Geetha Kumar

Use of the Beck Depression Inventory-II with Adolescent Psychiatric Outpatients

To provide information on the use of the Beck Depression Inventory-II (BDI-II) with adolescents, the BDI-II was administered to 105 male and 105 female outpatients between 12 and 18 years old who were seeking psychiatric treatment. The internal consistency of the BDI-II was high (coefficient α = .92). The mean BDI-II total score of the girls was approximately 5 points higher than that of the boys (p < .001), and age (years) was positively correlated with the BDI-II total scores (r = .18, p < .01). An iterated principal-factor analysis identified three factors, but only the Cognitive and Somatic-Affective factors were generalizable.

Effectiveness of Beck Depression Inventory–Ii Subscales in Screening for Major Depressive Disorders in Adolescent Psychiatric Inpatients

The Beck Depression Inventory–II (BDI-II) was administered to 45 male and 55 female psychiatric inpatients who were 12 to 17 years old, and the Mood Module from the Primary Care Evaluation of Mental Disorders (PRIME-MD) was used to determine whether these patients met criteria for a diagnosis of a DSM-IV major depressive disorder (MDD). Binormal receiver-operating-characteristic (ROC) analyses found that BDI-II total scores, Cognitive subscale scores, Noncognitive subscale scores, and embedded BDI Fast Screen for Medical Patients subscale scores were comparably effective in differentiating inpatients who were and were not diagnosed with a MDD; the areas under the ROC curves were, respectively, .92 (95% confidence interval [CI]: .85-.96), .90 (95% CI: .82-.95), .90 (95% CI: .83-.95), and .90 (95% CI: .83-.95).

Adolescent psychiatric inpatients' self-reported reasons for cutting themselves

To ascertain (1) whether male and female adolescent (13–17 years old) psychiatric inpatients endorse comparable reasons for cutting themselves and (2) whether these reasons are correlated with selected psychosocial characteristics of the adolescents, self-reported depression, and hopelessness, the Self-Injury Motivation Scale II (SIMS-II), the Beck Depression Inventory-II, and the Beck Hopelessness Scale were administered to 19 (38%) male and 31 (62%) female adolescents who had cut themselves. Independent t tests found that none of the SIMS-II subscale scores was differentiated by sex, but the Beck Depression Inventory-II total score was significantly correlated with the SIMS-II total, Affect Modulation, Desolation, and Punitive Duality subscale scores. The results are discussed as indicating that male and female adolescent inpatients endorse comparable reasons for cutting themselves and that self-reported depression is positively associated with the number and intensity of different motivations for cutting oneself.

Use of the Beck Anxiety Inventory with adolescent psychiatric outpatients.

The Beck Anxiety Inventory was administered to 105 outpatients between 13 and 17 years old who were diagnosed with various types of psychiatric disorders. A principal factor analysis was performed, and two factors were found representing subjective and somatic symptoms of anxiety. The item compositions of these factors were comparable to those previously described for adolescent inpatients. The results are discussed as supporting the use of the inventory for evaluating self-reported anxiety in outpatient adolescents.

Hopelessness in Adolescent Psychiatric Inpatients

To study hopelessness in adolescent inpatients, we administered the Beck Hopelessness Scale to 108 inpatients between 12 and 17 years old who were diagnosed with mixed psychiatric disorders. Moderate to severe pessimism about the future was described by 42.6%. A principal components analysis of the correlations among the scales 20 items was conducted, and three components reflecting rejection of the possibility of a hopeful future, acceptance of the inevitability of a hopeless future, and resignation to the futility of changing the future were identified. These dimensions were comparable to those previously reported for adults, and the usefulness of the scale for evaluating hopelessness in adolescent inpatients was discussed.

