantly more internalizing symptoms than their teachers. Inpatient children reported more depression, but not significantly more anxiety and aggression than elementary school children. For all traits, teachers reported significantly more symptoms for inpatient children, after controlling for child selfreport and socioeconomic status. The utility of teachers' ratings across samples, method variance and rater biases, and issues pertaining to selfreport are discussed.     

The effects of cognitive behavior therapy delivered by students in a psychologist training program: an effectiveness study

Relatively little is known about the efficacy of clinically inexperienced student therapists carrying out cognitive behavior therapy (CBT) under supervision during a professional, psychologist training program. The current study evaluated this by collecting pre- and posttreatment data on 591 consecutive patients receiving treatment at the Psychotherapy Clinic of the Department of Psychology, Stockholm University, Sweden, over an 8-year period. The patients had mainly anxiety disorders or depression with a mean duration of 15 years, and received individual CBT for a mean of 18 sessions. They improved significantly on both general measures (Beck Anxiety Inventory [BAI], Beck Depression Inventory [BDI], and Quality of Life Inventory [QOLI]) and disorder-specific self-report scales. The proportions of recovered patients on the BAI (63%) and the BDI (60%) were higher than those of a comparison effectiveness study. On the specific self-report scales the current sample improved as much as the samples in extant efficacy trials. We conclude that clinically inexperienced student therapists who receive supervision from experienced supervisors can achieve treatment effects that are on a par with those of experienced licensed psychotherapists.     

Social-cognitive and cognitive correlates of depression in children

The present investigation examined depression and its social-cognitive and cognitive correlates in a sample of 108 elementary school children: 36 children in each of grades 1, 4, and 8. Children were classified as depressed and nondepressed according to their scores on the Children's Depression Inventory (CDI). Depression appeared stable over a 3-week time interval. Depressed children reported a higher number of masking symptoms, were rated as more depressed by their teachers, and perceived their family environment to be more distressed. As posited, when compared to nondepressed children, depressed children have lower self-esteem, a more depressive attributional style, and more self-control deficits. Further, they have impaired performance on some cognitive tasks (block design, coding digit span) but not all (vocabulary). The prediction that depression would be manifested differently in first-, fourth-, and eighth-graders was not supported.This research was supported by a grant from the Hogg Foundation for Mental Health. We would like to specifically acknowledge the help of Dr. Wayne Holtzman, director of the Hogg Foundation.     

Global self-esteem in relation to structural models of personality and affectivity

Three studies examined global self-esteem in relation to structural models of personality and affectivity. In every study, self-esteem was strongly negatively correlated with Neuroticism/Negative Affectivity and moderately to strongly related to Extraversion/Positive Affectivity. Additional findings, however, revealed that self-esteem is better viewed at the lower order level. For instance, global self-esteem correlated -.79 with the Depression facet of the Revised NEO Personality Inventory (P. T. Costa, Jr., & R. R. McCrae, 1992) in Study 3. Moreover, confirmatory factor analyses produced very strong correlations between self-esteem and depression in both Study 2 (r = -.82) and Study 3 (r = -.86). Taken together, the data suggest that global self-esteem measures define one end of a bipolar continuum, with trait indicators of depression defining the other.     

Development and Validation of the Xhosa Translations of the Beck Inventories: 3. Concurrent and Convergent Validity

This article provides data on the validity of the Xhosa versions of the Beck Depression Inventory-II (XBDI-II), the Beck Hopelessness Scale (XBHS) and the Beck Anxiety Inventory (XBAI) based on a sample of 122 Xhosa respondents which included students and patients. For patients, clinicians completed rating scales of Depression and Anxiety symptoms. In tests of concurrent validity, depressed patients had significantly higher scores on the XBDI-II and XBHS than students or patients who were not depressed. Similarly anxious patients had higher scores on the XBAI than students and patients who were not anxious. Correlations with clinicians' ratings were:.91 for XBDI-II scores and depression ratings, and.88 for XBAI scores and anxiety ratings. Correlations between the three translated scales were similar to those for the original scales. These analyses provide evidence that the translated scales have levels of concurrent and convergent validity comparable to the originals.