High Beck Depression Inventory 21 scores in adolescents without depression are associated with negative self-image and immature defense style

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Savilahti , E M , Haravuori , H , Rytilä-Manninen , M , Lindberg , N , Kettunen , K & Marttunen , M 2018 , ' High Beck Depression Inventory 21 scores in adolescents without depression are associated with negative self-image and immature defense style ' , Psychiatry Research , vol. 263 , pp. 61-68 . https://doi.org/10.1016/j.psychres.2018.02.040

Title: High Beck Depression Inventory 21 scores in adolescents without depression are associated with negative self-image and immature defense style
Author: Savilahti, Emma M.; Haravuori, Henna; Rytilä-Manninen, Minna; Lindberg, Nina; Kettunen, Kirsi; Marttunen, Mauri
Contributor: University of Helsinki, Department of Psychiatry
University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Nuorisopsykiatria
University of Helsinki, Clinicum
Date: 2018-05
Language: eng
Number of pages: 8
Belongs to series: Psychiatry Research
ISSN: 0165-1781
URI: http://hdl.handle.net/10138/302399
Abstract: Beck Depression Inventory (BDI) is widely used in assessing adolescents' psychological wellbeing, but occasionally the result diverges from diagnostics. Our aim was to identify factors associated with discrepancies between BDI scores and diagnostic assessment in adolescent psychiatric patients and general population. The study comprised 206 inpatients (13-17 years old) and 203 age and gender matched non -referred adolescents. Study subjects filled self-reports on depression symptoms (BDI-21), alcohol use (AUDIT), defense styles (DSQ-40) and self-image (OSIQ-11), and on background information and adverse life events. Diagnostics was based on K-SADS-PL interview, and/or clinical interview and clinical records when available. We compared subjects who scored in BDI-21 either 0-15 points or 16-63 points firstly among subjects without current unipolar depression (n = 284), secondly among those with unipolar depression (n = 105). High BDI-21 scores in subjects without depression diagnosis (n = 48) were associated with female sex, adverse life events, parents' psychiatric problems, higher comorbidity, higher AUDIT scores, worse self-image and more immature defense styles. Low BDI-21 scores among subjects with depression diagnosis (n = 23) were associated with male sex, more positive self-image and less immature defense style. In conclusion, high BDI-21 scores in the absence of depression may reflect a broad range of challenges in an adolescent's psychological development.
Subject: Adolescence
Adverse life events
Defense Style Questionnaire (DSQ)
Offer Self-Image Questionnaire (OSIQ)
Inpatient
Psychiatric self-report
Subthreshold depression
AGE-CHILDREN-PRESENT
AFFECTIVE-DISORDERS
K-SADS
PSYCHOMETRIC PROPERTIES
MAJOR DEPRESSION
MOOD DISORDERS
SYMPTOMS
VALIDITY
SCHIZOPHRENIA
COMORBIDITY
3124 Neurology and psychiatry
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