The clinical utility of the Beck Depression Inventory after traumatic brain injury

A. Green, K. Felmingham, I. J. Baguley, S. Slewa-Younan, S. Simpson

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66 Citations (Scopus)

Abstract

PRIMARY OBJECTIVE: To examine the psychometric properties of the Beck Depression Inventory (BDI) in traumatic brain injury (TBI) and to determine the relative endorsement of somatic-performance and cognitive-affective items in this group. RESEARCH DESIGN: Prospective 2 year follow up assessment. METHODS: 117 patients discharged from an inpatient TBI rehabilitation service completed the BDI as part of a 24 month follow up assessment. Demographic and injury related data were obtained from patient files and significant others. MAIN OUTCOMES: A principal components analysis revealed three factors describing affective and performance items, negative attitudes towards oneself and somatic disturbance. The reliability estimate was high (coefficient alpha = 0.92). A dependent sample t-test revealed higher endorsement of the cognitive-affective subscale with more clients classified as at least moderately depressed using the cognitive-affective rather than the total BDI score. CONCLUSION: This study provides preliminary evidence suggesting that the BDI may be an effective screening tool for self reported depression in TBI.
Original languageEnglish
Pages (from-to)1021-1028
Number of pages8
JournalBrain Injury
Volume15
Issue number12
DOIs
Publication statusPublished - 2001

Bibliographical note

Green, A Felmingham, K Baguley, I J Slewa-Younan, S Simpson, S Clinical Trial Journal Article England Brain Inj. 2001 Dec;15(12):1021-8. doi: 10.1080/02699050110074187.

Keywords

  • Adult Brain Injuries/*psychology Depressive Disorder/*diagnosis/*psychology Female Follow-Up Studies Humans Male Principal Component Analysis Prospective Studies *Psychiatric Status Rating Scales Psychometrics Reproducibility of Results Severity of Illness Index

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