BDI Test

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Test: Beck Depression Inventory.

Demographics

Age 33 years old

Name H.S

Gender male

Education middle

Siblings 5

Religion Islam

Occupation worker in general store

Marital Status single

Reason for referral

He was suffering from sadness, loss of pleasure, guilt feelings, feelings of worthlessness, irritation
and loneliness, suicidal thoughts and loss of interest. So his family took him to the hospital.
According to him he doesn’t want to live. He has tried for suicide, but he got saved.

Presenting complaints.

Symptoms Duration

Loss of interest in daily routine 1 year

Remain sad 1 year


Difficulty in sleeping 1 year

Feelings of worthlessness 9 months


Don’t want to live 7 months
Worthlessness 4 months

Brief history of client

The client was living a normal life one year ago. He belongs to a middle-class family. He was a
worker in a small general store. His father was also a worker there. He always quarrels with parents
because they were poor. He loved someone but she took benefit of him. He was very happy with
her. He always listens to her and tries to complete her wishes. But she was actually taking her
advantage. She marries to someone else and left him. He was so sad because of breakup and doesn’t
feel interest in anything, he tried to suicide but he got saved. He also left his job. He feels he is a
worthless person. He is poor so she left him. He also feels guilty over this, because if he belongs
to a rich family than she never leaves him. He also feels loss of appetite. He was going to DHQ
hospital for treatment. His family thinks there is a little bit of recovery. Now he is going for work
but taking not so much interest. According to doctor he is suffering depression

Beck Depression Inventory.

Introduction of the test

I will use Beck Depression Inventory (BDI-II). The Beck Depression Inventory-Second Edition
(BDI-II) is a 21-item self-report instrument for measuring the severity of depression in adults and
adolescents aged 13 years and older. This version of the inventory (BDI-II) was developed for the
assessment of symptoms corresponding to criteria for diagnosing depressive disorders listed in the
American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders-Fourth
Edition (DSM-IV; 1994).

Item 1 to 13 assess more physical symptoms that are psychological in nature, while item
14 to 21 assesses more physical symptoms.
Objective to use the test

BDI-II is an assessment of severity of depression in psychiatrically diagnosed adults and


adolescents’ patients aged more than 13 years old. It was developed as an indicator of Prescence
and degree of depressive symptoms consistent with the DSM-IV , not as an instrument for
specifying a clinical diagnosis. The BDI was originally developed to detect, assess, and monitor
changes in depressive symptoms among people in a mental health care setting. It is also used to
detect depressive symptoms in a primary care setting. And the main objective to use this test is to
measure the degree of depression.

Reliability and validity

Criterion validity of the BDI-II is positively correlated with the Hamilton Depression Rating Scale
(r = 0.71) with a high 1-week test-retest reliability r = 0.93 (suggesting robustness against daily
variations in mood) and an internal consistency of α = 91. Mean correlation coefficients of 0.72
and 0.60 have been found between clinical ratings of depression and the BDI for psychiatric and
non-psychiatric populations. High concurrent validities have been also demonstrated. Test
administration

testing environment was sufficiently illuminated. And as he was uneducated I read the statement
aloud so that he can listen it properly. It takes 10 to 15 minutes to complete the test. The client was
sitting at a chair and instructions were given to her. He was so irritated while doing test. He got
bored and tired.

Quantitative analysis

Table 4.1

Table shows the results of obtained score of BDI relative to each item.

Sr.no Symptoms Scores


1. Sadness 3
2. Pessimism 2
4. Loss of pleasure 0
5. Guilt feelings 3
6. Punishment feelings 3
7. Self-dislike 1
8. Self-criticalness 2
9. Suicidal Thoughts 3
10. Crying 2
11. Agitation 3
12. Loss Of interest 2
13. Indeciveness 2
14. Worthlessness 3
15. Loss of energy 1
16. Change in sleeping Pattern 2
17. Irritability 1
18. Change in Appetite 1
19. Concentration difficulty 1
20. Tiredness of fatigue 2
21. Loss of interest in sex 0
TOTAL 39
Table 4.2

Table showing the results of client on BDI

Results

39 0-13 (minimal) Severe depression

Qualitative Analysis

BDI include 21 items using a four-point scale which range from 0 (symptoms not present) 3
(symptoms are present). It has three ranges mild moderate and severe. The client scored 39 which
shows patient is suffering from severe depression.

Conclusion
The client obtained raw scores 39 which indicates that he is suffering from severe
depression.

References

American Psychiatric Association. ( 1980). “Diagnostic and statistical manual of mental disorders
(3rd ed.)”. Washington, DC: Author.
Beck AT, Steer RA, Garbin MG. (1988).” Psychometric properties of the Beck Depression

Inventory”: twenty-five years of evaluation. Clin Psychol Rev;8:77–100.

Beck AT, Steer RA, Brown GK. (1996). “BDI-II: Beck Depression Inventory Manual. 2nd edn”.
San Antonio, TX: Psychological Corporation.
Beck, A. T., & Steer, R. A. (1987). “Manual for the Beck Depression Inventory”. San Antonio,

TX: The Psychological Corporation.

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