Anxiety and depression of mothers of children undergoing bone marrow transplant: Symptom prevalence and use of the Beck Depression and Beck Anxiety Inventories as screening instruments.

This study examined anxiety and depressive symptoms among 115 mothers of children undergoing bone marrow transplant and evaluated the ability of the Beck Anxiety Inventory (BAI; A. T. Beck, N. Epstein, et al., 1988) and the Beck Depression Inventory (BDI; A. T. Beck, 1978) to serve as screening tools for assessing generalized anxiety disorder (GAD), panic disorder (PD), and major depressive disorder (MDD). Mothers with BAI or BDI scores greater than or equal to 14 were administered a structured clinical interview. An additional 20% was randomly selected for interview to determine whether the scale cutoff was an accurate screening method. Among the 64 mothers interviewed, 20% received at least 1 of the 3 diagnoses. Although the BAI did not demonstrate predictive accuracy in assessing GAD and PD, the BDI did in assessing MDD. The results suggest that a subset of mothers may have an anxiety or depressive disorder and that investigators should use caution before using the BAI as a screening instrument for anxiety disorder. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Beck Anxiety Inventory: A psychometric analysis.

Provides information on the Beck Anxiety Inventory (BAI) with respect to psychometric properties, gender differences, and relation to depression. A sample of 291 psychiatric patients (mean age 36.9 yrs) completed the BAI, and a subsample of 251 completed the Beck Depression Inventory (BDI). The results from factor analyses demonstrated that the BAI has 2 factors, corresponding to cognitive and somatic symptoms. Although men and women did not differ in terms of factor structures, they did differ on mean levels of cognitive and somatic symptom scores and on total BAI scores. Finally, it was found that BAI items were distinguishable from BDI items, suggesting that the symptoms measured in the 2 scales are not entirely overlapping. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Convergent and divergent validity of the Beck Anxiety Inventory for patients with panic disorder and agoraphobia

Psychometric properties of the Beck Anxiety Inventory (BAI) (Beck and Steer, 1990) were investigated in a sample of 82 patients suffering from panic disorder with agoraphobia. Before and after brief treatment, patients completed a battery of questionnaires and, for 2-week periods, kept a daily panic diary in which they recorded panic attacks, fear of panic, and average anxiety. The BAI demonstrated excellent internal consistency and good test-retest reliability over a 5-week interval. A partial multitrait, multimethod correlation matrix provided evidence of convergent validity with other measures of anxiety and of divergent validity vis á vis measures of depression. Factor analyses of pretest scores and residual gain scores used to address criticism that the BAI is excessively panic-centric yielded mixed results. In one analysis, the BAI was loaded with multimethod measures of panic and anxiety and, in the other, with questionnaire methods of assessing anxiety and depression. However, the BAI was clearly distinguished from measures of fear of fear, a central construct in panic disorder, and agoraphobic avoidance. Finally, the BAI proved sensitive to change with treatment, yielding effect sizes for improvement comparable to those of other anxiety measures.     

Psychometric evaluation of the Beck Anxiety Inventory with older medical patients.

Disadvantaged older medical outpatients (N?=? 197; ages 55–92) completed the Beck Anxiety Inventory (BAI). The instrument demonstrated high internal consistency and no significant differences by sex or race, suggesting that it is appropriate to use with diverse populations. Total BAI score correlated negatively with age. Confirmatory factor analysis revealed a good fit to a 4-factor model consisting of cognitive, autonomic, neuromotor, and panic symptoms. Although scores on the BAI and 2 widely used depression scales were significantly correlated, factor analysis distinguished BAI and depression scale items, suggesting that the instruments measure distinct constructs. These findings suggest that the BAI could serve as a valuable screening test for anxiety symptoms among primary care patients who are older and have low income. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Specificity and generality of motivational components in depression: A personal projects analysis.

