Abstract
This study examined the factor structure of the Beck Depression Inventory—II (BDI-II) in a sample of 127 individuals referred by their primary care physicians. Using exploratory factor analysis with oblique rotation, a 2-factor model appeared to be the most parsimonious representation of the data. The rotated factors accounted for approximately 53% of the variance. Consistent with previous research, the first factor was interpreted as a somatic–affective dimension and the second factor reflected a cognitive dimension. The correlation between these 2 factors was .79. It appears possible to divide the BDI-II into subscales to facilitate interpretation in medical patients.
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References
Aikens, J. E., Reinecke, M. A., Pliskin, N. H., Fischer, J. S., Wiebe, J. S., McCracken, L. M., et al. (1999). Assessing depressive symptoms in multiple sclerosis: Is it necessary to omit items from the original Beck Depression Inventory? Journal of Behavioral Medicine, 22, 127–142.
Arnau, R. C., Meagher, M. W., Norris, M. P., & Bramson, R. (2001). Psychometric evaluation of the Beck Depression Inventory–II with primary care medical patients. Health Psychology, 20, 112–119.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory manual (2nd ed.). San Antonio, TX: Psychological Corporation.
Clark, D. A., & Steer, R. A. (1994). Use of nonsomatic symptoms to differentiate clinically depressed and nondepressed hospitalized patients with chronic medical illnesses. Psychological Reports, 75, 1089–1090.
Coyne, J. C., Schwenk, T. L., & Fechner-Bates, S. (1995). Nondetection of depression by primary care physicians reconsidered. General Hospital Psychiatry, 17, 3–12.
Dozois, D. J. A., Dobson, K. S., & Ahnberg, J. L. (1998). A psychometric evaluation of the Beck Depression Inventory–II. Psychological Assessment, 10, 83–89.
Eisenberg, L. (1992). Treating depression and anxiety in primary care: Closing the gap between knowledge and practice. New England Journal of Medicine, 326, 1080–1084.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1998). Structured Clinical Interview for DSM-IV Axis I Disorders—Non-Patient Edition (SCID-I/NP, Version 2.0—8/98 revision). New York: Biometrics Research Department, New York State Psychiatric Institute.
Griffiths, S., Boddy, J., Woodward, T., & Iverson, G. L. (2001). Factor structure of the Beck Depression Inventory-II in a community sample. Paper presented at the 62nd Annual Convention of the Canadian Psychological Association, Laval University, SteFoy, Quebec.
Steer, R., & Clark, D. (1997). Psychometric characteristics of the Beck Depression Inventory-II with college students. Measurement and Evaluation in Counseling and Development, 30, 128–136.
Whisman, M. A., ElPerez, J., & Ramel, W. (2000). Factor structure of the Beck Depression Inventory—Second Edition (BDI-II) in a student sample. Journal of Clinical Psychology, 56, 541–551.
Zung, W. W., Broadhead, W. E., & Roth, M. E. (1993). Prevalence of depressive symptoms in primary care. Journal of Family Practice, 37, 337–344.
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Viljoen, J.L., Iverson, G.L., Griffiths, S. et al. Factor Structure of the Beck Depression Inventory—II in a Medical Outpatient Sample. Journal of Clinical Psychology in Medical Settings 10, 289–291 (2003). https://doi.org/10.1023/A:1026353404839
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DOI: https://doi.org/10.1023/A:1026353404839