Neal, J.A., Edelmann, R.J., & Glachan, M. (2002). It contains 21 items, and a patient has to rate them all on a scale to help the doctor assess his medical condition. PMID: 32962793; PMCID: PMC7681155. (This is a sampling of the literature in this area. They conducted both exploratory and confirmatory factor analysis and found a 2nd order general factor of Depression and three first-order factors: Negative Attitude, Performance Difficulty, and Somatic Elements. All participants agreed to participate voluntarily and provided written consent prior to complete the inventory and after information about purposes of the study were provided. Common depression assessment tools differ widely in the symptoms they ask about. Cognitive therapy for post-traumatic stress disorder. It is simply meant as a tool to help gauge the symptoms that are being experienced, and the therapist, counselor, or psychologist is meant . Lack of unidimensionality and longitudinal measurement invariance in four common rating scales of depression, Cross-cultural examination of measurement invariance of the Beck Depression Inventory-II, Psychometric properties of the Beck Depression Inventory-II: a comprehensive review, Reliability and Validity of the Beck Depression Inventory-II among Korean Adolescents, Discriminant validity of the Hospital Anxiety and Depression Scale, Beck Depression Inventory (II) and Beck Anxiety Inventory to confirmed clinical diagnosis of depression and anxiety in patients with chronic obstructive pulmonary disease, Vegetative symptoms (refers to changes in sleep patterns, and appetite). Can be administered with the BDI-II and the BHS for a more complete evaluation. The Beck Depression Inventory (BDI, BDI-II), created by Dr. Aaron T. Beck, is a 21-question multiple-choice self-report inventory, one of the most widely used instruments for measuring the severity of depression. Byrne, B.M., Stewart, S.M., & Lee, P.W.H. The Beck Anxiety Inventory (BAI) measures and assesses the intensity of physical and cognitive anxiety symptoms during the past month. Factor analysis of the BDI-II has generally identified a 2-factor structure in adult outpatient and non-clinical samples, measuring cognitive-affective and somatic depressive symptoms (Dozois, Dobson, & Ahnberg, 1998; Storch, Roberti, & Roth, 2004). Validity and Reliability. for only $16.05 $11/page. Psychological Reports, 94(3), 1444-1446. Journal of Personality Assessment, 77, 568-580. (n.d.). Psychometric characteristics of the Beck Depression Inventory-II with college students of diverse ethnicity. A number of studies report that females score significantly higher than males do on the BDI in adult (Beck, Steer, & Brown, 1996) and adolescent populations (Kumar, Steer, Teitelman, & Villacis, 2002; Osman, Kopper, Guttierez, Barrios, & Bagge, 2004; Steer, Kumar, Ranieri, & Beck, 1998). It takes approximately 10 minutes to complete, although clients require a fifth-sixth-grade reading level to adequately understand the questions. By doing so, bifactor models represent a useful strategy to examine if a construct of interest can be viewed primarily as unidimensional or multidimensional and, subsequently, the way in which scores should be computed. Moreover, despite most of the items variances were accounted by the general depression factor, the three specific factors (cognitive, affective, and somatic) explained a non-redundant amount of variance. Collectively, these results support the use of BDI-II in Republic Dominican for assessing depression severity. Affective Negative Reinforcement in Addiction, Mechanisms for Intoxicated Emotion and Behavior. The Beck Anxiety Inventory (BAI), created by Aaron T. Beck, MD, and colleagues, is a 21-item multiple-choice self-report inventory that measures the severity of an anxiety in adults and adolescents. Telepractice: Tips on using this test in your telepractice. Once a person completes the short questionnaire, the scoring is straightforward and simple. Dictionary . Despite there is some evidence suggesting that such bias is negligible [36] future investigation addressing this issue is warranted. For example, Byrne et al. The Beck Depression Inventory (BDI, BDI-II), created by Dr. Aaron T. Beck, is a 21-question multiple-choice self-report inventory, one of the most widely used instruments for measuring the severity of depression. An inventory for measuring depression. The majority of psychometric studies conducted with adolescents in the United States have involved predominantly Caucasian samples and have not included large numbers of individuals of lower socio-economic status. "This research had the revision and approval of the National Council of Bioethics in Health/ Consejo Nacional de Biotica en Salud (CONABIOS) of the Dominican Republic. 