Features of depression, as measured by the Beck Depression Inventory (BDI), were distinguished from anxiety, as assessed by the Beck Anxiety Inventory (BAI), and were explored from a goals perspective using the Personal Projects Analysis methodology (B. R. Little, 1983). Ss were 152 undergraduates. Depression and anxiety were found to reflect a "negative" appraisal pattern characterized by goals rated high in stress and difficulty, and low in structure, control, perceived skill, and positive outcome expectancy. Depression also revealed distinctive features not found in anxiety (e.g., goals that are perceived as being less visible to important others). A goal-based approach to research and diagnosis is presented, and implications for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The measurement of pessimism: The Hopelessness Scale.

Administered a scale designed to quantify hopelessness to 294 hospitalized suicide attempters, 23 general medical outpatients, 62 additional hospitalized suicide attempters, and 59 depressed psychiatric patients. The scale had a Kuder-Richardson-20 internal consistency coefficient of .93 and correlated well with the Stuart Future Test (SFT) and the pessimism item of the Beck Depression Inventory (BDI; .60 and .63, respectively). The scale was also sensitive to changes in the patient's state of depression over time, as evidenced by a correlation of .49 with change scores on the SFT and .49 with the change scores on the BDI. Findings also indicate that depressed patients have an unrealistically negative attitude toward the future and that seriousness of suicidal intent is more highly correlated with negative expectancies than with depression. A principal-components factor analysis revealed 3 factors which tapped affective, motivational, and cognitive aspects of hopelessness. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Hopelessness as a measure of suicidal intent in the depressed elderly.

Suicidal ideation in the elderly has been related to depression, changes in health, and anticipation of a limited future. The present study examined the Hopelessness Scale (HS) and its relation to these factors in a depressed geriatric population. A total of 120 elderly outpatients, who had applied to receive psychotherapy for depression, completed the HS, Beck Depression Inventory (BDI), health ratings, and the Schedule for Affective Disorder and Schizophrenia (SADS) at intake. The HS was found to be internally consistent, and a principal components analysis revealed three distinct factors that were related to hope, feelings of giving up, and future planning. The HS, BDI, and health ratings were predictive of suicidal ideation as measured by specific items in the SADS. The relation among suicidal ideation hopelessness, depression, and health perceptions for the depressed aged are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of the revised Beck Depression Inventory with intravenous drug users not in treatment.

Administered the revised Beck Depression Inventory (BDI) to 1,290 iv drug users who were not currently enrolled in a treatment program. A principal-components analysis indicated that the cognitive–affective and somatic–performance components found in psychiatric patients were also present in iv drug users, and subscales based on the compositions of these 2 components were derived. The correlations of the BDI total and 2 subscale scores with 25 of the iv drug users' background characteristics were calculated, and stepwise multiple regression analyses were used to identify the most meaningful correlates. Self-reported poor health was the most important correlate. The usefulness of the BDI for measuring self-reported depression in iv drug users who are not in treatment is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Magnetic resonance imaging correlates of depression in early- and late-onset Alzheimer''s disease

Even today psychotic depression is connected to a lot of unanswered questions. A self-questionnaire (BFD) was developed in order to evaluate cognitions corresponding to mood congruent depressive delusions. They were assumed to indicate psychotic depression and to be related to severity of the depressive syndrome. 42 depressed inpatients were examined by the BFD, the Hamilton Depression Scale (HAMD) and the Beck Depression Inventory (BDI). BFD scores were found increased in psychotic depression (p = 0.009) and correlated to BDI scores (p = 0.002). 19 re-examined patients showed a significant improvement in HAMD and BDI scores but not concerning the delusion indicating cognitions (BFD), which were significantly correlated to suicidality items of BDI and HAMD (p = 0.005). The results prove the delusion indicating nature of cognitions measured by the BFD and their correlation to severe depression. Differences in treatment response are indicated and persisting or increasing BFD scores seem to be accompanied by more severe suicidal tendency.     

Depression as measured by the DSM-III and the Beck Depression Inventory in an unselected adult population.

