Thesis (MA)--University of Stellenbosch, 2006. / Bibliography. Also available via the Internet.

Thesis (MSc)--University of Stellenbosch, 2005. / ENGLISH ABSTRACT: A review of the literature shows the Beck-Depression Inventory (BOl), and its revisions, to have received world-wide support over the past four decades as a screening instrument for depression, proving to be robust amongst various populations and in various translations. Although popular amongst health care practitioners in South Africa, the BOl and its revisions are, however, currently unstandardised amongst South African populations. This current research culminates in the development of a Xhosa translation of the latest revision of the BOl, the BOl-II that accurately reflects the contents of the BOlli, the BOl-Il-X. It is regarded as linguistically and grammatically robust enough to be easily understood by a broad spectrum of Xhosa respondents. The development of the BDI-II-X is discussed, and suggestions regarding future research are given. / AFRIKAANSE OPSOMMING: 'n Oorsig van die literatuur dui aan dat die Beck Depression Inventory (BOl), en sy hersienings, oor die afgelope vier dekades wêreldwye erkenning ontvang het as 'n meetinstrument vir die identifisering van depressie, onder verskeie populasies en in verskeie vertalings. Alhoewel dit populêr onder gesondheidspraktisyne in Suid-Afrika is, bly die BOl, en sy hersienings, huidiglik ongestandardiseerd onder Suid-Afrikaanse populasies. Die navorsing wat aangebied word, word saamgevat in die ontwikkelling van 'n Xhosa vertaling van die nuutste hersiening van die BOl, die BOl-II, wat die inhoud van die BOl-II akkuraat reflekteer, die BOl-li-X. Taalkundig word die BOI-II-X beskou as 'n vertaling wat maklik onder 'n breë spektrum van die Xhosa populasie verstaanbaar is. Die ontwikkelling van die BOI-II-X word bespreek, en aanbevelings rakende toekomstige navorsing word aangebied.

Thesis (M.A.)--University of North Carolina at Wilmington, 2005. / Includes bibliographical references (leaves: [56]-68)

Thesis (Ph. D. (Psychology)) -- University of Limpopo, 2015 / The present study investigated whether the Beck Depression Inventory-II (BDI-II) measures the same construct in exactly the same way across the groups of interest and time in South Africa. The degree to which items or subtests of the BDI-II have equal meaning across qualitatively distinct groups of examinees (e.g., culture and gender) was explored. Measurement Invariance (MI) of the BDI-II across race (blacks and whites), gender and time (two weeks lag) was examined in a sample of university students, from two universities located in diverse geographical regions of South Africa (N = 919). Confirmatory factor analysis (CFA) was used to test the fit of the hypothesized three-factor model established through exploratory factor analysis (EFA), and the results from these analyses indicated that the BDI-II was most adequately represented by a three lower-order factor structure (appropriately named Negative attitude, Performance difficulty and Somatic complaints). Results based on multigroup confirmatory factor analysis (MCFA) (i.e., means and covariance structures [MACS]) indicated that there was factorial invariance for this three lowerorder factor structure across groups and time, suggesting that the BDI-II provides an assessment of severity of depressive symptoms that is equivalent across race, gender and time in university students. Results indicated that MI was established at the level of configural, metric and scalar invariance for race, gender and across time. However, there was some evidence of differential item functioning (DIF) and differential additive response style (ARS) across race, with two noninvariant intercepts (items 5 and 14) and three item intercepts (items 11, 14 and 18) across gender being identified. Additionally, results of latent mean differences were presented to explain group differences. The study concluded with recommendations for future studies.

Depression in adolescents if unrecognized, can interfere with every aspect of the individual’s life, increasing the risk for illness and interpersonal difficulties in the future. Therefore, it is imperative that significant levels of depressive symptoms be recognized, assessed, and treated. The usefulness and psychometric properties of new measures of depression are determined, in part, through comparison with existing measures. The current study investigated the concurrent validity of the Clinical Assessment of Depression (CAD; Bracken & Howell, 2004) with the Beck Depression Inventory-Second Edition (BDI-II; Beck, Steer, & Brown, 1996) for an adolescent population. The sample for this investigation consisted of 23 adolescents (13-18 years) with a primary diagnosis of unipolar depression and 98 adolescents that did not have a clinical diagnosis. Correlation coefficients were large and statistically significant between the CAD and BDI-II, ranging from .97 to .66. The CAD was able to distinguish between clinical and non-referred groups on the basis of mean group scores. Using the BDI-II classification as the criterion, a contingency table was computed and a classification consistency of 82% for the total sample was found. Findings of the current study indicate that the CAD appears to have adequate validity to support its use with adolescents.

