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.     

Overcoming Negative Aspects of Perfectionism through Group Treatment

The tendency to hold and pursue excessively high standards for oneself and for others can interfere with academic achievement. Counsellors who work in university settings are often presented with students whose capabilities do not reflect their levels of achievement. This study reports on the evaluation of an eight-week group intervention designed to help university students shift from negative and often debilitating perfectionism to positive and enhancing perfectionism. The group treatment focused on changing attitudes, beliefs, feelings, and interpersonal interactions affected by perfectionism using combined cognitive-behavioral and interpersonal approaches. Standardized measures, including the Beck Depression Inventory (Beck et al., BDI-II manual. San Antonio: The Psychological Corporation, 1996), the Beck Anxiety Inventory (Beck and Steer, Beck Anxiety Inventory: Manual. San Antonio: The Psychological Corporation, 1993), and the Multidimensional Perfectionism Scale (Hewitt and Flett, Journal of Personality & Social Psychology, 60, 456–470, 1991a), provided data for pre- and post analysis of a treatment group (n = 30), and comparison groups of students attending group programs on career planning (n = 30) and attending psychology classes (n = 30). Results show that students participating in the treatment group significantly reduced their levels of depression, anxiety, and perfectionism in comparison to students who did not attend the treatment program. Implications of the findings suggest the importance of considering perfectionism on a continuum of negative and positive influences while helping students to address the intrapersonal and interpersonal dimensions of perfectionism.     

Common and Specific Dimensions of Self-Reported Anxiety and Depression in Adolescent Outpatients

To investigate the common and specific dimensions of anxiety and depression in adolescents, the Beck Anxiety Inventory (BAI; Beck, A. T., & Steer, R. A. Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation 1993a) and Beck Depression Inventory-II (BDI-II; Beck, A. T., Steer, R. A., & Brown, G. K. Manual for Beck Depression Inventory (2nd Ed.). San Antonio, TX: Psychological Corporation 1996) were administered to 840 adolescent (13–17 years old) outpatients who were diagnosed with various types of psychiatric disorders. A Schmid-Leiman transformation was used with the iterated-principal-factor pattern matrix of the BAI and the BDI-II loadings. The amounts of orthogonalized common variance that were explained by the one second-order (56%), one first-order depression (22%), and two first-order anxiety (22%) dimensions were comparable to those previously reported for adult psychiatric outpatients. The results were discussed as supporting the construct of negative affectivity that is proposed in L. A. Clark and Watson’s (1991) tripartite model of anxiety and depression.

Differential roles of depressive and anxious symptoms and gender in defensiveness

Among a sample of Air Force cadets facing the prospect of basic training (N= 1,190; 1,005 men and 185 women), the influence of a defensive test-taking style on measures of depressive and anxious symptoms was examined. Participants completed the Beck Depression Inventory (Beck & Steer, 1987) and the Beck Anxiety Inventory (Beck, Epstein, Brown, & Steer, 1988), as well as the MMPI (Hathaway & McKinley, 1943) L scale. Results supported hypotheses that defensiveness would affect a self-report measure of depression but not a self-report measure of anxiety and would do so more among men than women. Applied implications of the results are discussed.     

Generalized anxiety and panic disorders: Response to Cox, Cohen, Direnfeld, and Swinson (1996)

Contrary to the contention of Cox, Cohen, Direnfeld and Swinson (1996, Behaviour Research and Therapy, 34, 949–954) that the Beck Anxiety Inventory (BAI; Beck & Steer, 1993, Manual for the Beck Anxiety Inventory) measures primarily symptoms associated with panic attacks rather than anxiety in general, we propose that the higher level of anxiety found in patients with panic disorders not only is not an artifact of the BAI's symptom content, but patients with panic disorders truly have more anxiety than patients with other types of anxiety disorders. Furthermore, the BAI contains symptoms present in other anxiety disorders, besides panic disorder, and specifically includes 11 symptoms of generalized anxiety disorder (GAD). The BAI and revised Hamilton Anxiety Rating Scale (HARS-R; Riskind, Beck, Brown & Steer, 1987, Journal of Nervous and Mental Disease, 175, 474–479) scores of 274 (69%) outpatients with panic disorders and 123 (31%) outpatients with GAD were found to differentiate these two diagnostic groups equally and significantly. The panic disorder outpatients had higher scores on both the BAI and the HARS-R than did the GAD patients. Thus, Cox et al.'s (1996) speculation about the BAI's yielding spuriously high levels of anxiety in patients with panic disorders revives an important issue relevant to the relation of panic disorder to GAD.     