The National Institute of Mental Health Diagnostic Interview Schedule (DIS) and Beck Depression Inventory (BDI) were administered to 298 volunteers (average age 37.9 yrs) to determine the relation between DSM-III diagnosis of depression derived from the DIS and BDI scores of Ss. Results show that DSM-III diagnoses of depression were not associated with specific ranges of scores on the BDI, due to the heterogeneous nature of the category of dysthymic disorder. Using a cutting point of 9/10, sensitivity was 100%, specificity 86%, the proportion of false negatives 0%, and of false positives 13.7%, respectively. Upward adjustment of the cutting point on the BDI to 21/22 for research purposes reduced false positives to 1.4% but increased false negatives correspondingly to 52.4%. Upward adjustment of the cutting point on the BDI to 18/19 for epidemiologic purposes yielded an unbiased estimate of the prevalence of depression diagnosed by the DSM-III. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive-behavioral therapy in geriatric depression: Comment on Steuer et al.

Comments on and agrees with the findings of J. L. Steuer et al (see record 1987-21146-001) that both cognitive-behavioral and psychodynamic group therapies led to significant reductions in depression in geriatric patients, as measured by the short form of the Beck Depression Inventory (BDI) and by the Hamilton Psychiatric Rating Scale, but disagrees with their conclusion that the cognitive therapy did not produce a clinically meaningful treatment superiority. For the present study, a regression equation was used to predict equivalent short-form BDI values from full-scale scores in a clinical sample of 208 adult outpatients with affective disorders. It is suggested the significant treatment superiority obtained for cognitive therapy on the BDI is accurate and meaningful. (11 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy in two-plus-one sessions: Outcomes of a randomized controlled trial of cognitive–behavioral and psychodynamic–interpersonal therapy for subsyndromal depression.

A total of 116 clients with a range of subsyndromal depression received 3 therapy sessions: 2 sessions 1 week apart followed by a 3rd session 3 months later (the 2?+?1 model). Clients were stratified for severity on the Beck Depression Inventory (BDI) as stressed, subclinical, or low-level clinically depressed. In a 2?×?2 design, they received either cognitive–behavioral (CB) or psychodynamic–interpersonal (PI) therapy, either immediately or after a 4-week delay. An initial advantage for the immediate condition disappeared once the delayed-condition clients received treatment. Improvement rates at the end of treatment were 67% (stressed), 72% (subclinical), and 65% (low-level clinically depressed). There were no significant differences between CB and PI treatment methods, with the exception at 1-year follow-up, when the BDI showed a significant advantage for CB. Implications for designing very brief planned interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Synaptosomal uptake of alpha-ketoglutarate and glutamine in thioacetamide-induced hepatic encephalopathy in rats

The Hospital Anxiety and Depression Scale (HAD) was evaluated in a Swedish population sample. The purpose of the study was to compare the HAD with the Beck Depression Inventory (BDI) and Spielberger's State Trait Anxiety Inventory (STAI). A secondary aim was to examine the factor structure of the HAD. The results indicated that the factor structure was quite strong, consistently showing two factors in the whole sample as well as in different subsamples. The correlations between the total HAD scale and BDI and STAI, respectively, were stronger than those obtained using the different subscales of the HAD (the anxiety and depression subscales). As expected, there was also a stronger correlation between the HAD and the non-physical items of the BDI. It was somewhat surprising that the factor analyses were consistently extracting two factors, 'depression' and 'anxiety', while on the other hand both BDI and STAI tended to correlate more strongly with the total HAD score than with the specific depression and anxiety HAD subscales. Nevertheless, the HAD appeared to be (as was indeed originally intended) a useful clinical indicator of the possibility of depression and clinical anxiety.     

Classifying college students as depressed or nondepressed using the Beck Depression Inventory: An empirical analysis.

