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Beck Depression Test

The Beck Depression Test, is used by psychologist, psychiatrists and other mental health works to determine if a potential client is truly depressed and if so, their severity level. It's a written multiple choice test. It was developed over 35 years ago by Aaron T. Beck, M.D., and has gone through several revisions.

Beck Depression test
Dr. Beck is University Professor of Psychiatry at the University of Pennsylvania. He's a research psychiatrist renowned for his research and development of Cognitive Behavior Therapy (CBT) and the view that depression and most mood or emotional disorders should be treated for distorted thought patterns. This was a radically different viewpoint from the prevailing Freudian one that depression stems from deep, unconscious or suppressed hostility toward oneself. Beck came up with 3 areas to look at in thought patterns. They are the clients thoughts about the world, about the future, about themselves.

    The 3 thought areas represented by the following statements
  • I am less interested in other people or things than I was before.
  • I feel my future is hopeless and will only get worse.
  • I feel like an utter failure.

Even though the Beck Depression Test or Beck Depression Inventory (BDI-II) is based on the cognitive, or thought based viewpoint as the cause of depression, it is designed to closely match the official diagnostic requirements of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-IV-TR , a handbook that mental health professionals use to diagnose mental disorders). In other words it focuses on the symptoms, not the cause of depression. Its accuracy has been extensively tested.

The Beck Depression Inventory now consists of 21 questions designed to test symptoms in 3 areas: Physical, Emotional, Thoughts, Behavioral. The questions are actually groups of statements that the client marks as most closely describes their life in the previous 2 weeks. The statements touch on things such as hopelessness, guilt, fatigue, concentration

Beck Depression test
The Beck Depression test is 'graded' on a scale to determine one of 4 levels of severity: none; mild; moderate; severe. It should be administered and graded by a trained professional. Dr. Beck himself warns users of his test not to base diagnoses on the test alone. Because of the physical aspects tested, illness can greatly skew the results. Also the client can under report or over report his symptoms depending on how he is feeling at the time of the test.

To show the whole test here would be a violation of copyright laws. But I can show an excerpt with appropriate credit:

1. Sadness

  • 0 I do not feel sad.
  • 1 I feel sad much of the time.
  • 2 I am sad all the time.
  • 3 I am so sad or unhappy that I can't stand it.
    Copyright © 1996 Aaron T. Beck

    A short version of the Beck Depression Test ( BDI-PC) is designed for primary care physicians. It contains only 7 of the 21 questions and is considered independent of physical concerns. The primary care physician is expected to rule out physical factors outside of the Beck Depression test.

    While I've never taken the Beck Depression test myself, I can definitely see where it would be helpful for a therapist in quickly finding the degree and problem areas of a patient.

    Let me know what you think about this article by submitting a Comment. I'll post appropriate comments. Maybe your comment will help someone else.

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