A Comparison of Firefighters and Police Officers: The Influence of Gender and Relationship Status

Differences between fire department and police department personnel (N = 190) concerning work‐related stressors and depression were examined with regard to gender and relationship status. Participants completed the Beck Depression Inventory—II (A. T. Beck, R. A. Steer, & G. K. Brown, 1996) and the Distressing Event Questionnaire (E. S. Kubany, M. B. Leisen, A. S. Kaplan, & M. P. Kelly, 2000). Recommendations are made concerning what crisis theories, both traditional and nontraditional, counselors should be aware of, as well as how simply working with trauma survivors can be traumatizing. E. Erikson's psychosocial stages (as cited in J. R. Studer, 2007) are considered in the framework of adult development.     

Ruminative Thoughts and Their Relation to Depression and Anxiety1

Although past research has shown a correlation between ruminative response style and depression (Nolen-Hoeksema, 1991), the basic relationships among amount of ruminative thoughts, depression, and anxiety has not been established. Scores from the Beck Depression Inventory-Second Edition (BDI-II; Beck, Steer, & Brown, 1996), the Beck Anxiety Inventory (BAI; Beck & Steer, 1993), and the McIntosh and Martin (1992) Rumination Scale were analyzed for 199 participants. The correlation between rumination and depression was .33, between rumination and anxiety was .32, and between depression and anxiety was .56. The partial correlation between rumination and depression (controlling for anxiety level) was .20, and the partial correlation between rumination and anxiety (controlling for depression level) was .17. The finding that rumination is not unique to depression but is also associated with the specific negative affect of anxiety alone might also suggest new treatments of these two prevalent disorders.     

Sociotropy and autonomy: the nature of vulnerability

Sociotropy and autonomy are 2 personality dimensions related to an individual's vulnerability to depression (A. T. Beck, 1983). The Sociotropy-Autonomy Scale (D. A. Clark, R. A. Steer, A. T. Beck, & L. Ross, 1995) and the Personal Style Inventory (C. J. Robins et al., 1994) were developed to assess these personality dimensions independent of each other. The present study is an examination of the relationship between the 2 scales and an attempt to specify the various factors that emerge when the items of the 2 scales are integrated. Participants (N = 514) responded to the Personal Style Inventory, the Sociotropy-Autonomy Scale, and the Beck Depression Inventory (A. T. Beck & R. A. Steer, 1987). A principal component analysis on all of the items of the 2 scales revealed a four-factor structure (2 sociotropy and 2 autonomy). The author examined the relationships between depression, the 4 factors, and the 2 original scales and discussed the results in the context of vulnerability to depression.     

A randomized control trial of integrated care for families managing infant colic

This article presents a randomized clinical trial examining the effectiveness of a unique model of integrated care for the treatment of infant colic. Families seeking help for infant colic were randomized to either the family‐centered treatment (TX; n = 31) or standard pediatric care (SC; n = 31). All parents completed 3 days of Infant Behavior Diaries (Barr et al., 1998) and the Colic Symptom Checklist (Lester, 1997 ), Beck Depression Inventory (Beck & Steer, 1984 ), and Parenting Stress Index 3rd ed.‐SF (Abidin, 1995 ). TX families were seen three times by a pediatrician and a mental health clinician within 1, 2, and 6 weeks of baseline data. TX families received individualized treatment plans addressing problem areas of sleep, feeding, routine, and family mental health. SC families were seen only by their own healthcare provider. All families were visited at home by a research assistant to retrieve data at 2, 6, and 10 weeks after baseline. Family‐based treatment accelerated the rate of reduction of infant crying faster than did standard pediatric care. Infants in the TX group had more hours of sleep at 2 weeks posttreatment and spent less time feeding at 2, 6, and 10 weeks posttreatment than did SC infants. Results indicate that individualized family‐based treatment reduces infant colic more rapidly than does standard pediatric care.     

Psychometric Characteristics of the Beck Self-Concept Inventory for Youth with Adolescents Who Have Experienced Sexual Abuse

The Beck Self-Concept Inventory for Youth (BYI-S; Beck et al. in Manual for the Beck Youth Inventories of Emotional and Social Impairment, 2001) was administered to 100 adolescents (12–17 years old) who experienced sexual abuse. An iterated principal-factor analysis found that the BYI-S represented two highly correlated (r = .53) factors corresponding to the Self-Esteem and Competency dimensions that Steer, Kumar, Beck, and Beck (J Psychopathol Behav Assess 27:123–131, 2005) found with child psychiatric outpatients. Item analyses were used to derive two six-item subscales measuring Self-Esteem and Competency that had coefficient αs > .80. The Self-Concept total and subscale scores were differentially correlated with various psychosocial characteristics of the youth. Low Self-Esteem scores were associated with total number of posttraumatic symptoms and self-reported anger, whereas low Competency scores were related to externalizing behavior problems. The BYI-S was discussed as being a useful instrument for assessing the self-concepts of youth who have experienced sexual abuse.     

