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Factorial and Diagnostic Validity of the Beck Depression Inventory-II (BDI-II) in Croatian Primary Health Care

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Abstract

The aim of this study was to examine the factorial and diagnostic validity of the Beck Depression Inventory-Second Edition (BDI-II) in Croatian primary health care. Data were collected using a medical outpatient sample (N = 314). Reliability measured by internal consistency proved to be high. While the Velicer MAP Test showed that extraction of only one factor is satisfactory, confirmatory factor analysis indicated the best fit for a 3-factor structure model consisting of cognitive, affective and somatic dimensions. Receiver operating characteristics (ROC) analysis demonstrated the BDI-II to have a satisfactory diagnostic validity in differentiating between healthy and depressed individuals in this setting. The area under the curve (AUC), sensitivity and specificity were high with an optimal cut-off score of 15/16. The implications of these findings are discussed regarding the use of the BDI-II as a screening instrument in primary health care settings.

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Acknowledgments

Beck Depression Inventory®-Second Edition. Copyright © 1996 by Aaron T. Beck with permission of publisher, Harcourt Assessment, Inc. Croatian translation copyright © 2006 by Aaron T. Beck with permission of publisher, Harcourt Assessment, Inc. Reproduced with permission. All rights reserved. “Beck Depression Inventory” and “BDI” are trademarks of Harcourt Assessment, Inc. registered in the United States of America and/or other jurisdictions.

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Authors and Affiliations

  1. Department of Psychiatry, University Hospital Center Zagreb, Zagreb, Croatia

    Nenad Jakšić

  2. Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia

    Ena Ivezić

  3. Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Croatia, I. Lucica 3, 10 000, Zagreb, Croatia

    Nataša Jokić-Begić

  4. Department of General Psychology, Institute of Psychology, Károli Gáspár University of the Reformed Church, Budapest, Hungary

    Zsuzsanna Surányi

  5. Department of Family Medicine, Andrija Štampar School of Public Health, University of Zagreb, Zagreb, Croatia

    Stanislava Stojanović-Špehar

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Jakšić, N., Ivezić, E., Jokić-Begić, N. et al. Factorial and Diagnostic Validity of the Beck Depression Inventory-II (BDI-II) in Croatian Primary Health Care. J Clin Psychol Med Settings 20, 311–322 (2013). https://doi.org/10.1007/s10880-013-9363-2

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