Gradations of clinical severity and sensitivity to change assessed with the Beck Depression Inventory-II in Japanese patients with depression

Hiroe, Takahiro; Kojima, Masayo; Yamamoto, Ikuyo; Nojima, Suguru; Kinoshita, Yoshihiro; Hashimoto, Nobuhiko; Watanabe, Norio; Maeda, Takao; Furukawa, Toshi A

doi:10.1016/j.psychres.2004.03.014

Cited by 141 publications

(118 citation statements)

References 9 publications

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“…Previous research in the field of psychology has validated a cut score of greater than or equal to 14 to identify individuals with clinically meaningful levels of depressive symptoms. 6,28,52,53,61 The BDI has been shown to be a reliable and valid measure of depression in individuals with pain, 26 and has been commonly used in studies using samples of patients with back and/or neck pain. 8,18,24,62 Pain Catastrophizing The Pain Catastrophizing Scale (PCS) was used to measure participants' levels of pain catastrophizing.…”

Section: Methodsmentioning

confidence: 99%

Recovery From Depressive Symptoms Over the Course of Physical Therapy: A Prospective Cohort Study of Individuals With Work-Related Orthopaedic Injuries and Symptoms of Depression

Wideman¹,

Scott²,

Martel³

et al. 2012

J Orthop Sports Phys Ther

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Section: Methodsmentioning

confidence: 99%

Recovery From Depressive Symptoms Over the Course of Physical Therapy: A Prospective Cohort Study of Individuals With Work-Related Orthopaedic Injuries and Symptoms of Depression

Wideman¹,

Scott²,

Martel³

et al. 2012

J Orthop Sports Phys Ther

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“…The measurement error due to time length as captured by the retest estimate is probably larger than the error due to item heterogeneity and content as captured by cross-sectional internal consistency. 128 On the other hand, Hiroe et al 72 investigated sensitivity to change by anchoring the BDI-II against the Clinical Global Impression-Change (CGI-I) subscale 2 weeks after first consultation of 40 patients with major depression. The instrument was able to distinguish between all grades of depression severity.…”

Section: Continued On Next Pagementioning

confidence: 99%

Psychometric properties of the Beck Depression Inventory-II: a comprehensive review

Wang

Gorenstein

2013

Rev. Bras. Psiquiatr.

1,115

765

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Objective: To review the psychometric properties of the Beck Depression Inventory-II (BDI-II) as a self-report measure of depression in a variety of settings and populations. Methods: Relevant studies of the BDI-II were retrieved through a search of electronic databases, a hand search, and contact with authors. Retained studies (k = 118) were allocated into three groups: non-clinical, psychiatric/institutionalized, and medical samples. Results: The internal consistency was described as around 0.9 and the retest reliability ranged from 0.73 to 0.96. The correlation between BDI-II and the Beck Depression Inventory (BDI-I) was high and substantial overlap with measures of depression and anxiety was reported. The criterion-based validity showed good sensitivity and specificity for detecting depression in comparison to the adopted gold standard. However, the cutoff score to screen for depression varied according to the type of sample. Factor analysis showed a robust dimension of general depression composed by two constructs: cognitive-affective and somatic-vegetative. Conclusions: The BDI-II is a relevant psychometric instrument, showing high reliability, capacity to discriminate between depressed and non-depressed subjects, and improved concurrent, content, and structural validity. Based on available psychometric evidence, the BDI-II can be viewed as a costeffective questionnaire for measuring the severity of depression, with broad applicability for research and clinical practice worldwide.

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“…Depression severity was assessed using the Japanese version (26) of the Beck Depression Inventory-II (BDI-II) (27). BDI-II scores range from 0 -63, and a score of Ն14 indicates the presence of at least mild to moderate symptoms of depression (27,28). As part of routine clinical examinations, experienced rheumatologists who were unaware of patients' participation in this study assessed the number of swollen and/or tender joints along with the Steinbrocker functional classification (29) and made a global assessment of disease severity for each of their patients.…”

Section: Significance and Innovationsmentioning

confidence: 99%

Alexithymia, Depression, Inflammation, and Pain in Patients With Rheumatoid Arthritis

Kojima

Suzuki

et al. 2014

Arthritis Care & Research

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Objective. We previously reported that depression and inflammation have independent effects on pain severity in patients with rheumatoid arthritis (RA). Alexithymia is a personality trait characterized by deficits in cognitive processing and regulation of emotions. A broad association between alexithymia and various health problems has been suggested, including depression, inflammation, and pain. The objective of this study was to examine the independent influence of alexithymia on pain perception and its relationship to depression and inflammation. Methods. We evaluated 213 RA outpatients who completed self-administered questionnaires, including the Beck Depression Inventory-II (BDI-II) to measure depression severity, the 20-item Toronto Alexithymia Scale (TAS-20) to measure degree of alexithymia, and a visual analog scale to quantify perceived pain. Serum C-reactive protein (CRP) levels were measured to quantify inflammation severity.Results. An initial significant positive association between the TAS-20 score and pain severity (P ‫؍‬ 0.01) lost significance after controlling for BDI-II score and CRP level using regression analysis. An interaction was observed among alexithymia, depression, and inflammation with regard to perceived pain. Among those without alexithymia, pain severity increased linearly with the CRP tertile levels regardless of the presence of depression (P < 0.001 for trend). No linear association between pain severity and CRP level was observed among those with alexithymia. Moreover, depressed patients with alexithymia (BDI-II score >14 and TAS-20 score >61) reported severe pain even at low CRP levels. Conclusion. Alexithymia might have a substantial role in pain perception as well as depression in patients with RA. A biopsychosocial approach is essential to achieve better pain control. INTRODUCTIONRheumatoid arthritis (RA) is a chronic disease in which an autoimmune disorder causes inflammation of the joints and surrounding tissues. Patients with RA experience persistent pain, arising from inflammation. This pain is also known to possess a strong emotional component and is affected by mood and psychosocial factors (1). We previously reported the independent influences of depression severity and inflammation on perceived pain in patients with RA (2). Both the depression score and the serum levels of C-reactive protein (CRP), a biomarker of inflammation, were significantly associated with pain, even after controlling for each other and for clinical covariates by regression analysis. Alexithymia is defined as a personality construct with difficulties in affective self-regulation (3). It has been proposed to be a cluster of cognitive and affective characteristics that are commonly observed among classic psychosomatic patients for whom therapy has been unsuccessful (4). Individuals with alexithymia tend to experience difficulties in identifying and describing their inner feelings and have a limited imaginary capacity and a preference for externally oriented thinking rather than introspection (3)....

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Gradations of clinical severity and sensitivity to change assessed with the Beck Depression Inventory-II in Japanese patients with depression

Cited by 141 publications

References 9 publications

Recovery From Depressive Symptoms Over the Course of Physical Therapy: A Prospective Cohort Study of Individuals With Work-Related Orthopaedic Injuries and Symptoms of Depression

Recovery From Depressive Symptoms Over the Course of Physical Therapy: A Prospective Cohort Study of Individuals With Work-Related Orthopaedic Injuries and Symptoms of Depression

Psychometric properties of the Beck Depression Inventory-II: a comprehensive review

Alexithymia, Depression, Inflammation, and Pain in Patients With Rheumatoid Arthritis

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