Psychometric Synthesis of the Counselor Burnout Inventory

The authors reviewed 12 studies using the Counselor Burnout Inventory, including the results from their original, large‐sample study of school counselors (N = 1,005). Aggregated internal consistency (coefficient alpha) was .90 (N = 1,708), and subscale alphas ranged from .73 to .86 (N = 2,809). Test–retest reliability was .81 (N = 18; k = 1), with subscale test–retest reliability estimates ranging from .72 to .85. Convergent comparisons were robust across 10 instruments. Structural validity indicated a 5‐factor solution and an adequate to good fit of the model to the current study's data.     

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.     

Structure of the Computer-Assisted Beck Anxiety Inventory With Psychiatric Inpatients

To determine the dimensions of self-reported anxiety in psychiatric inpatients, the Beck Anxiety Inventory (BAI; Beck & Steer, 1990) was administered by computer to 250 inpatients diagnosed with mixed disorders. An iterated principal-factor analysis was performed on the intercorrelations among the 21 BAI items using a Promax rotation. Two factors were found representing somatic and subjective symptoms of anxiety. These dimensions significantly matched those previously described by Beck, Epstein, Brown, and Steer (1988) for outpatients diagnosed with mixed psychiatric disorders. The generalizability of the somatic and subjective dimensions for inpatients and outpatients is discussed.     

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.     

The Trauma Related Shame Inventory: Measuring Trauma-Related Shame Among Patients with PTSD

This article proposes a new measurement instrument of trauma-related shame. The purpose of this study is to investigate the psychometric properties of the scores derived from the Trauma Related Shame Inventory (TRSI) by means of generalizability theory (G-theory). The psychometric analyses are based on a sample of 50 patients in treatment for Post-traumatic Stress Disorder (PTSD). The results provided supporting construct validity evidence for the interpretation of TRSI as a homogeneous construct. The 24-item version of internal and external referenced shame yielded generalizability and dependability coefficients of .874 and .868, respectively. The distinction between shame and guilt was supported by a high generalizability coefficient of .812 for the difference scores between TRSI and guilt cognition scale. Further validity evidence was provided by a positive relationship between TRSI and a) self-judgment subscale in Self-Compassion Scale (SCS; Neff Self and Identity 2:(3), 223–250, 2003) and b) Beck Depression Inventory (Beck Steer and Brown 1996a) when controlled for guilt. The results of the present study provided promising support for using the 24-item version of TRSI in both clinical research and practice.     

Amount of General Factor Saturation in the Beck Anxiety Inventory Responses of Outpatients with Anxiety Disorders

To ascertain the amount of general factor saturation underlying the Beck Anxiety Inventory (BAI; Beck and Steer 1993) responses of anxious patients, the BAI was administered to 525 outpatients with DSM-IV-TR anxiety disorders. McDonald’s omega_hierarchical(ω _h) (Zinbarg et al. 2005) was calculated to estimate the amount of general factor saturation; ω _h is the amount of variance explained by a general (second-order) factor underlying a scale composed of multiple items divided by the total amount of variance explained by all of the scale’s items. An iterated principal-factor analysis was first performed and followed by a Schmid-Leiman transformation to determine the amount of variance explained by the second-order factor. ω _h was 0.70 [95% CI 0.66–0.72], and this value was discussed as supporting the current practice of summing the 21 symptom ratings of the BAI to estimate the overall severity of self-reported anxiety.

Colour fluctuations in grapheme‐colour synaesthesia: The effect of clinical and non‐clinical mood changes

Synaesthesia is a condition that gives rise to unusual secondary sensations (e.g., colours are perceived when listening to music). These unusual sensations tend to be reported as being stable throughout adulthood (e.g., Simner & Logie, 2007, Neurocase, 13, 358) and the consistency of these experiences over time is taken as the behavioural hallmark of genuineness. Our study looked at the influence of mood states on synaesthetic colours. In Experiment 1, we recruited grapheme‐colour synaesthetes (who experience colours from letters/digits) and elicited their synaesthetic colours, as well as their mood and depression states, in two different testing sessions. In each session, participants completed the PANAS‐X (Watson & Clark, 1999) and the BDI‐II (Beck, Steer, & Brown, 1996, Manual for Beck Depression Inventory‐II), and chose their synaesthetic colours for letters A‐Z from an interactive colour palette. We found that negative mood significantly decreased the luminance of synaesthetic colours. In Experiment 2, we showed that synaesthetic colours were also less luminant for synaesthetes with anxiety disorder, versus those without. Additional evidence suggests that colour saturation, too, may inversely correlate with depressive symptoms. These results show that fluctuations in mood within both a normal and clinical range influence synaesthetic colours over time. This has implications for our understanding about the longitudinal stability of synaesthetic experiences, and of how mood may interact with the visual (imagery) systems.     

