Abstract:
BACKGROUND:The purpose of the current study was to examine the factorial dimensions underlying Beck Depression Inventory-II (BDI-II) in a large ethnically and economically diverse sample of postpartum women and to assess their relative contribution in differentiating clinical diagnoses in a subsample of depressed women. METHODS:We administered the BDI-II to 953 women between 4 and 20 weeks postpartum. Women who had low (1-7) and high (>12) BDI-II total scores were administered the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I). RESULTS:Exploratory (EFA) and confirmatory factor analysis (CFA) revealed three factors, Cognitive, Somatic, and Affective, that accounted for 49.09% of the overall variance of items. Logistic regression analyses showed that somatic and affective factors contributed to diagnosis of major depression, while the somatic factor alone contributed to the diagnosis of depression with comorbid anxiety. The cognitive factor differentiated women with major depression from women who were never depressed. LIMITATIONS:Our definition of clinical depression included episodes of depression during the child's lifetime, and depressive symptoms were not necessarily current at the time of the assessment, which may impact the relative contribution of BDI-II factors to clinical diagnosis. CONCLUSION:Conceptualizing the structure of the BDI-II using these three factors could contribute to refining the measurement and scoring of depressive symptomatology and severity in postpartum women. Although somatic symptoms of depression may be difficult to differentiate from the physiological changes of normative postpartum adjustment, our results support the inclusion of somatic symptoms of depression in the calculation of a BDI-II total score.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Manian N,Schmidt E,Bornstein MH,Martinez Pdoi
10.1016/j.jad.2013.01.039subject
Has Abstractpub_date
2013-07-01 00:00:00pages
259-68issue
1-3eissn
0165-0327issn
1573-2517pii
S0165-0327(13)00094-3journal_volume
149pub_type
杂志文章abstract:OBJECTIVE:To explore the association between major depressive episodes (MDE) and subsequent mortality in a representative sample of the general household population, with adjustment for other determinants of mortality. METHOD:The analysis used four datasets from the Canadian Community Health Survey (CCHS); the CCHS 1....
journal_title:Journal of affective disorders
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The aim of this naturalistic study was to compare the effectiveness of quetiapine and classical mood stabilizers, as mono- or combination therapy, in the long-term treatment of Bipolar Disorder (BD). METHODS:232 DSM-IV BD I (n=91) or BD II (n=141) patients, treated and followed up for four years, were studi...
journal_title:Journal of affective disorders
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pub_type: 评论,杂志文章
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journal_title:Journal of affective disorders
pub_type: 杂志文章
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更新日期:2020-11-01 00:00:00
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