WK5Assgn_MurilloH

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Walden University *

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Psychology

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Jan 9, 2024

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Administering Assessments: Beck Depression Inventory Second Edition (BDI-II) Student name: Hannah Murillo Client name: Jennifer Why does your client need an assessment? For what construct or presenting issue? Jennifer is a 37-year-old woman who is newly divorced and struggling with depression. Jennifer states that since her husband left three months ago, her ability to care for herself has decreased. Jennifer explained that she has been struggling with eating, getting out of bed, focusing on work, and managing her hygiene. She has explained that she has lost 20 pounds due to her eating habits since her divorce. Jennifer explained that her employees have noticed a change in her behavior and that work no longer brings her as much happiness as it once did. Suggested Assessment The Beck Depression Inventory Second Edition (BDI II) Author & Assessment Publisher Aaron T. Beck Pearson Assessments Cost of Test BDI-2 Complete Kit (Print) - $174.10 BDI-2 Q-global Starter Kit (Digital) - $111.40 BDI-2 Response Sheets Qty 25 (Print) - $75.60 BDI-2 Q-global Interpretive Administration/Report Qty 1 (Digital) - $3.50 Date of Publication 1961-1996 Age Range for Assessment Ages 13 and over. Length of Time to Administer 5-10 minutes. Description of Test Items The test includes a 21-item question format that assesses various symptoms of depression based on a 0-3 scale. Each question has an answer choice structure ranging from absent (0) to severe (3). The original version of the BDI had questions concerning body image changes, work difficulty, somatic preoccupation, and weight loss. New topics such as agitation, worthlessness, concentration difficulty, and energy loss have replaced previous topics. Following the DSM-IV,
questions concerning appetite have been added to the assessment. The original BDI was assessed based on one week, whereas BDI-II was assessed over two weeks. (Plake & Impara, 2001). How are the items answered? The items are answered using a scale from 0 to 4. The client is asked to reflect on the last two weeks of their life. The client will be presented with a statement in which they will answer based on how prevalent the experience is to their life. If a patient expresses that more than one statement within a group applies to their experience, they are encouraged to circle the statement to which they relate the most. How are the items scored, and what do the raw scores mean? Once a client has completed all 21 items, the items are totaled by summing weights based on the 21 items provided. The test administrators then provide empirically informed cut scores derived from the receiver operating characteristic curve methodology also known as ROC. (Plake & Impara, 2001). The cut scores are used to measure the intensity of depression based on the response from patients who have a diagnosed episode of significant depression. (Plake & Impara, 2001). What subscales are present? The BDI-II assessment focuses primarily on mood symptoms and their intensity. Scaling can be divided into two subscales: affective symptoms (8 items) and somatic symptoms (13 items). Cut- off scores are available to classify the degree of said mood intensity. (Homaifar et al., 2009). Reliability Test reliability was analyzed over a one-week timeframe among a subsample of 26 outpatients from one clinic site (r = .93) (Plake & Impara, 2001). No significant change was reported concerning scores between two testing occasions; this is different from previous testing with college students, as seen in earlier BDI versions. Internal consistency was used to measure reliability using corrected item-total correlations (ranges: .39 to .70 for outpatients; .27 to .74 for students). Item option characteristic curves have been examined for each of the 21 items. Most BDI-II items have been proven to display monotonic relationships with the underlying symptoms associated with depression severity. (Plake & Impara, 2001). Validity Validity was measured with various subsamples collected from outpatient assessments. The correlation between BDI-II and BDI-IA was high (n = 101, r = .93), suggesting that measures produce similar pattern scores, although BDI-II produced equated scores three points higher. (Plake & Impara, 2001).
Norming Methods A study was conducted using data from 15,233 college students ranging from 17 different universities. The student's data was weighted to match the gender and race/ethnicity of enrollment in degree-granting institutions. (Richarsdon & Whisman, 2015). Limitations An aspect of assessing and treating depression that poses a challenge at times is the reliance on self-reporting. (Hunt et al., 2003). Due to the reliance on self-reporting, under-reporting has become an issue concerning assessing for depression. A study was conducted in 2003 at the University of Pennsylvania, where researchers gathered 238 participants, both women and men, from various backgrounds within the community. Each participant was given a pack that contained either a "Depression Inventory" or "Life Stress Inventory," where they were asked to complete questions. The study's primary outcome was that masking the purpose of the inventory led to greater enforcement of symptoms by both men and women despite background. (Hunt et al., 2003). Reasoning This assessment would work well for Jennifer in providing insight into the intensity of her symptoms. Jennifer has expressed awareness of how her symptoms impact her life; she also has expressed a desire to "get back" to how she once was. Using the BDI-II assessment data, a counselor will have information that can inform care. For example, suppose Jennifer was to show higher scores concerning feelings of worthlessness. In that case, her counselor may take that opportunity to work on self-generated homework with the client to explore the steps Jennifer can take to build her confidence. Benefits to Client Taking the BDI-II assessment will benefit Jennifer in a multitude of ways, such as providing data that reflects the intensity of her symptoms, the opportunity to build skills to lower the intensity of symptoms, the ability to reflect on her divorce and the impact it has had on her mental health, are just a few examples. Jennifer has displayed that she understands how her symptoms are tied to her divorce and that she is aware of how her divorce has negatively impacted her. By taking the BDI-II, Jennifer will have the opportunity to learn more about her symptoms and how she may be able to decrease their intensity.
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References Arbisi, P. A., & Farmer, R. F. (2001). Beck Depression Inventory Second Edition. The Fourteenth Mental Measurements Yearbook. National Institute of Neurological Disorders and Stroke (n.d.). Report Viewer . NINDS Common Data Elements. https://www.commondataelements.ninds.nih.gov/report- viewer/25193/Beck%20Depression%20Inventory%20II%20(BDI- II)#:~:text=BDI%2DII%20assesses%20presence%20and,somatic%20symptoms%20(13 %20items ). Homaifar BY, Brenner LA, Gutierrez PM, Harwood JF, Thompson C, Filley CM, Kelly JP, Adler LE. Sensitivity and specificity of the Beck Depression Inventory-II in persons with traumatic brain injury. Arch Phys Med Rehabil. 2009 Apr;90(4):652-6. Whisman MA, Richardson ED. Normative Data on the Beck Depression Inventory--Second Edition (BDI-II) in College Students. J Clin Psychol. 2015 Sep;71(9):898-907. doi: 10.1002/jclp.22188. Epub 2015 May 7. PMID: 25950150. Hunt, M., Auriemma, J., & Cashaw, A. C. A. (2003). Self-Report Bias and Underreporting of Depression on the BDI II. JOURNAL OF PERSONALITY ASSESSMENT , 26-30. https://doi.org/80(1 ), 26 30