Further validation of the IDAS: evidence of convergent, discriminant, criterion, and incremental validity

The authors explicated the validity of the Inventory of Depression and Anxiety Symptoms (IDAS; D. Watson et al., 2007) in 2 samples (306 college students and 605 psychiatric patients). The IDAS scales showed strong convergent validity in relation to parallel interview-based scores on the Clinician Rating version of the IDAS; the mean convergent correlations were .51 and .62 in the student and patient samples, respectively. With the exception of the Well-Being Scale, the scales also consistently demonstrated significant discriminant validity. Furthermore, the scales displayed substantial criterion validity in relation to Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) mood and anxiety disorder diagnoses in the patient sample. The authors identified particularly clear and strong associations between (a) major depression and the IDAS General Depression, Dysphoria and Well-Being scales, (b) panic disorder and IDAS Panic, (c) posttraumatic stress disorder and IDAS Traumatic Intrusions, and (d) social phobia and IDAS Social Anxiety. Finally, in logistic regression analyses, the IDAS scales showed significant incremental validity in predicting several DSM-IV diagnoses when compared against the Beck Depression Inventory-II (A. T. Beck, R. A. Steer, & G. K. Brown, 1996) and the Beck Anxiety Inventory (A. T. Beck & R. A. Steer, 1990).     

The Relationship of Suicidal Ideation to Objective and Subjective Executive Functioning

Prior research on executive ability and suicidal ideation (SI) has frequently failed to account for either symptom or performance validity. Similarly, studies have not adequately examined both objective performance on executive tests and subjective report of executive deficits in relationship to SI. The purpose of this study was to address these gaps in research by accounting for performance validity, symptom validity, and considering self-reported executive complaints with objective performance. We hypothesized that (a) increases in self-reported SI on the Personality Assessment Inventory (PAI; Morey, 1991 Morey, L. C. (1991). Personality Assessment Inventory: Professional manual. Tampa, FL: Psychological Assessment Resources. [Google Scholar]) Suicidal Ideation subscale would be related to poorer performance on objective and subjective tests of executive function and (b) level of self-reported depressive symptoms would moderate the relationship between SI and measures of executive function, such that individuals with higher levels of both depressive symptoms and executive dysfunction would be more likely to experience higher levels of SI. No measure of executive function was related to SI when accounting for demographic variables and depressive symptoms. Wisconsin Card Sort Test categories completed was the only measure of executive function to interact significantly with depressive symptoms to predict SI (β = .43). Of particular note, self-reported executive dysfunction was highly correlated with Beck Depression Inventory?II ( Beck, Steer, &; Brown, 1996 Beck, A. T., Steer, R. A., &; Brown, G. K. (1996). Beck Depression Inventory (2nd ed.). San Antonio, TX: The Psychological Corporation. [Google Scholar]) scores (r = .78). Clinical implications and future directions for research are discussed.     

Clarifying the Role of Psychological Pain in the Risks of Suicidal Ideation and Suicidal Acts among Patients with Major Depressive Episodes

The role of psychological pain in the risk of suicide was explored using a three‐dimensional psychological pain model (pain arousal, painful feelings, pain avoidance). The sample consisted of 111 outpatients with major depressive episodes, including 28 individuals with suicidal histories. They completed the Chinese version of the Beck Scale for Suicide Ideation (BSI), the Beck Depression Inventory (BDI), the Psychache Scale, and the three‐dimensional Psychological Pain Scale (TDPPS). A structured clinical interview was conducted to assess the history of suicidal acts. Significant correlations were found among BDI, BSI, and TDPPS scores (p < .01). Stepwise regression analyses showed that only pain avoidance scores significantly predicted suicide ideation at one's worst point (β = .79, p < .001) and suicidal acts (β = .46, p < .001). Pain avoidance was also a better predictor of current suicidal ideation (β = .37, p = .001) than were BDI scores (β = .31, p < .01). Increased levels of pain avoidance during a major depressive episode may be a dominant component of the motivation for suicide. Future clinical assessments for populations at high risk of suicide should include measures of psychological pain to reduce the incidence of suicide.