The majority of adolescents diagnosed with Major Depressive Disorder (MDD) and admitted to a psychiatric hospital in Gauteng complained of being tired of 1'talk therapy" . This study used imagery as a technique in the treatment of two adolescents suffering from MDD. The initial identification was based on the results of the Beck Depression Inventory (BDI). After a number of sessions of implementing imagery techniques, the BDI was readministered. To determine the long-term effectiveness of imagery, the BDI was again administered a month-and-a-half after completion of the sessions. The results before and after indicate a reduction in the severity of depression. The results at the month-and-a-half follow-up session indicated a further reduction in the level of depression in both cases. This indicates the long-tenn effectiveness of imagery in treating depression. Further research is required, but there are significant indications that imagery may be an effective technique in the treatment of depressed adolescents under psychiatric supervision. / Educational studies / M.Ed (Guidance and Counseling)

Thesis (MA (Psychology))--University of Stellenbosch, 2006. / Within the medical models, postpartum depression is constructed as a mental illness, that women are predisposed to during the postpartum period because of the biological and physiological changes that occur before, during and after childbirth. The present study aimed to determine whether childbirth increases the risk of developing depressive symptomatology in the first six months after delivery. The objective of the study was to examine the concept of postpartum depression by analyzing the difference in depressive symptom rates between 41 postpartum women and 254 male and female (who had not given birth in the previous six months) community members residing in a semi-rural area of South Africa. This objective was reached by using a cross-sectional survey research design. The Beck Depression Inventory (BDI) was used to elicit the quantitative data. Several independent t-tests were conducted to determine the following (i) whether low-income women three months postpartum had higher BDI scores in comparison to a combined gendered community sample, and (ii) whether low-income women six months postpartum had higher BDI scores in comparison to a combined gendered community sample. The results indicated that the postpartum women did not experience elevated rates of depressive symptoms at three months or at six months in comparison to the community sample. Men in the 2003 community sample displayed significantly higher levels of depressive symptoms than the sixmonth postpartum women. These findings do not support the assumption that childbirth predisposes women to psychological vulnerability during the postpartum period.

The Beck Depression Inventory (BDI) is a popular screening and research instrument for measuring severity of depression. The instrument was translated to Portuguese for use in Brazil in 1979; however, it was not until recently that its psychometric properties have been tested empirically for the Brazilian population. The purpose of the present study was to explore the BDI's psychometric properties in a northern region of Brazil and to test for possible relationships between certain demographic variables and BDI outcomes. Samples used in this study were from an urban area in Roraima, the northernmost state of Brazil. The BDI showed adequate levels of internal consistency in nonclinical and clinical samples. Female respondents had significantly higher scores than male respondents. Those who had lower levels of education, income, or occupational status had significantly higher scores than those with higher levels of these variables. Adolescents had significantly higher scores than adults from all age groups except those from age 19 to 22. No significant difference was found between those who identified themselves as “indigenous” and those who identified themselves as “non-indigenous.” Regression analysis results showed that the combination of gender, education, and age best accounted for the variance in BDI scores. An ANCOVA revealed that clinically depressed adults had significantly higher BDI scores than nonclinically depressed adults. Factor analysis results showed that there were two main factors in the item structure for both female respondents and male and female respondents combined: one factor of mainly cognitive-affective items and the other factor of mainly somatic items. The results were discussed in terms of the future use of the BDI in Brazil.

The problem of assessment and diagnosis of depression in the elderly begins with the definition of depression being indefinite. In this study, the theory of learned helplessness was chosen because of its value in organizing research within a learning theory framework. The Beck Depression Inventory, measures of fluid and crystallized intellectual ability, locus of control, and attribution of success and failure were chosen as variables for an exploratory factor analysis. The purpose of selecting these variables was to assess the cognitive, motivational, and affective components of learned helplessness as they affected the responses of elderly subjects to depression items. Self report measures of income, education, and health, were included to assess the relationship of these variables to depression. A somatic factor was predicted to correlate with an affective factor of depression.

