Abstract
Background
Among adolescents, depressive symptoms commonly co-occur with social anxiety, with social anxiety often developmentally preceding depressive symptoms. Thus, evidence-based assessments of adolescent social anxiety should be augmented with assessments of depressive symptoms using measures that can be administered across developmental transitions (e.g., adolescence into adulthood).
Objective
The widely used self-report measure, Beck Depression Inventory-II (BDI-II), was designed to assess depressive symptoms among adolescents and adults. Yet, scarce work exists on the psychometric properties of BDI-II self-reports among adolescents, and we know of no prior study that tested the properties of BDI-II parent reports.
Method
We examined the BDI-II within a mixed clinical/community sample of 89 adolescents and their parents, who each provided BDI-II reports about the adolescent. Further, adolescents completed self-reports and parents provided reports of adolescents on measures of adolescent trait social anxiety and other associated features of adolescent depressive symptoms (e.g., parent–adolescent conflict; attention-deficit/hyperactivity disorder symptoms). Adolescents self-reported their state arousal within a 20-min mock social interaction period.
Results
Parent–adolescent dyads displayed low-to-moderate correspondence between their BDI-II reports. Further, adolescents’ and parents’ BDI-II reports related to measures of associated features of adolescent depressive symptoms, and established cut scores on the BDI-II significantly distinguished adolescents on these same features. Adolescents’ BDI-II reports predicted adolescents’ self-reported arousal within social interactions and distinguished adolescents on referral status.
Conclusions
Adolescents and parents can provide psychometrically sound reports on the BDI-II. These findings have important implications for evidence-based assessments of adolescent depressive symptoms, when clinically assessing adolescent social anxiety.
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References
Aalto-Setälä, T., Marttunen, M., Tuulio-Henriksson, A., Poikolainen, K., & Lönnqvist, J. (2002). Depressive symptoms in adolescence as predictors of early adulthood depressive disorders and maladjustment. American Journal of Psychiatry, 159, 1235–1237. doi:10.1176/appi.ajp.159.7.1235.
Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213–232. doi:10.1037/0033-2909.101.2.213.
Adams, R., & Laursen, B. (2001). The organization and dynamics of adolescent conflict with parents and friends. Journal of Marriage and Family, 63, 97–110. doi:10.1111/j.1741-3737.2001.00097.x.
Alfano, C. A., & Beidel, D. C. (2011). Social anxiety in adolescents and young adults: Translating developmental science into practice. Washington, DC: American Psychological Association. doi:10.1037/12315-000.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-V) (5th ed.). Washington, DC: American Psychiatric Association.
Augenstein, T. M., Thomas, S. A., Ehrlich, K. B., Daruwala, S. E., Reyes, S. M., Chrabaszcz, J. S., et al. (2016). Comparing multi-informant assessment measures of parental monitoring and their links with adolescent delinquent behavior. Parenting: Science and Practice, 16, 164–186. doi:10.1080/15295192.2016.1158600.
Barkley, R. A., Anastopoulos, A. D., Guevremont, D. C., & Fletcher, K. E. (1992). Adolescents with attention deficit hyperactivity disorder: Mother-adolescent interactions, family beliefs and conflicts, and maternal psychopathology. Journal of Abnormal Child Psychology, 20, 263–288. doi:10.1007/BF00916692.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory—Second Edition manual. San Antonio, TX: The Psychological Corporation.
Beidel, D. C., Rao, P. A., Scharfstein, L., Wong, N., & Alfano, C. A. (2010). Social skills and social phobia: An investigation of DSM-IV subtypes. Behaviour Research and Therapy, 48, 992–1001. doi:10.1016/j.brat.2010.06.005.
Beidel, D. C., Turner, S. M., & Morris, T. L. (1995). A new inventory to assess childhood social anxiety and phobia: The Social Phobia and Anxiety Inventory for Children. Psychological Assessment, 7, 73–79. doi:10.1037/1040-3590.7.1.73.
Beidel, D. C., Turner, S. M., & Morris, T. L. (2000b). Behavioral treatment of childhood social phobia. Journal of Consulting and Clinical Psychology, 68, 1072–1080. doi:10.1037//0022-006X.68.6.1072.
Beidel, D. S., Turner, S. M., Hamlin, K., & Morris, T. L. (2000a). The Social Phobia and Anxiety Inventory for Children (SPAI-C): External and discriminative validity. Behavior Therapy, 31, 75–87. doi:10.1016/S0005-7894(00)80005-2.
