Use of the Beck Depression Inventory-II with depressed geriatric inpatients

To provide information about the clinical utility of the Beck Depression Inventory-II (BDI-II) [Beck, A.T., Steer, R.A., & Brown, G.K. (1996b). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation] with geriatric inpatients, the BDI-II was administered to 130 psychiatric inpatients who were 55 years old or above and who were diagnosed with principal DSM-IV major depressive disorders (MDD) (N = 85, 65%) or adjustment disorders with depressed mood (N = 45, 35%). The internal consistency of the BDI-II was high (coefficient alpha = 0.90), and its total score was not significantly related to sex, age, or ethnicity. An iterated maximum-likelihood factor analysis found the Cognitive and Noncognitive dimensions which have been reported for the BDI-II by Steer and co-workers (Steer R.A., Ball R., Ranieri W.F., & Beck A.T. (1999). Dimensions of the Beck Depression Inventory-II in clinically depressed outpatients. Journal of Psychopathology and Behavioral Assessment, 55, 117-128) in a younger sample of clinically depressed psychiatric outpatients. The mean BDI-II total score of the 85 geriatric inpatients with MDD was also comparable to that of 42 younger (< or = 54 years old) inpatients with MDD. The results were discussed as supporting the use of the BDI-II with clinically depressed geriatric inpatients.     

Convergent validity of the Beck depression inventory-II with the reynolds adolescent depression scale in psychiatric inpatients

The Beck Depression Inventory-II (BDI-II; Beck, Steer, & Brown, 1996) and the Reynolds Adolescent Depression Scale (RADS; Reynolds, 1987) were administered to 56 female and 44 male psychiatric inpatients whose ages ranged from 12 to 17 years old. The Cronbach coefficient alpha(s) for the BDI-II and RADS were, respectively, .92 and .91 and indicated comparably high levels of internal consistency. The correlation between the BDI-II and RADS total scores was .84,p <.001. Binormal receiver-operating-characteristic analyses indicated that both instruments were comparably effective in differentiating inpatients who were and were not diagnosed with a major depressive disorder; the areas under the ROC curves for the BDI-II and RADS were, respectively, .78 and .76. The results (a) indicate that the BDI-II and the RADS have similar psychometric characteristics and (b) support the convergent validity of the BDI-II for assessing self-reported depression in adolescent inpatients.     

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.     

Psychometric properties of the Spanish Beck Depression Inventory-II in a medical sample

The authors examined the psychometric properties of the Spanish Beck Depression Inventory-II (BDI-II; A. T. Beck, R. A. Steer, & G. K. Brown, 1996) in a sample of individuals undergoing hemodialysis. They performed a confirmatory factor analysis of a previously reported 2-factor solution for the English BDI-II derived from a medical sample. Results indicate that the established model for the English-speaking medical sample provided adequate fit in the present sample. Spanish BDI-II scores were not significantly associated with age or gender in their sample, but they were significantly associated with disease severity. Bilingual participants completed the inventory in both Spanish and English, and their data revealed that BDI-II total scores were similar across language administration. The preliminary data suggest that the Spanish BDI-II can be reliably used in medical samples.     

Beck Depression Inventory-II items associated with self-reported symptoms of ADHD in adult psychiatric outpatients

The Beck Depression Inventory-II (BDI-II; Beck, Steer, & Brown, 1996) and the Conners' Adult ADHD Rating Scale-Self-Report: Screening Version (CAARS-S:SV; Conners, Erhardt, & Sparrow, 1999) were administered to 371 (64%) female and 204 (36%) male adult (> 18 years old) outpatients who were diagnosed with various psychiatric disorders to determine whether any of the 21 items or subsets of items in the BDI-II were related to symptoms of attention deficits and hyperactivity as measured by the CAARS-S:SV DSM-IV Total ADHD Symptoms scale (attention-deficit/hyperactivity disorder [ADHD] Symptoms). Stepwise multiple-regression analyses found that the BDI-II Concentration Difficulty explained 30% of the variance in these total scores. Ratings > 1 for the BDI-II Concentration Difficulty item were discussed as being useful for ruling out possible symptoms of ADHD.     

