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The utility of the Beck Depression Inventory in a bariatric surgery population.

Publication ,  Journal Article
Krukowski, RA; Friedman, KE; Applegate, KL
Published in: Obes Surg
April 2010

BACKGROUND: The Beck Depression Inventory (BDI) is commonly used in bariatric surgery psychological assessments. However, several items may be measuring physical consequences of obesity (e.g., sleep disturbance, chronic pain, or sexual dysfunction) rather than depressive symptoms. METHODS: Bariatric surgery candidates (n = 210) completed a series of assessments including the BDI, a chronic pain assessment, and a semistructured clinical interview. Total BDI scores, subscale scores, and endorsement patterns of somatic versus cognitive-affective items were examined based on (1) the presence or absence of a depressive diagnosis or (2) the presence or absence of chronic pain, and optimal cut points were determined. RESULTS: Both the total BDI and cognitive-affective subscale had good discriminating accuracy between participants with and without depression, with an optimal cut point of 12 for the BDI and 7 for the cognitive-affective subscale. Bariatric surgery candidates with chronic pain had significantly higher mean total scores on the BDI (M = 12.5 +/- 7.5) than those without chronic pain (M = 9.02 +/- 6.7; p < 0.01), and those with chronic pain were significantly more likely to endorse many of the physical items than those without chronic pain. CONCLUSIONS: The BDI, with or without the somatic items, appears to be a reasonable screening measure for depressive symptoms among bariatric surgery candidates and the subpopulation of those with chronic pain, although future investigations may wish to examine whether other measures would have improved discrimination accuracy.

Duke Scholars

Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

April 2010

Volume

20

Issue

4

Start / End Page

426 / 431

Location

United States

Related Subject Headings

  • Surgery
  • Psychometrics
  • Psychiatric Status Rating Scales
  • Pain Measurement
  • Obesity, Morbid
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depression
 

Citation

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Krukowski, R. A., Friedman, K. E., & Applegate, K. L. (2010). The utility of the Beck Depression Inventory in a bariatric surgery population. Obes Surg, 20(4), 426–431. https://doi.org/10.1007/s11695-008-9717-2
Krukowski, Rebecca A., Kelli E. Friedman, and Katherine L. Applegate. “The utility of the Beck Depression Inventory in a bariatric surgery population.Obes Surg 20, no. 4 (April 2010): 426–31. https://doi.org/10.1007/s11695-008-9717-2.
Krukowski RA, Friedman KE, Applegate KL. The utility of the Beck Depression Inventory in a bariatric surgery population. Obes Surg. 2010 Apr;20(4):426–31.
Krukowski, Rebecca A., et al. “The utility of the Beck Depression Inventory in a bariatric surgery population.Obes Surg, vol. 20, no. 4, Apr. 2010, pp. 426–31. Pubmed, doi:10.1007/s11695-008-9717-2.
Krukowski RA, Friedman KE, Applegate KL. The utility of the Beck Depression Inventory in a bariatric surgery population. Obes Surg. 2010 Apr;20(4):426–431.
Journal cover image

Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

April 2010

Volume

20

Issue

4

Start / End Page

426 / 431

Location

United States

Related Subject Headings

  • Surgery
  • Psychometrics
  • Psychiatric Status Rating Scales
  • Pain Measurement
  • Obesity, Morbid
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depression