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2017-04-24T14:36:33Z No. of bitstreams: 1 Clarissa Martins.pdf: 1616707 bytes, checksum: 7d6ba6c5f2c247d0a5ccd351abde1ebe (MD5) / Made available in DSpace on 2017-04-24T14:36:33Z (GMT). No. of bitstreams: 1 Clarissa Martins.pdf: 1616707 bytes, checksum: 7d6ba6c5f2c247d0a5ccd351abde1ebe (MD5) Previous issue date: 2014-10-28 / This dissertation refers to an epidemiological study of screening scales for depression in pregnant adolescents. The main objective of the research was to adjust the cutoff scales for screening for depression, Edinburgh Postnatal Depression Scale (EPDS) and Beck Depression Inventory (BDI), for pregnant teenagers. It is a cross-sectional, population-based study carried out with pregnant adolescents (10-19 years old), which consulted the service prenatal Unified Health System (SUS) of Pelotas. Was carried out from October 2009 to March 2011. The sample was composed based on the SIS-Prenatal program records along the municipal health department and the Basic Health Units, and specialized clinics in the urban area of Pelotas / RS. The women answered a questionnaire with socio demographic and obstetric data, besides the two scales for screening for depression during pregnancy. Also participated in a structured clinical interview Mini International Neuropsychiatric Interview 5.0 (MINI) for the clinical diagnosis of depression. Demographic, obstetric and psychiatric social variables were assessed according to the WHO questionnaire. The accuracy of the scales was calculated by their Area under the curve (AUC) of ROC, as well as their respective sensitivity, specificity and predictive values. The best cutoff (PC) found for this sample was ≥10 EPDS scale, with sensitivity 81.1% and specificity 82.7% and AUC of 0.899. BDI for the best cutoff point was ≥11, sensitivity 81.1%, sensitivity 76.8% and an AUC of 0.869. Since the difference between the two AUC were statistically significant (p = 0, 0215). Based on the results, it is concluded that the EPDS scale has become more predictive and sensitive in screening for depression in pregnant adolescents, with respect to BDI. / A presente dissertação refere-se a um estudo epidemiológico sobre escalas de rastreamento para depressão em gestantes adolescentes. O objetivo principal da pesquisa foi verificar os pontos de corte das escalas para rastreamento da depressão Edinburgh Postnatal Depression Scale (EPDS) e Beck Depression Inventory (BDI), em gestantes adolescentes. Trata-se de um estudo transversal, de base populacional, realizado com gestantes adolescentes (10 a 19 anos de idade), as quais consultaram o serviço de pré-natal do Sistema Único de Saúde (SUS) de Pelotas-RS. Desenvolvido no período de outubro de 2009 a março de 2011. A amostra foi composta com base nos registros do programa SIS-Pré-Natal, junto a secretaria municipal de saúde e nas Unidades Básicas de Saúde, além de ambulatórios especializados na zona urbana de Pelotas/RS. As gestantes responderam a um questionário com dados sócio demográfico e obstétricos, além das duas escalas para o rastreamento da depressão durante a gestação. Também participaram de uma entrevista clínica estruturada Mini Internacional Neuropsychiatric Interview 5.0 (MINI) para o diagnóstico clínico da depressão. As variáveis sócio demográficas, obstétricas e psiquiátricas foram avaliadas nos domínios do questionário da OMS. A precisão das escalas foi calculada através de suas Áreas sob a curva (AUC) de ROC, assim como suas respectivas sensibilidade, especificidade e valores preditivos. O melhor ponto de corte (PC) encontrado para esta amostra na escala EPDS foi ≥10, com sensibilidade 81,1% e especificidade 82,7% e AUC de 0,899. Para a escala BDI o melhor ponto de corte foi ≥11, sensibilidade 81,1%, sensibilidade 76,8% e uma AUC de 0,869. Sendo que a diferença entre as duas AUC mostraram-se estatisticamente significativas (p=0,0215). Com base nos resultados, conclui-se que a escala EPDS apresenta-se mais preditiva e sensível no rastreamento para depressão em gestantes adolescentes, quando contrastada com a escala BDI.