Psychometric evaluation of the Beck Depression Inventory-II with primary care medical patients

Health Psychol. 2001 Mar;20(2):112-9. doi: 10.1037//0278-6133.20.2.112.


This study evaluated the psychometric characteristics of the Beck Depression Inventory-II (BDI-II; A. T. Beck, R. A. Steer, & G. K. Brown, 1996) in a primary care medical setting. A principal-components analysis with Promax rotation indicated the presence of 2 correlated factors, Somatic-Affective and Cognitive, which explained 53.5% of the variance. A hierarchical, second-order analysis indicated that all items tap into a second-order construct of depression. Evidence for convergent validity was provided by predicted relationships with subscales from the Short-Form General Health Survey (SF-20; A. L. Stewart, R. D. Hayes, & J. E. Ware, 1988). A receiver operating characteristic analysis demonstrated criterion-related validity: BDI-II scores predicted a diagnosis of major depressive disorder (MDD), as determined by the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Health Questionnaire (PHQ). This study demonstrated that the BDI-II yields reliable, internally consistent, and valid scores in a primary care medical setting, suggesting that use of the BDI-II in this setting may improve detection and treatment of depression in these medical patients.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Depressive Disorder / diagnosis*
  • Female
  • Humans
  • Male
  • Mass Screening
  • Middle Aged
  • Primary Health Care*
  • Psychiatric Status Rating Scales / standards*
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Psychometrics
  • Sensitivity and Specificity