Department of Psychology.
Veterans Affairs Eastern Kansas Healthcare System.
Psychol Serv. 2020 Aug;17(3):363-371. doi: 10.1037/ser0000342. Epub 2019 Mar 14.
The Beck Depression Inventory-II (BDI-II) is used within the Veterans Health Administration (VHA) to measure depression symptom severity. This naturalistic study aimed to examine VHA-specific BDI-II use and establish normative data and psychometric properties. Initial BDI-II data for 152,260 individual veterans were extracted from preexisting medical records using the VA Informatics and Computing Infrastructure. BDI-II scores were compared against Beck, Steer, and Brown (1996)'s original sample, as well as across veteran subgroups. Exploratory and confirmatory factor analyses were also conducted. Similar to Beck et al.'s (1996) sample, the BDI-II was most frequently administered in outpatient psychiatric VHA settings, although it was also used in inpatient and medical settings. Veterans scored significantly higher on the BDI-II than the original comparison groups. This was true across diagnostic categories. The largest discrepancy was seen between nondepressed veterans and corresponding patients from the original sample (Cohen's = 1.34). Older veterans endorsed less severe levels of depression symptomatology. Additionally, a 2-factor model similar to Beck et al.'s (1996) original solution provided the best fit to the data. Veterans reported higher levels of somatic-affective symptoms than cognitive symptoms. Although potentially useful, the BDI-II requires further investigation in veterans. Standard cut scores are not recommended for use in this population when evaluating severity of depression. A cut score of 27 or higher best differentiated between veterans with and without mood disorders in the current sample. Treatment providers should also consider using BDI-II factor scores, rather than the total score, to measure depressive symptom change. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
贝克抑郁自评量表第二版（BDI-II）在退伍军人健康管理局（VHA）中用于衡量抑郁症状的严重程度。本自然研究旨在检查 VHA 特有的 BDI-II 使用情况，并建立规范数据和心理测量特性。从 VA 信息学和计算基础结构中使用现有的医疗记录提取了 152,260 名退伍军人的初始 BDI-II 数据。BDI-II 评分与 Beck、Steer 和 Brown（1996）的原始样本进行了比较，同时也与退伍军人亚组进行了比较。还进行了探索性和验证性因素分析。与 Beck 等人（1996）的样本相似，BDI-II 最常被用于门诊精神病 VHA 环境中，尽管它也被用于住院和医疗环境中。退伍军人的 BDI-II 评分明显高于原始对照组。这在所有诊断类别中都是如此。在非抑郁退伍军人和原始样本中相应的患者之间，差异最大（Cohen's = 1.34）。年龄较大的退伍军人报告的抑郁症状严重程度较低。此外，类似于 Beck 等人（1996）原始解决方案的 2 因素模型为数据提供了最佳拟合。退伍军人报告的躯体情感症状水平高于认知症状。BDI-II 在退伍军人中可能有用，但需要进一步研究。在评估当前样本中抑郁严重程度时，不建议在该人群中使用标准的切割分数。在当前样本中，27 分或更高的分数可以最好地区分有和没有心境障碍的退伍军人。治疗提供者还应考虑使用 BDI-II 因子分数，而不是总分，来衡量抑郁症状的变化。（PsycInfo 数据库记录（c）2020 APA，保留所有权利）。