Factor structure of the beck anxiety inventory with adolescent psychiatric inpatients

Abstract To investigate the dimensions of self-reported anxiety in adolescents, the Beck Anxiety Inventory (BAI) was administered to 108 inpatients between 12 and 17 years old who were diagnosed with mixed psychiatric disorders. An iterated principal-factor analysis was performed, and two factors were found representing subjective and somatic symptoms of anxiety. The compositions of these dimensions were comparable to those previously described for adult outpatients diagnosed with mixed psychiatric disorders.

Profiles of Personal Resiliency in Child and Adolescent Psychiatric Inpatients

To ascertain whether children and adolescents whose ages ranged from 9 to 17 years described distinct profiles of personal resiliency, the Resiliency Scales for Children and Adolescents (RSCA) were administered to 100 youth who were admitted to an inpatient psychiatric unit and were diagnosed with various DSM-IV-TR disorders along with the Beck Youth Inventories of Emotional and Social Impairment (BYI-II). Four profiles based on the RSCA Sense of Self-Mastery, Sense of Relatedness, and Emotional Reactivity scales were identified by a k-means nonhierarchical cluster analysis. The profiles were not differentiated with respect to sex, age, being Caucasian, or diagnoses, but were discriminated with respect to different levels of self-reported symptoms as measured by the BYI-II scales. The results were discussed as suggesting that different profiles of personal resiliency should be considered when treating psychiatric inpatients.

Lack of Age Differences in the Beck Depression Inventory—II Scores of Clinically Depressed Adolescent Outpatients

To assess whether the mean Beck Depression Inventory–II scores of adolescents who were diagnosed with unipolar depressive disorders differed with respect to age, the inventory was administered to 144 (60%) female and 96 (40%) male outpatients between 13 and 17 yr. who were diagnosed with depressive disorders. The internal consistency of the scores was high (coefficient α = .89). A factorial analysis of variance was used to test for the main effects of age, sex, ethnicity, type of depressive disorder, comorbidity, and the two-way interactions of age with the other main effects. The mean scores were not differentiated by age or by the interactions of age with the other effects. The lack of age differences in this 5-year range on the mean scores of clinically depressed adolescents was discussed with respect to previous findings that have reported such differences in adolescents and adults.

SEVERITY AND INTERNAL CONSISTENCY OF SELF-REPORTED ANXIETY IN PSYCHOTIC OUTPATIENTS

To assess the severity of self-reported anxiety in psychiatric adult outpatients (≥ 18 yr. old) who were diagnosed with psychotic disorders, the Beck Anxiety Inventory was administered to 55 (50%) women and 55 (50%) men who were diagnosed with paranoid schizophrenia, schizoaffective, or delusional disorders. The internal consistency of the scores was high (coefficient α = .92), and the scores were not significantly correlated with sex, being Euro-American, or age. Furthermore, the mean scores of the three diagnostic groups were comparable. Based on the interpretive cutoff score guidelines given in the manual, 24% of the patients were mildly anxious, 22% were moderately anxious, and 18% were severely anxious. The results are discussed as indicating that there is a high prevalence of self-reported anxiety in outpatients who are diagnosed with psychotic disorders.

Problems in differentiating sexually from nonsexually abused adolescent psychiatric inpatients by self-reported anxiety, depression, internalization, and externalization

To ascertain whether self-reported psychopathology differentiated sexually and nonsexually abused adolescents, the Beck Depression Inventory, Beck Anxiety Inventory, and the Achenbach Youth Self-Report were administered to 111 psychiatric inpatients between 13 and 17 years of age who were diagnosed with various psychiatric disorders. Data about 14 background and clinical characteristics that were purported to be associated with sexual abuse were also collected. Forty (67%) of the 60 girls reported sexually abusive experiences, whereas six (12%) of the 51 boys reported such experiences. None of the scales were correlated with sexual abuse in either sex, and a history of physical abuse was the only characteristic that was significantly correlated with sexual abuse for both sexes. Furthermore, none of the scales was correlated with identity of sexual abuser, age of first abuse, age of last abuse, number of abuses, days of abuse, penile insertion, and the reporting of the abuse to the authorities in the sexually abused girls.