Self-Reported Depression in Mothers of Children Who Have Experienced Sexual Abuse

The Beck Depression Inventory-II (BDI-II; A. T. Beck, R. A. Steer, & G. K. Brown, 1996) was administered to 164 biological mothers of sexually abused children to determine the psychometric characteristics of the BDI-II and to estimate the prevalence of self-reported depression in this population. The study also sought to ascertain whether the mothers’ BDI-II total scores were correlated with various psychosocial characteristics of the mothers and their children. It was found that there was only one dimension underlying the 21 BDI-II responses, and the internal consistency of the BDI-II total scores was high. Twenty-six percent of these mothers had scores indicative of clinical depression. The mothers’ BDI-II total scores were significantly correlated with their husbands’ or paramours’ having sexually abused their children and their ratings of the children’s internalizing behaviors. These results were discussed as supporting the use of the BDI-II with mothers of sexually abused children to measure self-reported depression.     

Severity of Self-Reported Depression in Patients with a Schizoaffective Disorder

  To investigate the severity of self-reported depression in patients diagnosed with a schizoaffective disorder (SZA), the Beck Depression Inventory-II (BDI-II; Beck, Steer, & Brown, 1996) was administered to 75 patients with a SZA. For comparative purposes, the BDI-II was also administered to 75 patients with a major depressive disorder without psychotic features (MDD) who were matched to the SZA sample with respect to sex, being Caucasian, and age. The Cronbach coefficient αs of the BDI-II total scores for the patients with a SZA or a MDD were, respectively, .94 and .92. The mean BDI-II total score (M = 23.71, SD = 15.44) of the patients with a SZA was minimally lower than the mean BDI-II score (M = 28.73, SD = 12.46) of the patients with a MDD. The BDI-II was discussed as being useful for assessing self-reported depression in patients diagnosed with a SZA.     

Reliability and validity of the Beck depression inventory--II with adolescent psychiatric inpatients

This investigation was conducted to validate the Beck Depression Inventory--II (BDI-II; A. T. Beck, R. A. Steer, & G. K. Brown, 1996) in samples of adolescent psychiatric inpatients. The sample in each substudy was primarily Caucasian. In Study 1, expert raters (N=7) and adolescent psychiatric inpatients (N=13) evaluated the BDI-II items to assess content validity. In Study 2, confirmatory factor analyses of several first-order solutions failed to provide adequate fit estimates to data for 205 boys, 203 girls, and the combined sample. Exploratory factor analyses identified new item-factor solutions. Reliability estimates were good (range =.72 to.91) for the BDI-II total and scale scores. In Study 3 (N=161 boys and 158 girls from Study 2), preliminary evidence for estimates of concurrent, convergent, and discriminant validity were established for the BDI-II.     

The two-week and five-week dependability and stability of the depressive personality disorder inventory and its association with current depressive symptoms

Within the psychometric framework of assessing a measure's dependability (Watson, 2004), this study considered the 2-week and 5-week test-retest correlations of the Depressive Personality Disorder Inventory (DPDI; Huprich, Margrett, Barthelemy, & Fine, 1996). DPDI scores were compared with the test-retest reliability (i.e., dependability) of the Beck Depression Inventory-II (BDI-II; Beck, Steer, & Brown, 1996). Three-hundred sixty-three undergraduates completed the DPDI and BDI-II and were reevaluated at either a 2- or 5-week interval. Two- and 5-week test-retest correlations for the DPDI were .89 and .82, respectively, and test-retest correlations for the BDI-II were .88 and .75. The effect sizes of the mean scores' changes in the measures across time were larger for the DPDI (ds = .48, .23) than the BDI-II (ds = .28, -.21), with mean BDI-II scores not significantly differing at the 5-week assessment from the baseline mean. Although the 5-week retest correlation for the BDI-II trended toward decreasing reliability from baseline, it did not significantly differ from the DPDI 5-week retest correlation. It is concluded that both measures are dependable and assess latent propensities toward depressive thoughts and feelings, along with the current influence of depressive states.     

Psychometric properties of the Beck Depression Inventory-II in low-income, African American suicide attempters

Cross-cultural examinations of the validity and reliability of the Beck Depression Inventory-II (Beck, Steer, Ball, & Ranieri, 1996) is essential for its use in assessment and monitoring of the effectiveness of suicide interventions across racial groups. We tested the fit of a second-order, two-factor model and the internal reliability of the BDI-II in a sample of 133 African Americans with a recent history of suicide attempts. Additionally, we examined the convergent validity with the Hamilton Rating Scale for Depression (Reynolds & Koback, 1995). The results indicate that the BDI-II is a reliable and valid measure of depressive symptoms for African American suicide attempters.     