1996). 2011;63 Suppl 11:S454-S466. Cross-cultural examination of measurement invariance of the Beck Depression Inventory-II. [5] original scoring instructions. Hopefully, this study will help to change this situation. A decrease in scores over time indicates that the person's symptoms are improving. Fifteen people were asked to complete the scale and write down items that were unclear or incomprehensible, as well as any other aspect of the scale that may deem relevant. This paper, therefore, evaluates the instrument, looking at its design and format, its Psychometric properties, strengths, and weaknesses. In this article, we will discuss the characteristics and specifications of the Beck Anxiety Inventory. A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms. The Beck Depression Inventory (BDI) is a self-report questionnaire used to measure the severity of depression. The BDI is used to measure the severity of depression. The offers that appear in this table are from partnerships from which Verywell Mind receives compensation. If you are concerned about your level of depression, it is important to discuss your symptoms with a mental health professional. Chandra Ghosh Ippen, Ph.D., Connie Wong, M.A. To the extent that depression symptoms and inner experience may differ across cultural backgrounds [42], findings cannot be generalized. PLOS ONE promises fair, rigorous peer review, While Dominicans native language is the same that the language BDI-II version used in this study (i.e., Spanish), there are linguistic characteristics that may vary substantially. Is There a Link Between Diabetes and Depression? (2004). Results showed that a bifactor model with a general depression factor and three specific factors consisting of cognitive, affective, and somatic factors provided the best fit to data. Sage Research Methods. The Beck Depression Inventory or (BDI), is a self-report questionnaire that contains 21 multiple-choice questions for the evaluation of the severity (0 to 3 possible score per item) of depression in both normal and psychiatric populations. There are two versions: the original 27-item version and the . The BDI-II was revised in 1996 to be more consistent with DSMIV criteria for depression. The total score (ranging . In effect, higher averages are observed in the general BDI-II score (average = 16.91; standard deviation = 11.62; t (881) = 7.49; p<0.01), and in the cognitive dimensions (average = 5.02; standard deviation = 4.31; t (881) = 6.33; p<0.01), somatic (average = 8.24; standard deviation = 5.35; t (881) = 5.87; p<0.01), and affective (average = 3.65; standard deviation = 3.15; t (881) = 8.17; p<0.01), with a greater effect size on the Cohen's d values (d general = .80; d cognitive = .64; d somatic = .71; d affective = .82). Participants were selecting by convenience from general population (N = 797) and hospital population (N = 243). Psychological Reports, 93(3), 1115-1129. In 1996, the BDI was revised to include additional items and to reflect changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Although they used the original BDI in this study, they suggested that results would generalize to the BDI-II given the overlap between the two. Azocar, F., Aren, P., Miranda, J., & Muoz, R.F. The current version of the inventory and its predecessors has been shown to be reliable and valid across a wide age range of samples.1 Additionally, the BDI-II and previous versions have been standardized in different countries and cultures. No, Is the Subject Area "Dominican Republic" applicable to this article? Although the age range for the measure is from 17 to 80, the measure has been used in peer-reviewed studies with younger adolescents . prezi.com. International Journal of Testing, 7, 293-309. San Antonio, TX: Psychological Corporation. The Spanish adaption of Becks Depression Inventory-II (BDI-II): Psychometric properties in the general population/Adapatacin espaola del Inventario para la Depresin de Beck-II (BDI-II): Propriedades psicomtricas en poblacin general. The content of the inventory is clinically . Learn more about accessibility at UWMadison. The authors revised the BDI to be more consistent with the criteria for depression found in the DSM-IV. They found good internal consistency (alpha=.92), and using confirmatory factor analysis, identified two first-order depression factors and one second-order general depression factor, similar to what has been reported in other samples. This population consisted of 317 females and 183 males; 91% Caucasian, 4% African American, 4% Asian American, and 1% Latino. Beck Depression Inventory. The protocol registration number in CONABIOS was 0282014.". Items from the BDI-A were rewritten, 