The Beck Depression Inventory-II in adolescent mental health patients: Cut-off scores for detecting depression and rating severity

Dolle, Kathrin; Schulte‐Körne, Gerd; O'Leary, Anna Maria; Hofacker, N. von; Izat, Yonca; Allgaier, Antje-Kathrin

doi:10.1016/j.psychres.2012.05.011

Cited by 57 publications

(39 citation statements)

References 16 publications

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“…Sum scores range from 0 to 63. Scores between 0 and 13 indicate minimal, between 14 and 19 mild, between 20 and 28 moderate and between 29 and 63 severe depression (Dolle et al, 2012). …”

Section: Methodsmentioning

confidence: 99%

Decreased Subcortical and Increased Cortical Degree Centrality in a Nonclinical College Student Sample with Subclinical Depressive Symptoms: A Resting-State fMRI Study

Gao

Liu

et al. 2016

Front. Hum. Neurosci.

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Abnormal functional connectivity (FC) at rest has been identified in clinical depressive disorder. However, very few studies have been conducted to understand the underlying neural substrates of subclinical depression. The newly proposed centrality analysis approach has been increasingly used to explore the large-scale brain network of mental diseases. This study aimed to identify the degree centrality (DC) alteration of the brain network in subclinical depressive subjects. Thirty-seven candidates with subclinical depression and 34 well-matched healthy controls (HCs) were recruited from the same sample of college students. All subjects underwent a resting-state fMRI (rs-fMRI) scan to assess the DC of the whole brain. Compared with controls, subclinical depressive subjects displayed decreased DC in the right parahippocampal gyrus (PHG), left PHG/amygdala, and left caudate and elevated DC in the right posterior parietal lobule (PPL), left inferior frontal gyrus (IFG) and left middle frontal gyrus (MFG). In addition, by using receiver operating characteristic (ROC) analysis, we determined that the DC values in the regions with altered FC between the two groups can be used to differentiate subclinical depressive subjects from HCs. We suggest that decreased DC in subcortical and increased DC in cortical regions might be the neural substrates of subclinical depression.

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“…Sum scores range from 0 to 63. Scores between 0 and 13 indicate minimal, between 14 and 19 mild, between 20 and 28 moderate and between 29 and 63 severe depression (Dolle et al, 2012). …”

Section: Methodsmentioning

confidence: 99%

Decreased Subcortical and Increased Cortical Degree Centrality in a Nonclinical College Student Sample with Subclinical Depressive Symptoms: A Resting-State fMRI Study

Gao

Liu

et al. 2016

Front. Hum. Neurosci.

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“…The BDI was the most widely used dimensional measure of depression with adults and adolescents at the start of the study (Beck, Steer, & Garbín, 1988) and demonstrates good psychometric properties (Cronbach’s α = 0.88). A significant body of research supports the use of the BDI with adolescents (Dolle et al, 2012). The measure was collected at pretreatment, posttreatment, and after Sessions 4, 8, and 12.…”

Section: Methodsmentioning

confidence: 99%

Therapeutic Alliance With Depressed Adolescents: Predictor or Outcome? Disentangling Temporal Confounds to Understand Early Improvement

Labouliere

Reyes

Shirk

et al. 2015

Journal of Clinical Child & Adolescent Psychology

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Psychotherapy research reveals consistent associations between therapeutic alliance and treatment outcomes in the youth literature; however, past research frequently suffered measurement issues that obscured temporal relationships between alliance and symptomatology by measuring variables later in therapy, thereby precluding examination of important early changes. The current study aimed to explore the directions of effect between alliance and outcome early in therapy with adolescents by examining associations between first- and fourth-session therapeutic alliance and symptomatology. Thirty-four adolescents (~63% female, 38% ethnic/racial minority) participated in a school-based cognitive-behavioral therapy for adolescents with depression. Participants completed the Beck Depression Inventory at baseline and Session 4, and therapeutic alliance was coded from audiotapes of Sessions 1 and 4 by objective coders using the Alliance Observation Coding System. Autoregressive path analyses determined that first-session therapeutic alliance was a strong significant predictor of Session 4 depression symptoms, but pretreatment depression scores were not significantly predictive of subsequent therapeutic alliance. Adding reciprocal effects between alliance and depression scores did not adversely affect model fit, suggesting that reciprocal effects may exist. Early therapeutic alliance with adolescents is critical to fostering early gains in depressive symptomatology. Knowing alliance’s subsequent effect on youth outcomes, clinicians should increase effort to foster a strong relationship in early sessions and additional research should be conducted on the reciprocal effects of therapeutic alliance and treatment outcome in adolescence.

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“…However, past investigations utilizing ROC analyses have provided empirical guidelines for assessing depression in adolescent (Dierker et al, 2001) and adult (e.g., Lasa, Aysuo-Mateos, Vazquez-Barquero, Diez-Manrique, & Dowrick, 2000) populations in both clinical (Dolle et al, 2012) and community (Tran, Tran, & Fisher, 2014) settings. Furthermore, O’Donnell and colleagues (2008) used ROC principles to develop cutoffs on an emergency department (ED) screener for patients who suffered a traumatic brain injury.…”

Section: The Importance Of An Empirically-based Assessment Approachmentioning

confidence: 99%

How should we screen for depression following a natural disaster? An ROC approach to post-disaster screening in adolescents and adults

Cohen

Adams

Menon

et al. 2016

Journal of Affective Disorders

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Background The present study’s aim was to provide the foundation for an efficient, empirically based protocol for depression screening following a natural disaster. Utilizing a Receiver Operating Characteristic (ROC) analytic approach, the study tested a) what specific disaster-related stressors (i.e., property damage, loss of basic services) and individual-related constructs (i.e., PTSD symptoms, trauma history, social support) conveyed the greatest risk for post-natural disaster depression, b) specific cutoff scores across these measures, and c) whether the significance or cutoff scores for each construct varied between adolescents and adults. Methods Structured phone-based clinical interviews were conducted with 2,000 adolescents who lived through a tornado and 1,543 adults who survived a hurricane. Results Findings suggested that in both adolescents and adults, individual-related constructs forecasted greater risk for depressive symptoms following a natural disaster compared to disaster-related stressors. Furthermore, trauma history and PTSD symptoms were particularly strong indicators for adolescent depressive symptoms compared to adult depressive symptoms. Adolescents and adults who reported vulnerable scores for social support, trauma history, and lifetime PTSD symptoms were approximately twice as likely to present as depressed following the natural disaster. Limitations Findings from the present study were limited to post-disaster assessments and based on self-reported functioning 6–12 months following the natural disaster. Conclusions The present study synthesizes the extensive body of research on post-disaster functioning by providing a clear framework for which questions may be most important to ask when screening for depression following a natural disaster.

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The Beck Depression Inventory-II in adolescent mental health patients: Cut-off scores for detecting depression and rating severity

Cited by 57 publications

References 16 publications

Decreased Subcortical and Increased Cortical Degree Centrality in a Nonclinical College Student Sample with Subclinical Depressive Symptoms: A Resting-State fMRI Study

Decreased Subcortical and Increased Cortical Degree Centrality in a Nonclinical College Student Sample with Subclinical Depressive Symptoms: A Resting-State fMRI Study

Therapeutic Alliance With Depressed Adolescents: Predictor or Outcome? Disentangling Temporal Confounds to Understand Early Improvement

How should we screen for depression following a natural disaster? An ROC approach to post-disaster screening in adolescents and adults

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