A psychometric comparison of the Beck Depression Inventory-II in English and Spanish

The Beck Depression Inventory-II (BDI-II; A. T. Beck, R. A. Steer, & G. K. Brown, 1996) is a widely used measure of depressive symptomatology originally authored in English and then translated to Spanish. However, there are very limited data available on the Spanish translation. This study compared the psychometric characteristics of the BDI-II in Spanish and English in a sample of 895 college students. The instrument was administered twice with a 1-week interval, either in the same language on both occasions or in a different language on each occasion. Results show strong internal consistency and good test-retest reliability in both languages. Confirmatory factor analysis demonstrated that the published English-language factor structure showed good fit with data from the Spanish instrument. Among bilingual participants who took the BDI-II in both languages, there was no significant language effect. These data provide initial evidence of comparable reliability and validity between the English and Spanish BDI-II in a nonclinical sample.     

Psychometric evaluation of the Beck Depression Inventory-II with primary care medical patients.

This study evaluated the psychometric characteristics of the Beck Depression Inventory-II (BDI-II; A. T. Beck, R. A. Steer, & G. K. Brown, 1996) in a primary care medical setting. A principal-components analysis with Promax rotation indicated the presence of 2 correlated factors, Somatic-Affective and Cognitive, which explained 53.5% of the variance. A hierarchical, second-order analysis indicated that all items tap into a second-order construct of depression. Evidence for convergent validity was provided by predicted relationships with subscales from the Short-Form General Health Survey (SF-20; A. L. Stewart, R. D. Hayes, & J. E. Ware, 1988). A receiver operating characteristic analysis demonstrated criterion-related validity: BDI-II scores predicted a diagnosis of major depressive disorder (MDD), as determined by the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Health Questionnaire (PHQ). This study demonstrated that the BDI-II yields reliable, internally consistent, and valid scores in a primary care medical setting, suggesting that use of the BDI-II in this setting may improve detection and treatment of depression in these medical patients.     

Norms for the Beck Depression Inventory (BDI-II) in a Large Dutch Community Sample

The Beck Depression Inventory (BDI-II) is a widely used instrument that provides information about the presence and severity of depressive symptoms. Although the BDI-II is a psychometrically sound instrument, relatively little is known about norm scores. This study aimed to develop reliable norms for the BDI-II in a Dutch community sample. Gender, age, and education were hypothesized to predict BDI-II scores. A total of 7,500 respondents from a community sample in The Netherlands completed the BDI-II. It was investigated by means of multiple regression analysis whether distinct norms for genders, education levels, and age group are appropriate. BDI-II scores depended on gender and education level, but not on age. BDI-II norms were computed based on the final regression model. These BDI-II norms can be used for diagnostic purposes, clinical decision making, or the evaluation of treatment effects.     

Equivalence of computerized and conventional versions of the Beck Depression Inventory-II (BDI-II)

This study examined the equivalence of the conventional and computerized versions of the Beck Depression Inventory-II (BDI-II), taking into account that computer aver-sion may negatively impact computer-administered BDI-II scores by elevating them. Participants were 180 psychology undergraduate students from a medium-sized midwestern university. Participants were divided into four experimental groups. Each group was administered the BDI-II twice in various combinations (conventional only, computerized only, conventional and computerized and vice versa). All participants completed measures of computer aversion and computer experience. Participants who received both versions of the BDI-II were also asked to specify their preference for method of administration. Independent samples t-test results indicated that the com-puterized and paper-and-pencil versions of the BDI-II may be considered equivalent in terms of measurement validity. Implications for future research are discussed. Portions of this article were presented at the 1999 meetings of the American Psychological Association, Boston. The authors thank Dr. Michael Granaas for statistical assistance with the Latin Squares analysis.     

Validating the Beck Depression Inventory-II in Indonesia's general population and coronary heart disease patients

This study assesses the validity and determines the cut-off point for the Beck Depression Inventory-II (the BDI-II) among Indonesians. The Indonesian version of the BDI-II (the Indo BDI-II) was administered to 720 healthy individuals from the general population, 215 Coronary Heart Disease (CHD) patients, and 102 depressed patients. Confirmatory factor analysis indicated factorial similarity across the three samples. Significant correlations between the Indo BDI-II and other self-report measures related to depression demonstrated construct validity of the Indo BDI-II. Furthermore, there was a highly significant difference in the Indo BDI-II scores between depressed patients and non-depressed participants. Internal consistency and re-test reliability of the Indo BDI-II were acceptable. The receiver operating characteristic (ROC) curve indicated that the cut-off point of the Indo BDI-II for a mild severity of depression in Indonesian population should be 17. We conclude that the Indo BDI-II is a valid measure of depression, both in the Indonesian general population and in CHD patients.     