Bögels, S. M., Alden, L., Beidel, D. C., Clark, L. A., Pine, D. S., Stein, M. B., et al. (2010). Social anxiety disorder: Questions and answers for the DSM-V. Depression and Anxiety, 27, 168–189. doi:10.1002/da.20670.
Byrne, B. M., Stewart, S. M., & Lee, P. W. H. (2004). Validating the Beck Depression Inventory-II for Hong Kong community adolescents. International Journal of Testing, 4, 199–216. doi:10.1207/s15327574ijt0403_1.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Mahwah, NJ: Erlbaum.
Curran, J. P. (1982). A procedure for the assessment of social skills: The Simulated Social Interaction Test. In J. P. Curran & P. M. Monti (Eds.), Social skills training: A practical handbook for assessment and treatment (pp. 348–373). New York, NY: Guilford.
De Los Reyes, A., Aldao, A., Thomas, S. A., Daruwala, S. E., Swan, A. J., Van Wie, M., et al. (2012a). Adolescent self-reports of social anxiety: Can they disagree with objective psychophysiological measures and still be valid? Journal of Psychopathology and Behavioral Assessment, 34, 308–322. doi:10.1007/s10862-012-9289-2.
De Los Reyes, A., Alfano, C. A., & Beidel, D. C. (2010). The relations among measurements of informant discrepancies within a multisite trial of treatments for childhood social phobia. Journal of Abnormal Child Psychology, 38, 395–404. doi:10.1007/s10802-009-9373-6.
De Los Reyes, A., Alfano, C. A., & Beidel, D. C. (2011). Are clinicians’ assessments of improvements in children’s functioning “global”? Journal of Clinical Child and Adolescent Psychology, 40, 281–294. doi:10.1080/15374416.2011.546043.
De Los Reyes, A., Augenstein, T. M., Wang, M., Thomas, S. A., Drabick, D. A. G., Burgers, D., et al. (2015). The validity of the multi-informant approach to assessing child and adolescent mental health. Psychological Bulletin, 141, 858–900. doi:10.1037/a0038498.
De Los Reyes, A., & Ohannessian, C. M. (2016). Introduction to the special issue: Discrepancies in adolescent–parent perceptions of the family and adolescent adjustment. Journal of Youth and Adolescence, 45, 1957–1972. doi:10.1007/s10964-016-0533-z.
De Los Reyes, A., Salas, S., Menzer, M. M., & Daruwala, S. E. (2013a). Criterion validity of interpreting scores from multi-informant statistical interactions as measures of informant discrepancies in psychological assessments of children and adolescents. Psychological Assessment, 25, 509–519. doi:10.1037/a0032081.
De Los Reyes, A., Thomas, S. A., Goodman, K. L., & Kundey, S. M. A. (2013b). Principles underlying the use of multiple informants’ reports. Annual Review of Clinical Psychology, 9, 123–149. doi:10.1146/annurev-clinpsy-050212-185617.
De Los Reyes, A., Thomas, S. A., Swan, A. J., Ehrlich, K. B., Reynolds, E. K., Suarez, L., et al. (2012b). “It depends on what you mean by ‘disagree’”: Differences between parent and child perceptions of parent–child conflict. Journal of Psychopathology and Behavioral Assessment, 34, 293–307. doi:10.1007/s10862-012-9288-3.
Dozois, D. J., Dobson, K. S., & Ahnberg, J. L. (1998). A psychometric evaluation of the Beck Depression Inventory-II. Psychological Assessment, 10, 83–89. doi:10.1037/1040-3590.10.2.83.
Drabick, D. A. G., & Kendall, P. C. (2010). Developmental psychopathology and the diagnosis of mental health problems among youth. Clinical Psychology: Science and Practice, 17, 272–280. doi:10.1111/j.1468-2850.2010.01219.x.
Ehrlich, K. B., Cassidy, J., & Dykas, M. J. (2011). Reporter discrepancies among parents, adolescents, and peers: Adolescent attachment and informant depressive symptoms as explanatory factors. Child Development, 82, 999–1012. doi:10.1111/j.1467-8624.2010.01530.x.
Epkins, C. C., & Heckler, D. R. (2011). Integrating etiological models of social anxiety and depression in youth: Evidence for a cumulative interpersonal risk model. Clinical Child and Family Psychology Review, 14, 329–376. doi:10.1007/s10567-011-0101-8.
Fuligni, A. J. (1998). Authority, autonomy, and parent–adolescent conflict and cohesion: A study of adolescents from Mexican, Chinese, Filipino, and European backgrounds. Developmental Psychology, 34, 782–792. doi:10.1037/0012-1649.34.4.782.
