Green A, Felmingham K, Baguley I J, Slewa-Younan S, Simpson S
Brain Injury Rehabilitation Service, Westmead Hospital, Westmead, NSW 2145, Australia.
Brain Inj. 2001 Dec;15(12):1021-8. doi: 10.1080/02699050110074187.
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.
Prospective 2 year follow up assessment.
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.
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.
This study provides preliminary evidence suggesting that the BDI may be an effective screening tool for self reported depression in TBI.
检验贝克抑郁量表（BDI）在创伤性脑损伤（TBI）中的心理测量特性，并确定该组中躯体表现和认知情感项目的相对认可度。
前瞻性2年随访评估。
117名从住院TBI康复服务机构出院的患者完成了BDI，作为24个月随访评估的一部分。人口统计学和损伤相关数据从患者档案及其他重要来源获取。
主成分分析揭示了描述情感和表现项目、对自身的消极态度以及躯体障碍的三个因素。可靠性估计较高（α系数 = 0.92）。相关样本t检验显示，使用认知情感子量表而非BDI总分时，认知情感子量表的认可度更高，更多患者被归类为至少中度抑郁。
本研究提供了初步证据，表明BDI可能是TBI中自我报告抑郁的有效筛查工具。