Equivalence of computerized and conventional versions of the Beck Depression Inventory-II (BDI-II)

This study examined the equivalence of the conventional and computerized versions of the Beck Depression Inventory-II (BDI-II), taking into account that computer aver-sion may negatively impact computer-administered BDI-II scores by elevating them. Participants were 180 psychology undergraduate students from a medium-sized midwestern university. Participants were divided into four experimental groups. Each group was administered the BDI-II twice in various combinations (conventional only, computerized only, conventional and computerized and vice versa). All participants completed measures of computer aversion and computer experience. Participants who received both versions of the BDI-II were also asked to specify their preference for method of administration. Independent samples t-test results indicated that the com-puterized and paper-and-pencil versions of the BDI-II may be considered equivalent in terms of measurement validity. Implications for future research are discussed. Portions of this article were presented at the 1999 meetings of the American Psychological Association, Boston. The authors thank Dr. Michael Granaas for statistical assistance with the Latin Squares analysis.     

Psychometric Properties of the Beck Depression Inventory-II in a Clinically-Identified Sample of Mexican American Adolescents

We examined the internal consistency reliability, convergent and divergent validity, and factor structure of the Beck Depression Inventory-II (BDI-II) in a sample of 131 Mexican American youth. The BDI-II demonstrated excellent internal consistency reliability (α=.90) and solid convergent and divergent validity with various clinical scales of the Adolescent Psychopathology Scale. Two factors, Cognitive-Somatic and Affective, emerged from an exploratory factor analysis and suggested that depressive symptomology may manifest somewhat differently in Mexican American youth. In sum, results provide tentative support for the use of the BDI-II as a measure of depression for this sample.     

Development and Validation of the Xhosa Translations of the Beck Inventories: 2. Item Analysis,Internal Consistency and Factor Analysis

The Beck Depression Inventory-II (BDI-II), the Beck Anxiety Inventory (BAI), and the Beck Hopelessness Scale (BHS) were translated into Xhosa, a language widely spoken in South Africa to yield translated scales referred to as the XBDI-I (Xhosa BDI-II), the XBAI (Xhosa BAI) and the XBHS (Xhosa BHS). These scales were administered to a sample of 122 Xhosa respondents which included students and patients. The psychometric properties of the translated scales were comparable to those of the original English versions. Measures of internal consistency were as high as those for the validation studies in the USA and good item-scale correlations were obtained. This suggests that the translation yielded clinically useful scales which tap symptoms that are largely culturally universal.     

Sensitivity and specificity of depression questionnaires in a college-age sample

The authors evaluated the sensitivity and specificity of the Beck Depression Inventory-II (BDI-II; A. T. Beck, R. A. Steer, & G. K. Brown, 1996) and Center for Epidemiological Studies-Depression Scale (CESD; L. S. Radloff, 1977) questionnaires for a college-student sample. Results indicate that the BDI-II and CES-D evidenced satisfactory levels of specificity and positive predictive value for current, past-year, and lifetime depressive disorder ratings on the Diagnostic Interview Schedule-IV (American Psychiatric Association, 1994). Researchers can use the questionnaires as valid initial screens in a two-stage process designed to identify individuals meeting Diagnostic and Statistical Manual of Mental Disorders-IV (American Psychiatic Association) criteria for depressive disorders. However, if the questionnaires are the only method used to select participants, the resulting sample may include a number of false positives.     

Common and specific dimensions of self-reported anxiety and depression: the BDI-II versus the BDI-IA

The Beck Depression Inventory-II (BDI-II) [Beck, A. T., Steer, R. A. & Brown, G. K. (1996). Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.] and Anxiety Inventory (BAI) [Beck, A. T. & Steer, R. A. (1993a). Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation.] were administered to 840 outpatients who were diagnosed with various types of psychiatric disorders to determine whether the general symptom compositions and relative amounts of variance of the common and specific dimensions of self-reported anxiety and depression for these instruments would be comparable to those that had been found by Steer et al. [Steer, R. A., Clark, D. A., Beck, A. T. & Ranieri, W. F. (1995). Common and specific dimensions of self-reported anxiety and depression: A replication. Journal of Abnormal Psychology, 104, 542–545.] with the BAI and amended Beck Depression Inventory (BDI-IA) [Beck, A. T. & Steer, R. A. (1993b). Manual for the Beck Depression Inventory. San Antonio, TX: Psychological Corporation.]. A Schmid–Leiman transformation was used with the iterated-principal-factor pattern matrix of the BAI and the BDI-II loadings and indicated that the overall symptom compositions and relative amounts of variance that were explained by the one common and two specific anxiety and depression dimensions were comparable to those previously found with the BDI-IA.