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An examination of the factor structure of the Beck Depression Inventory-II in a neurorehabilitation inpatient sample

Published online by Cambridge University Press:  01 January 2009

RICHARD J. SIEGERT ,
FRANK H. WALKEY  and
LYNNE TURNER-STOKES
RICHARD J. SIEGERT*
Affiliation:
Department of Palliative Care, Policy and Rehabilitation, King’s College London, London, United Kingdom
FRANK H. WALKEY
Affiliation:
School of Psychology, Victoria University of Wellington, Wellington, New Zealand
LYNNE TURNER-STOKES
Affiliation:
Department of Palliative Care, Policy and Rehabilitation, King’s College London, London, United Kingdom Regional Rehabilitation Unit, Northwick Park Hospital, London, United Kingdom
*
*Correspondence and reprint requests to: Richard J. Siegert, Department of Palliative Care, Policy and Rehabilitation, School of Medicine at Guy’s, King’s College and St Thomas’ Hospitals, King’s College London, Weston Education Centre, 3rd Floor, Cutcombe Road, Denmark Hill, London SE5 9RJ, United Kingdom. E-mail: richard.siegert@kcl.ac.uk
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Abstract

The Beck Depression Inventory-II (BDI-II) is widely used for assessing depression in neurorehabilitation. Given the concern that the somatic items might be misleading, we examined its factor structure in 353 inpatients. Exploratory factor analysis was undertaken to compare two- to five-factor solutions. Confirmatory factor analysis was then used to test the best exploratory solutions for goodness of fit on a subsample. Both provided strong support for a general depression factor and two specific factors, one somatic and one cognitive/affective. The BDI-II provides a meaningful score of overall depression, and it can also yield two subscores—one measuring somatic symptoms and the other measuring psychological symptoms of depression. To avoid confusing the common symptoms of neurological disability with depression in neurorehabilitation, clinicians need to consider all three scores carefully. (JINS, 2009, 15, 142–147.)

Keywords

Beck Depression InventoryBDI-IIDepressionRehabilitationFactor analysis, StatisticalBrain injuries
Type
Brief Communications
Information
Journal of the International Neuropsychological Society , Volume 15 , Issue 1 , January 2009 , pp. 142 - 147
Copyright
Copyright © INS 2009

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