The Beck Depression Inventory-II (BDI-II; Beck, Steer, & Brown, 1996) is intended to measure severity of depression, and because items represent a broad range of depressive symptoms, some multidimensionality exists. In recent factor-analytic studies, there has been a debate about whether the BDI-II can be considered as one scale or whether subscales should be distinguished. In the present study, we applied a bifactor model to evaluate the extent to which scores reflect a single variable in a large sample of 1,530 clinical outpatients. We found that total scale score variation reflected some multidimensionality, but not enough to justify the scoring of subscales. We conclude that the BDI-II total scale score reflects a single construct and that reporting and interpreting subscale scores may result in misleading conclusions.

In the present study (1) intervention effects on children's preschool behavior problems were evaluated in a high risk sample with an overrepresentation of insecure adult attachment representations in 77 first-time mothers, and (2) predictors and correlates of child problem behavior were examined. Early short-term video-feedback intervention to promote positive parenting (VIPP) focusing on maternal sensitivity and implemented in the baby's first year of life significantly protected children from developing clinical Total Problems at preschool age. Also, compared with the control group, fewer VIPP children scored in the clinical range for Externalizing Problems. No intervention effects on Internalizing clinical problem behavior were found. The VIPP effects on Externalizing and Total clinical Problems were not mediated by VIPP effects on sensitivity and infant attachment or moderated by mother or child variables. Maternal satisfaction with perceived support appeared to be associated with less children's Internalizing, Externalizing, and Total Problems. More research is needed to find the mechanisms triggered by VIPP, but the outcomes could be considered as promising first steps in the prevention of disturbing, externalizing behavior problems in young children.

Several researchers have emphasized that item response theory (IRT)-based methods should be preferred over classical approaches in measuring change for individual patients. In the present study we discuss and evaluate the use of IRT-based statistics to measure statistical significant individual change on the Beck Depression Inventory-II (BDI-II, Beck, Steer, & Brown, 1996). We compare results obtained with a simple IRT-based statistical test (Z-test) to those obtained with the Reliable Change Index (RCI) in a sample of clinical outpatients. Mean group differences between the Z-test and the RCI were similar, but for some individuals change classifications differed. Differences were most evident for change scores within the lower range of depression scores. We show that this may have consequences for the measurement of individual change in psychotherapy outcome research and clinical practice.

The interactions between 76 lower-class Indonesian mothers and their young children were observed both at home and in a structured play setting. Maternal interactive behaviour in the play session was compared with that of Japanese, Dutch, and Surinam-Dutch mothers observed in a similar setting. The interactive behaviour of Indonesian mothers was found to be more similar to that of Dutch and Surinam-Dutch mothers than to that of Japanese mothers. Mothers’ supportive behaviour in the structured play session was significantly related to their sensitivity at home. Maternal interactive behaviour in the two settings was also significantly but differentially related to characteristics of the immediate and socioeconomic context. The results suggest that socioeconomic factors have a stronger impact on the quality of parenting than cultural factors and that the observation of mother-child interactions in different settings may tap different aspects of parenting.

The quality of the mother-child attachment relationship, the quality of support mothers provide to their children, and characteristics of the caregiving context were examined in 46 Indonesian mother-child dyads. The distribution of attachment patterns, as assessed with the Strange Situation, showed the proportion of children classified as secure and insecure-disorganized to be comparable to the global distribution as reported in two meta-analyses. An over-representation of resistant children was found within the insecure group, which was comparable to the distribution in Japanese samples. The quality of maternal support, measured in two settings, was highest for secure dyads and lowest for insecure-disorganized dyads. Contextual characteristics were not found to differentiate secure from insecure dyads but were found to discriminate between different types of insecure attachment.