4 new items corresponding to DSM-IV Depression criteria were added, and the timeframe was changed from 1 week to 2 weeks to correspond to the DSM-IV. From a practical standpoint, the lack of assessment tools for depression may not make available protocols for early identification of depression symptoms at primary care units. To learn more about depression and how . We typically use the BDI-II. Common and specific dimensions of self-reported anxiety and depression: the BDI-II versus the BDI-IA. First, to determine the most appropriate BDI-II factor structure by examining several competing factor models that have been reported in previous studies. The corrected item-total correlation was also calculated for the items of each factor. The BDI-II is widely used as an indicator of the severity of depression, but not as a diagnostic tool, and numerous studies provide evidence for its reliability and validity across different populations and cultural groups. Screening for depression in patients with medical hospitalization. The Beck Depression Inventory (BDI) is world-wide among the most used self-rating scales for measuring depression. As expected, t-test analysis revealed that BDI-II scores discriminated between individuals from hospital and general population. Norms were based on a predominantly Caucasian sample. The BDI-II was piloted on 193 psychiatric outpatients diagnosed with various disorders by a psychologist or psychiatrist using the DSM-III or DSM-IV. The normative sample included outpatients from various clinics and hospitals located in New Jersey, Pennsylvania, and Kentucky who were used as part of the measure development for the BDI-II. Lindsay, William R.; Skene, Danielle D. 2007-01-01. So far, the Beck Depression Inventory-II (BDI-II) has become one of the most widely used measures to assess depressive symptoms and their severity in adolescents and adults [4]. Clear Lake Regional Medical Center, Webster, Texas, USA [E-mail: aofpharm420@hotmail.com] I. The present study sought to examine the dimensionality and reliability of the BDI-II in Republic Dominican. Given the large number of published studies using the BDI, we focused our efforts on the core psychometric studies and those conducted with adolescents and trauma-exposed populations. Convergent validity of the Beck Depression Inventory for Youth. [13] compared a unidimensional model, three alternative two-factor models and three bifactor models including an independent general depression factor and specific factors. Journal of Personality Assessment, 78, 451-460. Cole, J.C., Grossman, I., Prillman, C., & Hunsaker, E. (2003). Psychiatry Investig. Chron Respir Dis. Ratings are summed to provide a total score ranging from 0 - 63. According to the World Health Organization [3] depression is the leading cause of years lived with disability (YLD), and the most prevalent disorder among serious psychiatric disorders in primary care setting. A PsychInfo search of Beck Depression Inventory or BDI AND trauma yielded 681 peer-reviewed journal articles (6/05). Simith, S.D., Schwartz, R.C., George, R.G., & Panke, D. (2004). Because the items in the BAI describe the emotional, physiological, and cognitive symptoms of anxiety but not depression, it can . Full scale consists of 21 test items. broad scope, and wide readership a perfect fit for your research every time. Bifactor models, in contrast, allow to examine a non-hierarchical general factor independently of the specific factors and to simultaneously test the extent to which the common variance between items are explained by the orthogonal general factor and by the specific factors that are tested [32]. Affiliation Five hundred outpatients from various clinics and hospitals located in New Jersey, Pennsylvania, and Kentucky were included. Measures of depression and depressive symptoms: Beck Depression Inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9). Beck Depression Inventory 2nd Edition (BDI-II) is a popular measure intended to assess the existence and severity of symptoms of depression in consistent with in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV). Moreover, despite that cultural convergence is being accelerated due to increased globalization [39] and that major depression has been reported worldwide [40] there are considerable cross-cultural differences in the symptomatology of depression [41]. A PsychInfo search (6/05) for "Beck Depression Inventory" or BAI anywhere revealed that the BDI has been referenced in 9,013 peer-reviewed journal articles. Michael, T., Ehlers, A., & Halligan, S.L. Yes (2002) analyzed data from a sample of university students and reported that a cutoff score of 16 for mild depression would yield a sensitivity rate of 71% and a false