Grant, B. F., Hasin, D. S., Blanco, C., Stinson, F. S., Chou, S. P., Goldstein, R. B., et al. (2005). The epidemiology of social anxiety disorder in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. The Journal of Clinical Psychiatry, 66, 1351–1361. doi:10.4088/JCP.v66n1102.
Hanley, J. A., Negassa, A., Edwardes, M. D., & Forrester, J. E. (2003). Statistical analysis of correlated data using generalized estimating equations: An orientation. American Journal of Epidemiology, 157, 364–375. doi:10.1093/aje/kwf215.
Hunsley, J., & Mash, E. J. (2007). Evidence-based assessment. Annual Review of Clinical Psychology, 3, 29–51. doi:10.1146/annurev.clinpsy.3.022806.091419.
Kazdin, A. E. (2003). Research design in clinical psychology (4th ed.). Boston: Allyn & Bacon.
Kessler, R. C., Adler, L. A., Gruber, M. J., Sarawate, C. A., Spencer, T., & van Brunt, D. L. (2007). Validity of the World Health Organization Adult ADHD Self-Report Scale (ASRS) screener in a representative sample of health plan members. International Journal of Methods in Psychiatric Research, 16, 52–65. doi:10.1002/mpr.208.
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602. doi:10.1001/archpsyc.62.6.593.
Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H. U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21, 169–184. doi:10.1002/mpr.1359.
Klein, D. N., Dougherty, L. R., & Olino, T. M. (2005). Toward guidelines for evidence-based assessment of depression in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 412–432. doi:10.1207/s15374424jccp3403_3.
Kraemer, H. C., Measelle, J. R., Ablow, J. C., Essex, M. J., Boyce, W. T., & Kupfer, D. J. (2003). A new approach to integrating data from multiple informants in psychiatric assessment and research: Mixing and matching contexts and perspectives. American Journal of Psychiatry, 160, 1566–1577. doi:10.1176/appi.ajp.160.9.1566.
Lang, P. J. (1980). Behavioral treatment and bio-behavioral assessment: Computer applications. In J. B. Sidowski, J. H. Johnson, & T. A. Williams (Eds.), Technology in mental health care delivery systems (pp. 119–137). Norwood, NJ: Ablex.
Lipton, M. F., Augenstein, T. M., Weeks, J. W., & De Los Reyes, A. (2014). A multi-informant approach to assessing fear of positive evaluation in socially anxious adolescents. Journal of Child and Family Studies, 23, 1247–1257. doi:10.1007/s10826-013-9785-3.
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York, NY: McGraw-Hill.
Osman, A., Barrios, F. X., Gutierrez, P. M., Williams, J. E., & Bailey, J. (2008). Psychometric properties of the Beck Depression Inventory-II in nonclinical adolescent samples. Journal of Clinical Psychology, 64, 83–102. doi:10.1002/jclp.20433.
Pelham, W. E., Jr., Fabiano, G. A., & Massetti, G. M. (2005). Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 449–476. doi:10.1207/s15374424jccp3403_5.
Pine, D. S., Cohen, P., Brook, J., Gurley, D., & Ma, Y. (1998). Anxiety and depression in adolescence as predictors of anxiety and depression in adulthood. Archives of General Psychiatry, 55, 56–66.
Pine, D. S., Cohen, E., Cohen, P., & Brook, J. (1999). Adolescent depressive symptoms as predictors of adult depression: Moodiness or mood disorder? American Journal of Psychiatry, 156, 133–135. doi:10.1176/ajp.156.1.133.
Prinz, R. J., Foster, S. L., Kent, R. N., & O’Leary, K. D. (1979). Multivariate assessment of conflict in distressed and nondistressed mother–adolescent dyads. Journal of Applied Behavior Analysis, 12, 691–700. doi:10.1901/jaba.1979.12-691.
Rice, F., Harold, G. T., Shelton, K. H., & Thapar, A. (2006). Family conflicts interacts with genetic liability in predicting childhood and adolescent depression. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 841–848. doi:10.1097/01.chi.0000219834.08602.44.
Roza, S. J., Hofstra, M. B., van der Ende, J., & Verhulst, F. C. (2003). Stable prediction of mood and anxiety disorders based on behavioral and emotional problems in childhood: A 14- year follow-up during childhood, adolescence, and young adulthood. American Journal of Psychiatry, 160, 2116–2121. doi:10.1176/appi.ajp.160.12.2116.
