Journal of Abnormal Child Psychology

, Volume 16, Issue 3, pp 263–273

Properties of the beck depression inventory as a screening instrument for adolescent depression

  • Manuel BarreraJr.
  • Carolynne V. Garrison-Jones
Article

Abstract

The utility of the Beck Depression Inventory (BDI) for identifying Major Depressive Episode was assessed with two samples of adolescents, 65 psychiatric hospital inpatients and 49 secondary school students. Diagnoses based on the Child Assessment Schedule served as criteria. With the school sample, a BDI screening score of 16 resulted in 100% sensitivity and 93.2% specificity. For the inpatient sample, a cutoff of 11 yielded a sensitivity of 81.5% and specificity of 52.6%. There was evidence of the BDI's convergent and discriminant validity for both samples. The results were consistent with the assertion that Major Depressive Episode is a sufficiently distinct diagnostic category in adolescence to be detected by a screening measure such as the BDI.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Albert, N., & Beck, A. T. (1975). Incidence of depression in early adolescence: A preliminary study.Journal of Youth and Adolescence, 4, 301–307.Google Scholar
  2. Beck, A. (1967).Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press.Google Scholar
  3. Beck, A., & Beamesderfer, A. (1974). Assessment of depression: The depression inventory.Psychological Measurements in Psychopharmacology, 7, 151–169.Google Scholar
  4. Beck, A., & Beck, R. W. (1972). Screening depressed patients in family practice: A rapid technique.Postgraduate Medicine, 52, 81–85.Google Scholar
  5. Bumberry, W., Oliver, J. M., & McClure, J. N. (1987). Validation of the Beck Depression Inventory in a university population using psychiatric estimate as the criterion.Journal of Consulting and Clinical Psychology, 46, 150–155.Google Scholar
  6. Costello, A. J., Edelbrock, C., Dulcan, M. K., Kalas, R., & Klaric, S. H. (1984).Development and testing of the NIMH Diagnostic Interview Schedule of Children in a clinical population. Final report (Contract #RFP-DB-81-0027). Rockville, Maryland: Center for Epidemiologic Studies, NIMH.Google Scholar
  7. Derogatis, L. R. (1977).SCL-90: Administration, scoring, and procedures manual-I for the R version. Baltimore: Author.Google Scholar
  8. Edelbrock, C., & Costello, A. J. (1984).A review of structured psychiatric interviews for children. Rockville, Maryland: Center for Studies of Child and Adolescent Psychopathology, Clinical Research Branch, NIMH.Google Scholar
  9. Hammen, C. L. (1980). Depression in college students: Beyond the Beck Depression InventoryJournal of Consulting and Clinical Psychology, 48, 126–128.Google Scholar
  10. Harter, S. (1982). The perceived competence scale for children.Child Development, 53, 87–97.Google Scholar
  11. Hodges, S. (1983).The Child Assessment Schedule. Unpublished manuscript, University of Missouri School of Medicine.Google Scholar
  12. Hodges, K., Kline, J., Stern, L., Cytryn, L., & McKnew, D. (1982). The development of a child assessment interview for research and clinical use.Journal of Abnormal Child Psychology, 10, 173–189.Google Scholar
  13. Hodges, K., McKnew, D., Cytryn, L., Stern, L., & Kline, J. (1982). The child assessment schedule (CAS) diagnostic interview: A report on reliability and validity.Journal of the American Academy of Child Psychiatry, 21, 468–473.Google Scholar
  14. Kandel, D. B., & Davies, M. (1982). Epidemiology of depressive mood in adolescents.Archives of General Psychiatry, 39, 1205–1212.Google Scholar
  15. Kaplan, S. L., Hong, G. K.,& Weinhold, C. (1984). Epidemiology of depressive symptomatology in adolescents.Journal of the American Academy of Child Psychiatry, 23, 91–98.Google Scholar
  16. Kazdin, A. E. (1981). Assessment techniques for childhood depression.Journal of the American Academy of Child Psychiatry, 20, 358–375.Google Scholar
  17. Kazdin, A. E., & Petti, T. A. (1982). Self-report and interview measures of childhood and adolescent derpession.Journal of Child Psychology and Psychiatry, 23, 437–457.Google Scholar
  18. Kovacs, M., Feinberg, T. L., Crouse-Novak, M. A., Paulauskas, S. L., & Finkelstein, R. (1984). Depressive disorders in childhood: I. A longitudinal prospective study of characteristics and recovery.Archives of General Psychiatry, 41, 229–237.Google Scholar
  19. Lefkowitz, M. M., & Burton, N. (1978). Childhood depression: A critique of the concept.Psychological Bulletin, 85, 716–726.Google Scholar
  20. Sacco, W. P. (1981). Invalid use of the Beck Depression Inventory to identify depressed collegestudent subjects: A methodological comment.Cognitive Therapy and Research, 5, 143–147.Google Scholar
  21. Strober, M. (1986). Psychopathology in adolescence revisited.Clinical Psychology Review, 6, 199–209.Google Scholar
  22. Strober, M., Green, J., & Carlson, G. (1981a). Utility of the Beck Depression Inventory with psychiatrically hosptialized adolescents.Journal of Consulting and Clinical Psychology, 49, 482–483.Google Scholar
  23. Strober, M., Green, J., & Carlson, G. (1981b). Reliability of psychiatric diagnosis in hospitalized adolescents: Interrater agreement using DSM-III.Archives of General Psychiatry, 38, 141–145.Google Scholar
  24. Teri, L. (1982). The use of the Beck Depression Inventory with adolescents.Journal of Abnormal Child Psychology, 10, 277–284.Google Scholar

Copyright information

© Plenum Publishing Corporation 1988

Authors and Affiliations

  • Manuel BarreraJr.
    • 1
  • Carolynne V. Garrison-Jones
    • 1
  1. 1.Psychology DepartmentArizona State UniversityTempe

Personalised recommendations