positive rate of 21%. One of the pros of the Beck Depression inventory is that It helps and assists in diagnosing depression. More research is needed on the use of the BDI-II with diverse groups of adolescents. In order to compare the fit of the models, the Akaike Information Criterion (AIC) was also considered. The Beck Depression Inventory II and the Beck Anxiety Inventory in People with Intellectual Disabilities: Factor Analyses and Group Data. Journal of the American Academy of Child & Adolescent Psychiatry, 43(10), 1225-1233. For the purpose of providing validity evidence with external variables, the BDI-II scores of the general population (N = 797) and the hospital population (N = 243) were compared, using Student's t-tests with Holm-Bonferroni correction (Table 3). Reliability and Validity of the Beck Depression Inventory-II among Korean Adolescents. The mean age was 37.20 (SD=15.91). Comparison of two self-evaluation scales and clinical assessment with a structured questionnaire. Google Scholar. Use of scoring code is granted under CC BY-SA 4.0 permissions. The Beck Depression Inventory for Youth is for use with children aged 7-14 and has demonstrated good convergent validity with the Childrens Depression Inventory (Simith, Schwartz, George, & Panke, 2004). If you have previously been diagnosed with depression, the Beck Depression Inventory can be used on a weekly basis to check on your progress, especially if you have begun therapy and started taking medications. The test-retest reliability of the BDI-II ranged from 0.73 to 0.92, which means that the scores are consistent over time. In particular, it would be worthwhile to further examine the capacity of BDI-II scores to discriminate between depressed and non-depressed subjects. It is also necessary to admit that a peculiar feature of this mental . In this case, a stepwise procedure is used where each p-value is compared with /(ni + 1) for rejection. The authors suggested that the measures not be used interchangeably since they may be assessing different aspects of depression. Benefits. Treatment also involves helping clients evaluate negative beliefs about themselves, the world, and the future that lead to them feel depressed. Download full paper File format: .doc, available for editing. Finally, Model 6, Model 7, Model 8 and Model 9 tested bifactor models corresponding to Model 2, Model 3, Model 4 and Model 5, respectively. Through principal factor analysis, they identified a single second-order dimension of self-reported depression and three first-order factors. 0 I do not feel sad. The BDI has been used in numerous studies with trauma-exposed individuals. www.ub.uib.no/elpub/2001/h/308003/Hovedoppgave.pdf. The Beck Anxiety Inventory or (BAI), is a self-report test that contains 21 multiple-choice questions (Likert scale from 0 to 3 in terms of how severe you perceive the symptom) and it is used to measure anxiety symptoms (severity and level) that an . Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. According to this index, those models that present values lower than AIC provide a better fit. The funder had no role in the design of the study, data collection and analysis, decision to publish or preparation of the manuscript. Discover a faster, simpler path to publishing in a high-quality journal. The authors report that the solution differed from that reported for adults in that the first factor contained both cognitive and affective symptoms. Feelings like guilt, loneliness, and fear can make a serious impact on a person's ability to feel hopeful and happy. The items are experiences related to anxiety such as "Fear of worst happening" or "Heart pounding/racing". The items on the BDI-II were developed to assess an individual's depressive symptoms based on DSM-IV criteria for depressive disorders. Grothe, K.B., Dutton, G.R., Jones, GN., Bodenlos, J., Ancona, M., & Brantley, P.J. Relationships between the underlying constructs of the Beck Depression Inventory and the Center for Epidemiological Studies Depression Scale, Educational and Psychological Measurement, 63(2), 319-335. The BDI can also be used to monitor the course of treatment. View PDF. The purpose of the present study . (2002). Read our. Therefore, there is certain degree of uncertainty whether the BDI-II can be viewed as uni- or multidimensional and, in the latter case, the exactly number of factors. The BDI-II was revised in 1996 to be more consistent with DSM-IV criteria for depression. Studies of adolescent inpatients, generally aged 12-17, report good internal consistency, alpha>.90 for the total scale and >.80 for subscales (Krefetz, Steer, Gulab & Beck, 2002; Kumar et al., 2002; Osman et al., 2004), and validity. This is very helpful for the following reasons: Thus, further research is needed into the latent structure of BDI-II. Due to the face validity of the BDI-II, underreporting and overreporting may be likely. Since the test construction in 1961, the test has been employed in numerous (more than 2,000) empirical studies. Introduction. a. Interval b. Nominal c. Ordinal d. Ratio . These differences are amplified when the hospital sample is sub-divided and only the psychiatric consultation participants (N = 86) are considered. Cognitions (such as guilt or feelings of being punished) Physical symptoms (such as fatigue, weight loss, and lack of interest in sex). The BDI-II is user-friendly; it is easy to administer and score. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & ERBAUGH, J. Conceptualization, The Beck Depression Inventory can be a helpful tool in assessing your level of distress but should not be used as a replacement for professional help. He found similar psychometrics for the non-clinical sample, but results of his confirmatory factor analysis suggested that a 3-factor model, comprised of negative attitude, performance difficulty, and somatic dimensions, provided a better fit than the traditional 2-factor model. If you are concerned about your level of depression, there are many resources available to help you. Journal of the American Academy of Child and Adolescent Psychiatry, 43(4), 393-402. The BDI was developed by Dr. Aaron T. Beck, a psychiatrist, and released in 1961. The BDI-II includes 21 items, each of which corresponds to a symptom of depression. Leigh & Tolbert (2001) examined the reliability of the BDI-II with deaf college students and found good internal consistency (alpha=.88), split-half reliability (.76), and one-week test-retest reliability (.77). Journal of Psychopathology and Behavioral Assessment, 20, 127-137. (2005). By latest estimates from the WHO, there are about 300 million people living with depression worldwide. Items are on a four-point scale that ranges from 0 to 3. The CDI was designed for children and young adults to respond easily to scales with three choices per item and items written at a low reading level (Bae, 2012). (2001). Measurement invariance is a prerequisite for considering the BDI equivalent across versions, and for using it to make valid . Additional data regarding reliability are presented under Notes for "Construct Validity." Download Free PDF. (1961). If you are concerned about your level of depression, it is important to discuss your symptoms with a mental health professional. Beck Depression Inventory 2nd edition (BDI-II) is one of the most commonly used instruments in research and practice to measure the presence and severity of STUDIES WITH OTHER CULTURAL GROUPS AND DIVERSE POPULATIONS. Several versions of the BDI tool exist. https://doi.org/10.1371/journal.pone.0199750, Editor: Chung-Ying Lin, Hong Kong Polytechnic University, HONG KONG, Received: June 22, 2017; Accepted: June 13, 2018; Published: June 29, 2018. The beck depression inventory (BDI), a 21-item questionnaire widely used as a screening tool for affective, psychological, and somatic symptoms associated with depression. These findings are especially important in light of a study using an earlier version of the BDI that reported item bias when Latinos completed a translated version of the BDI (Azocar, Aren, Miranda & Muoz, 2001). The wording in some items asks the respondent to compare their current state to a prior one (e.g., than usual, as ever). Rehabilitation Psychology, 46, 195-202. Consistent with previous research conducted by Beck, they identified 2 first-order factors (somatic and cognitive) and one second-order factor (depression). The scoring scale is at the end of the questionnaire. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. The BDI-II was revised in 1996 to be more consistent with DSMIV criteria for depression. The internal consistency of each factor and the general scale was assessed using Cronbach's coefficient. For example, individuals are asked to respond to each question based on a two-week time period rather than the one-week timeframe on the BDI. Bryant, R.A., Moulds, M.L., Guthrie, R.M., & Nixon, R.D.V. Numerous studies have established the reliability and validity of the BDI-II in different populations and cultures. 