WK5Assgn_MurilloH

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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).

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