Effectiveness of Beck Depression Inventory–Ii Subscales in Screening for Major Depressive Disorders in Adolescent Psychiatric Inpatients

Abstract

The Beck Depression Inventory-II (BDI-II) was administered to 45 male and 55 female psychiatric inpatients who were 12 to 17 years old, and the Mood Module from the Primary Care Evaluation of Mental Disorders (PRIME-MD) was used to determine whether these patients met criteria for a diagnosis of a DSM-IV major depressive disorder (MDD). Binormal receiver-operating-characteristic (ROC) analyses found that BDI-II total scores, Cognitive subscale scores, Noncognitive subscale scores, and embedded BDI FastScreen for Medical Patients subscale scores were comparably effective in differentiating inpatients who were and were not diagnosed with a MDD; the areas under the ROC curves were, respectively, .92 (95% confidence interval [CI]: .85-.96), .90 (95% CI: .82-.95), .90 (95% CI: .83-.95), and .90 (95% CI: .83-.95).

Psychometric properties of the Beck Depression Inventory‐II with incarcerated male offenders aged 18–21 years

“…The BDI-II showed a high level of internal consistency, in line with previous studies (e.g. Krefetz et al, 2002;Kumar et al, 2002;Osman et al, 2004). The mean BDI-II score was similar to those reported by other studies with adult offender samples in England (Palmer and Connelly, 2005;mean 15.13) and Ireland (Eidhin et al, 2002;mean 16.31).…”

“…Research showing that individuals with a diagnosis of depression score signifi cantly higher than those without depression on the BDI-II provides evidence for criterionrelated validity (Osman et al, 2004). Convergent and discriminant validity are evidenced by research reporting BDI-II scores to be more strongly correlated with other measures of depression than assessments of constructs such as anxiety among adults and adolescents (Krefetz et al, 2002;Kumar et al, 2002;Osman et al, 2004).…”

“…Alpha coeffi cients have ranged from 0.89 (Steer et al, 2000) to 0.92 in adult psychiatric samples, and from 0.89 (Steer and Clark, 1997;Whisman et al, 2000) to 0.93 in college samples. Three studies with adolescent psychiatric inpatients aged 12-17 years have also reported alpha coeffi cients over 0.90 (Krefetz et al, 2002;Kumar et al, 2002;Osman et al, 2004). Research showing that individuals with a diagnosis of depression score signifi cantly higher than those without depression on the BDI-II provides evidence for criterionrelated validity (Osman et al, 2004).…”

Psychometric properties of the Beck Depression Inventory‐II in nonclinical adolescent samples

“…Steer et al (1998) and Krefetz et al (2002) reported similar alpha estimates (i.e., a 5 .92) in separate samples of adolescent psychiatric patients. Kumar et al (2002) reported an alpha estimate of .94 for the BDI-II with adolescent outpatients (N 5 100), and Osman et al (2004) also recently reported a similar alpha estimate of .93 with a large sample (N 5 408) of adolescent psychiatric inpatients. Note, however, that only Osman et al's investigation followed current psychometric guidelines of reporting other internal consistency estimates such as the average interitem correlations for the BDI-II scores (see Clark & Watson, 1995).…”

“…The related conditional probabilities (e.g., sensitivity 5 74%, specificity 5 70%), and the area under the curve (AUC 5 .78) estimates indicated moderate accuracy in differentiating the responses of the groups. Kumar et al (2002) attempted to replicate the ROC procedure of Krefetz et al (2002) in a similar sample of adolescents with or without DSM-IV diagnosis of MDD. Using scores on the total BDI-II, the two BDI-II scale scores (Cognitive and Non-Cognitive), and a seven-item total BDI-II scale score (the Beck Depression Inventory FastScreen for Medical Patients; Beck, Steer, & Brown, 2000), the authors reported better discriminative evidence for the different ways of scoring the BDI-II.…”