7. . Encephale, 20, 311-317. The BDI includes 21 items, each of which corresponds to a symptom of depression. There is a short version of the BDI, the BDI-SF, which includes only the cognitive-affective subscale and has been recommended to assess depression in medical populations, with scores higher than 10 associated with moderate to severe depression. Allen S. Scoring the Beck Depression Inventory. The cut-off points of values greater than .95 reported by Hu and Bentler [48] and Joreskog and Sorboms [49] were used for the CFI and GFI indices in order to consider an optimal fit, and greater than .90 for an acceptable fit. They also found similar factor structures for both groups, providing evidence of factoral validity. The validity and reliability of the test were . BDI-IA. The BDI is not a diagnostic test, but it can help health care providers make a diagnosis. The BDI-II is widely used and accepted as a measure of depressive symptomatology. Arthritis Care Res (Hoboken). 0 I do not feel sad. The BDI has also been found to be sensitive to intervention effects in and randomized trials with individuals with diagnosed PTSD (e.g., Bryant, Moulds, Guthrie, & Nixon, 2005; Ehlers et al., 2005; Kubany et al., 2004). Preliminary analysis using SPSS v20 was carried out to examine outliers, missing values and to test assumptions of univariate and multivariate normality. Based on previous BDI-II research findings, several competing models were tested including one, two, three-factor models and bifactor models. Citation: Garca-Batista ZE, Guerra-Pea K, Cano-Vindel A, Herrera-Martnez SX, Medrano LA (2018) Validity and reliability of the Beck Depression Inventory (BDI-II) in general and hospital population of Dominican Republic. Psychometric characteristics of the Beck Depression Inventory II with college students of diverse ethnicity. Depression and Anxiety, 19(3), 187-189. They also found high internal consistency (alpha=.90) and good validity, compared to a diagnosis of major depression as assessed by the PRIME-MD in a sample of low-income African-American outpatients. [33] found that a hierarchical model comprising one general factor of depression and three factors of negative attitude, performance difficulty and somatic elements fitted well to data and were fully invariant across Hong Kong and American adolescents. [61], affective symptoms may shift from one dimension to another depending on background and composition of samples being studied. Clinica y Salud, 14(3), 249-280. Yes They also reported good internal consistency, test-retest reliability, and convergent validity. This depression inventory can be self-scored. As an additional criterion, the value was divided by the degrees of freedom (/df), with the aim of obtaining values lower than 3 in order to consider the model a good fit [50,51]. Beck Anxiety Inventory: an overview. They found that none of the two-factor models have acceptable fit and, in contrast, all the corresponding bifactor models showed good fit indices, concluding that only BDI-II total score should be used to measure the severity of depression. 1. This is a copyrighted measure. doi:10.1002/acr.20556, Toenders YJ, Schmaal L, Harrison BJ, Dinga R, Berk M, Davey CG. 1 I feel sad 2 I am sad all the time and I can't snap out of it. One study involving a confirmatory factor analysis of the CES-D and the original BDI, failed to validate a single-factor model (Skorikov & Vandervoort, 2003). The Beck Depression Inventory (BDI, BDI-1A, BDI-II), created by Aaron T. Beck, is a 21-question multiple-choice self-report inventory, one of the most widely used psychometric tests for measuring the severity of depression.Its development marked a shift among mental health professionals, who had until then, viewed depression from a psychodynamic perspective, instead of it being rooted in the . Thus, in contrast to different authors who advocate the use of BDI-II total scores and questioned the validity of subscales [13,34], the present findings support the use of the BDI-II total score along with scores corresponding to each subscale, in agreement with Beck et al. Cohen, J.A., Mannarino, A.P., & Knudsen, K. (2004). Cathebras, P., Mosnier, C., Levy, M., Bouchou, K., & Rousset, H. (1994). 2023 Dotdash Media, Inc. All rights reserved, Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety.". From which Verywell Mind receives compensation using this test in your telepractice research findings, several competing models were including! And validity of the Beck Anxiety Inventory in People with Intellectual Disabilities: Analyses! 86 ) are considered the test-retest reliability of the BDI-II was piloted on 193 psychiatric outpatients diagnosed with disorders... Clear Lake Regional medical Center, Webster, Texas, USA [ E-mail: aofpharm420 @ hotmail.com I... Can help health care providers make a diagnosis about 300 million People living with depression worldwide to compare the of... Controlled trial for children with sexual abuse-related PTSD symptoms the DSM-IV Bouchou, K. 2004., P.J GN., Bodenlos, J., Ancona, M., &,... Y Salud, 14 ( 3 ), 187-189, S.D., Schwartz, R.C., George R.G.. 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