Sheeber, L., Hops, H., Alpert, A., Davis, B., & Andrews, J. (1997). Family support and conflict: Prospective relations to adolescent depression. Journal of Abnormal Child Psychology, 25, 333–344. doi:10.1023/A:1025768504415.
Silverman, W. K., & Ollendick, T. H. (2005). Evidence-based assessment of anxiety and its disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 380–411. doi:10.1207/s15374424jccp3403_2.
Smetana, J. G. (2008). “It’s 10 o’clock: Do you know where your children are?” Recent advances in understanding parental monitoring and adolescents’ information management. Child Development Perspectives, 2, 19–25. doi:10.1111/j.1750-8606.2008.00036.x.
Smetana, J., & Gaines, C. (1999). Adolescent–parent conflict in middle-class African American families. Child Development, 70, 1447–1463. doi:10.1111/1467-8624.00105.
Steer, R. A., Kumar, G., Ranieri, W. F., & Beck, A. T. (1998). Use of the Beck Depression Inventory-II with adolescent psychiatric outpatients. Journal of Psychopathology and Behavioral Assessment, 20, 127–137. doi:10.1023/A:1023091529735.
Stein, M. B., Fuetsch, M., Mu¨ller, N., Ho¨fler, M., Lieb, R., & Wittchen, H. (2001). Social anxiety disorder and the risk of depression: A prospective community study of adolescents and young adults. Archives of General Psychiatry, 58, 251–256. doi:10.1001/archpsyc.58.3.251.
Steinberg, L. (1987). Impact of puberty on family relations: Effects of pubertal status and pubertal timing. Developmental Psychology, 23, 451–460. doi:10.1037/0012-1649.23.3.451.
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston: Allyn and Bacon.
Thomas, S. A., Daruwala, S. E., Goepel, K. A., & De Los Reyes, A. (2012). Using the Subtle Avoidance Frequency Examination in adolescent social anxiety assessments. Child and Youth Care Forum, 41, 547–559. doi:10.1007/s10566-012-9181-y.
Treutler, C. M., & Epkins, C. C. (2003). Are discrepancies among child, mother, and father reports on children’s behavior related to parents’ psychological symptoms and aspects of parent–child relationships? Journal of Abnormal Child Psychology, 31, 13–27. doi:10.1023/A:1021765114434.
Tse, W. S., & Bond, A. J. (2004). The impact of depression on social skills: A review. Journal of Nervous and Mental Disease, 192, 260–268. doi:10.1097/01.nmd.0000120884.60002.2b.
Turner, S. M., Beidel, D. C., Cooley, M. R., Woody, S., & Messer, S. C. (1994). A multicomponent behavioral treatment for social phobia: Social Effectiveness Therapy. Behavior Research and Therapy, 32, 381–390. doi:10.1016/0005-7967(94)90001-9.
U.S. Census Bureau. (2015). State and county quickfacts: Washington, DC. Retrieved from http://www.census.gov/quickfacts/table/PST045215/11,00.
VanVoorhis, C. R. W., & Blumentritt, T. L. (2007). Psychometric properties of the Beck Depression Inventory-II in a clinically-identified sample of Mexican American adolescents. Journal of Child and Family Studies, 16, 789–798. doi:10.1007/s10826-006-9125-y.
Whalen, C. K., Henker, B., Jamner, L. D., Ishikawa, S. S., Floro, J. N., Swindle, R., et al. (2006). Toward mapping daily challenges of living with ADHD: Maternal and child perspectives using electronic diaries. Journal of Abnormal Child Psychology, 34, 115–130. doi:10.1007/s10802-005-9008-5.
Youngstrom, E. A. (2013). Future directions in psychological assessment: Combining evidence-based medicine innovations with psychology’s historical strengths to enhance utility. Journal of Clinical Child and Adolescent Psychology, 42, 139–159. doi:10.1080/15374416.2012.736358.
Acknowledgements
This work was supported, in part, by an internal grant from the University of Maryland at College Park (College of Behavioral and Social Sciences Dean’s Research Initiative-Summer Scholars Program) awarded to the first and last authors.
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Rausch, E., Racz, S.J., Augenstein, T.M. et al. A Multi-Informant Approach to Measuring Depressive Symptoms in Clinical Assessments of Adolescent Social Anxiety Using the Beck Depression Inventory-II: Convergent, Incremental, and Criterion-Related Validity. Child Youth Care Forum 46, 661–683 (2017). https://doi.org/10.1007/s10566-017-9403-4
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DOI: https://doi.org/10.1007/s10566-017-9403-4