Relationships between the Beck Depression Inventory and the Hamilton Psychiatric Rating Scale for Depression in depressed outpatients

  • Robert A. Steer
  • Aaron T. Beck
  • John H. Riskind
  • Gary Brown
Article

Abstract

The Beck Depression Inventory (BDI) and the Hamilton Psychiatric Rating Scale for Depression (HRSD) were used with 300 outpatients diagnosed with DSM-III major depression disorders. A principal-components analysis was performed on the intercorrelations among the 21 BDI and 24 HRSD symptoms. Three orthogonal components were found and interpreted as reflecting differences in self-report and clinical rating methods for measuring the severity of depression. The importance of using both self-reports and clinical ratings for evaluating depression in psychiatric outpatients was discussed.

Key words

Depression measurement Beck Depression Inventory (BDI) Hamilton Psychiatric Rating Scale for Depression (HRSD) 

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References

  1. Bailey, J., & Coppen, A. (1976). A comparison between the Hamilton Rating Scale and Beck Inventory in the measurement of depression.British Journal of Psychiatry, 128, 486–489.Google Scholar
  2. Beck, A. T., & Beamesderfer, A. (1974). Assessment of depression: The depression inventory. In P. Pichot (Ed.),Modern problems in pharmacopsychiatry (pp. 151–169). Basel, Switzerland: Karger.Google Scholar
  3. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford.Google Scholar
  4. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression.Archives of General Psychiatry, 4, 561–571.Google Scholar
  5. Bergin, A. E., & Lambert, M. J. (1978). The evaluation of therapeutic outcomes. In S. L. Garfield & A. L. Bergin (Eds.),Handbook of psychotherapy and behavior change, 2nd ed. (pp. 139–189). New York: Wiley.Google Scholar
  6. Cattell, R. B. (1966). The scree test for number of factors.Multivariate Behavioral Research, 1, 245–276.Google Scholar
  7. Davies, B., Burrows, G., & Poynton, C. (1975). A comparative study of four depression rating scales.Australian and New Zealand Journal of Psychiatry, 9, 21–24.Google Scholar
  8. Dziuban, C. D., & Shirkey, E. C. (1974). When is a correlation matrix appropriate for factor analyses.Psychological Bulletin, 81, 358–361.Google Scholar
  9. Guy, W. (1976).ECDEU assessment manual for psychopharmacology (Publication No. ADM 76-338). Washington, DC: Department of Health, Education and Welfare.Google Scholar
  10. Hamilton, M. (1960). A rating scale for depression.Journal of Neurology and Neurosurgical Psychiatry, 23, 56–62.Google Scholar
  11. Hamilton, M. (1967). Development of a rating scale for primary depressive illness.British Journal of Social and Clinical Psychology, 6, 278–296.Google Scholar
  12. Hedlund, J. L., & Vieweg, B. W. (1979). The Hamilton Rating Scale for Depression: A comprehensive review.Journal of Operational Psychiatry, 10, 149–165.Google Scholar
  13. Lambert, M. J., Hatch, D. R., Kingston, M. D., & Edwards, B. C. (1986). Zung, Beck, and Hamilton rating scales as measures of treatment outcome: A meta-analytic comparison.Journal of Consulting and Clinical Psychology, 54, 54–59.Google Scholar
  14. Moran, P. W., & Lambert, M. J. (1983). A review of current assessment tools for monitoring changes in depression. In M. J. Lambert, E. R. Christensen, & S. S. DeJulio (Eds.),The assessment of psychotherapy outcome (pp. 263–303). New York: Wiley.Google Scholar
  15. Mowbray, R. M. (1972). The Hamilton Rating Scale for Depression: A factor analysis.Psychological Medicine, 2, 272–280.Google Scholar
  16. Nielson, A., Secunda, S., Friedman, R., & Williams, T. (1972).Prevalence and recognition of depression among ambulatory patients in a group medical practice. Paper presented at meeting of American Psychiatric Association, Dallas, TX.Google Scholar
  17. Rhodes, H. M., & Overall, J. E. (1983). The Hamilton Depression Scale: Factor scoring and profile classification.Psychopharmacology Bulletin, 19, 91–96.Google Scholar
  18. SAS Institute, Inc. (1982).SAS user's guide: Statistics, 1982. Carey, NC: SAS Institute.Google Scholar
  19. Steer, R. A., Beck, A. T., & Garrison, B. (1986). Applications of the Beck Depression Inventory. In N. Sartorius & T. A. Ban (Eds.),Assessment of depression (pp. 122–142). Geneva, Switzerland: World Health Organization.Google Scholar
  20. Steer, R. A., McElroy, M. G., & Beck, A. T. (1983). Correlates of self reported and clinically assessed depression in outpatient alcoholics.Journal of Clinical Psychology, 39, 144–149.Google Scholar
  21. Strupp, H. H., & Hadley, S. W. (1977). A tripartite model of mental health and therapeutic outcomes: With special reference to negotiate effects in psychology.American Psychologist, 32, 187–196.Google Scholar
  22. Tanaka, J. S., & Huba, G. J. (1984). Confirmatory hierarchical factor analyses of psychological distress measures.Journal of Personality and Social Psychology, 46, 621–635.Google Scholar

Copyright information

© Plenum Publishing Corporation 1987

Authors and Affiliations

  • Robert A. Steer
    • 1
  • Aaron T. Beck
    • 2
  • John H. Riskind
    • 2
  • Gary Brown
    • 2
  1. 1.Department of PsychiatryUniversity of Medicine and Dentistry of New Jersey, School of Osteopathic MedicineCamden
  2. 2.Center for Cognitive TherapyUniversity of Pennsylvania Medical SchoolPhiladelphia

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