In Study 1, the classification of 150 college students as nondepressed or mildly or moderately depressed was compared using Beck Depression Inventory (BDI) scores obtained on 2 occasions, either on the same day or 1 wk later. Whereas the overall test–retest reliability coefficients were acceptable, particularly when both administrations occurred on the same day, the consistency of classification of Ss into the mild and moderate levels of depression was poor. In an attempt to determine the factors contributing to the poor classification consistency, a 2nd study with 207 Ss compared the effect of exposure to the BDI on subsequent BDI responses. Ss who completed the BDI on 2 occasions showed significantly lower BDI scores compared to Ss exposed to an alternate depression inventory (the Self-Rating Depression Scale [SRDS]) or no prior questionnaire. In addition, a large percentage of Ss classified as moderately depressed following the initial BDI administration failed to be classified within the moderate categories on retesting the same day. Ss tested using the SRDS maintained the same depression classification when retested on the BDI. Item analyses failed to reveal significantly different amounts of change among individual BDI items. (39 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality predictors of mood related to dieting

The clinical utility of a model of normal emotional functioning (vs. psychopathology) and the moderating effects of neuroticism (N) and extraversion (E) on mood were examined during a 6-week weight-loss trial. Participants were 40 obese women who completed measures of negative affect (NA) and positive affect (PA) weekly during the diet and measures of anxiety and depression (Beck Depression Inventory [BDI]) at pre-, mid-, and postdiet. Results indicated that (a) average NA and PA were each uniquely related to postdiet BDI scores, (b) N was significantly related to NA during the diet and postdiet BDI scores, and (c) N and E interacted to predict PA during the diet. The results suggest that assessment of personality and normal mood variation may be useful additions to weight-loss intervention and research.     

Depression and general psychopathology in university students.

Examined the relationship between self-reported depression and a number of self-report measures of other forms of maladaptive functioning in a subclinical population. Seven questionnaires, including the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory—Form Y, completed by 443 undergraduates yielded 17 different pathology scales. All of the scales were significantly intercorrelated. Furthermore, a factor analysis yielded a 2-factor solution with the 1st factor, composed of all but 3 scales, accounting for 50% of the total variance. Chi-square analyses revealed that only 5–20% of the Ss were cross classified as high on one measure and low on another. Results are discussed with reference to the ability of self-report measures to differentiate discrete forms of psychopathology in both subclinical and psychiatric populations. It is concluded that caution is needed in extrapolating findings from studies with students scoring high on the BDI. (85 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Measurement of depression and neuropsychological impairment in HIV-1 infection.

Depression and neuropsychological (NP) impairment were examined in 30 HIV-1 seropositive symptomatic, 15 seropositive asymptomatic, and 14 seronegative control participants. Items on the Beck Depression Inventory (BDI) were separated into somatic and affective components to examine effects of illness on depression. Twenty-two NP tests tapped motor and psychomotor function, cognitive flexibility, and memory. The symptomatic seropositive group had the highest mean depression scores. However, these group differences were seen with the somatic component, not the affective. No significant correlations were obtained between NP tests and the affective component. Although 3 of 11 psychomotor measures were modestly correlated with the BDI total and somatic component, depression was generally unrelated to NP performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Beck Depression Inventory and Research Diagnostic Criteria: Congruence in an Older Population.

This study examined the congruence between conventional cutoff scores on the Beck Depression Inventory (BDI) and selected diagnostic classifications of the Research Diagnostic Criteria in a sample of 102 elders seeking psychological treatment. Only 16.67% were misclassified by customary BDI cutoff scores. Minor Depressive Disorders were less clearly identified than Major Depressive Disorders or nondepressed status. Similar results were obtained in a second sample of elders not seeking treatment. Findings support the utility of the BDI as a screening instrument for identification of clinically depressed elders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The latent structure of analogue depression: Should the Beck Depression Inventory be used to classify groups?

Research on depression is often conducted with analogue samples that have been divided into depressed and nondepressed groups using a cutoff score on the Beck Depression Inventory (BDI). Although the relative merits of different cut scores are frequently debated, no study has yet determined whether the use of any cut score is valid, that is, whether the latent structure of BDI depression is categorical or dimensional in analogue samples. The BDI responses of 2,260 college students were submitted to 3 taxometric procedures whose results were compared with those of simulated data sets with equivalent parameters. Analyses provided converging evidence for the dimensionality of analogue depression, arguing against the use of the BDI to classify analogue participants into groups. Analyses also illustrated the notable impact of pronounced skew on taxometric results and the value of using simulated comparison data as an interpretive aid. (PsycINFO Database Record (c) 2010 APA, all rights reserved)