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Examination of the Beck Depression Inventory-II Factor Structure Among Bariatric Surgery Candidates

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An Erratum to this article was published on 06 February 2015

Abstract

Background

The Beck Depression Inventory-II (BDI-II) is frequently used to evaluate bariatric patients in clinical and research settings; yet, there are limited data regarding the factor structure of the BDI-II with a bariatric surgery population.

Methods

Exploratory factor analysis (EFA) using principal axis factoring with oblimin rotation was employed with data from 1228 consecutive presurgical bariatric candidates. Independent t tests were used to examine potential differences between sexes. Confirmatory factor analysis (CFA) was conducted with the next 383 consecutive presurgical patients to evaluate the proposed model based on EFA results.

Results

EFA revealed three factors: negative perceptions, diminished vigor, and cognitive dysregulation, each with adequate internal consistency. Six BDI-II items did not load significantly on any of the three factors. CFA results largely supported the proposed model.

Conclusions

Results suggest that dimensions of depression for presurgical bariatric candidates vary from other populations and raise important caveats regarding the utility of the BDI-II in bariatric research.

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Acknowledgments

Preparation of this manuscript was supported, in part, by NIH fellowship support from 1F32HD066939-01A (NICHD) awarded to Dr. Hayes.

Conflict of Interest

We report the following role of funding sources and conflicts of interest:

• Dr. Hayes received NIH fellowship support from 1F32HD066939-01A (NICHD).

• Dr. Napolitano received funding from the Living Heart Foundation.

• Dr. Foster served as a consultant to ConAgra Foods and Tate & Lyle during the time of this study. Dr. Foster is currently a full-time employee of Weight Watchers. Dr. Foster received grant funding from the American Beverage Association and Novo Nordisk. He also holds stock options in Weight Watchers.

• All other authors report no conflict of interest or financial disclosures.

Author information

Authors and Affiliations

  1. Department of Psychology, Keiser University, Port Saint Lucie Campus, 10330 South Federal Highway, Port St. Lucie, FL, 34952, USA

    Sharon Hayes & Gary D. Foster

  2. Department of Psychiatry, Geisinger Medical Center Psychiatry, F2 Danville 100 N Academy Ave, Danville, PA, 17822, USA

    Nina Stoeckel & Charlotte Collins

  3. Department of Prevention and Community Health, George Washington University, 2175 K Street NW, Ste 700, Washington, DC, 20037, USA

    Melissa A. Napolitano

  4. Geisinger Obesity Research Institute, Geisinger Clinic Obesity Institute, Center for Nutrition and Weight Management Geisinger Health System, Danville, PA, 17822-2111, USA

    G. Craig Wood, Jamie Seiler & Christopher D. Still

  5. Beasley School of Law, Public Health Law Research Program Institute for Survey Research, Temple University, 1509 Cecil B. Moore Ave, Suite 401 Entertainment and Community Education Center, Philadelphia, PA, 19121, USA

    Heidi E. Grunwald

Authors
  1. Sharon Hayes
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  2. Nina Stoeckel
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  3. Melissa A. Napolitano
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  4. Charlotte Collins
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  5. G. Craig Wood
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  6. Jamie Seiler
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  7. Heidi E. Grunwald
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  8. Gary D. Foster
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  9. Christopher D. Still
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Corresponding author

Correspondence to Sharon Hayes.

Additional information

The Center for Obesity Research and Education, Temple University, was the past affiliation for Hayes, Napolitano, and Foster at the time the original work was conducted.

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Hayes, S., Stoeckel, N., Napolitano, M.A. et al. Examination of the Beck Depression Inventory-II Factor Structure Among Bariatric Surgery Candidates. OBES SURG 25, 1155–1160 (2015). https://doi.org/10.1007/s11695-014-1506-5

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  • DOI: https://doi.org/10.1007/s11695-014-1506-5

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