Cross-cultural comparison of depressive symptoms on the Beck Depression Inventory-II, across six population samples
Background The Beck Depression Inventory (BDI) and BDI-II (revised version) are some of the most widely used and comparable self-report scales for assessing the presence and severity of depressive symptoms in many countries. However, although the relative mean score of each symptom in different coun...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-03-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472422000138/type/journal_article |
| _version_ | 1811156908269109248 |
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| author | Marjo Seppänen Tiina Lankila Juha Auvinen Jouko Miettunen Raija Korpelainen Markku Timonen |
| author_facet | Marjo Seppänen Tiina Lankila Juha Auvinen Jouko Miettunen Raija Korpelainen Markku Timonen |
| author_sort | Marjo Seppänen |
| collection | DOAJ |
| description | Background
The Beck Depression Inventory (BDI) and BDI-II (revised version) are some of the most widely used and comparable self-report scales for assessing the presence and severity of depressive symptoms in many countries. However, although the relative mean score of each symptom in different countries may vary, the cultural differences of BDI-II symptoms for each item have not been previously studied.
Aims
To examine the overall picture of the magnitude of the symptoms in the Finnish population, and compare the relative mean score of each symptom between all published population-based samples from different countries fulfilling the search criteria.
Method
We conducted a search for population-based studies reporting BDI-II item, using Scopus, PsycINFO and PubMed, and five population-based samples were identified. Relative average scores for each item of the scale were calculated for the Finnish population and five populations from other countries. Meta-regression methods were used to test the differences in the relative score of each symptom between each country separately, and results were then visually compared with spider charts.
Results
We found significant differences in several BDI-II item scores between countries: lower indecisiveness, higher changes in sleep pattern and higher irritability in Finland; higher loss of pleasure in Norway; higher loss of interest in the Dominic Republic; higher self-criticalness and feelings of punishment in Mexico; and higher sadness in Japan.
Conclusions
Based on the study fundings and including all currently published population-based samples with BDI-II scores, cultural differences in depressive symptoms should be considered when interpreting BDI-II item scores.
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| first_indexed | 2024-04-10T04:57:55Z |
| format | Article |
| id | doaj.art-4b86924e733a4e82a25188a93b592084 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:57:55Z |
| publishDate | 2022-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-4b86924e733a4e82a25188a93b5920842023-03-09T12:29:19ZengCambridge University PressBJPsych Open2056-47242022-03-01810.1192/bjo.2022.13Cross-cultural comparison of depressive symptoms on the Beck Depression Inventory-II, across six population samplesMarjo Seppänen0https://orcid.org/0000-0001-7631-4143Tiina Lankila1Juha Auvinen2Jouko Miettunen3https://orcid.org/0000-0003-0575-2669Raija Korpelainen4Markku Timonen5Geography Research Unit, University of Oulu, Finland; Center for Life Course Health Research, University of Oulu, Finland; and Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation, FinlandGeography Research Unit, University of Oulu, Finland; and Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation, FinlandCenter for Life Course Health Research, University of Oulu, Finland; and Medical Research Center, Oulu University Hospital and University of Oulu, FinlandCenter for Life Course Health Research, University of Oulu, Finland; and Medical Research Center, Oulu University Hospital and University of Oulu, FinlandCenter for Life Course Health Research, University of Oulu, Finland; Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation, Finland; and Medical Research Center, Oulu University Hospital and University of Oulu, FinlandCenter for Life Course Health Research, University of Oulu, Finland; and Unit of General Practice, Oulu University Hospital, FinlandBackground The Beck Depression Inventory (BDI) and BDI-II (revised version) are some of the most widely used and comparable self-report scales for assessing the presence and severity of depressive symptoms in many countries. However, although the relative mean score of each symptom in different countries may vary, the cultural differences of BDI-II symptoms for each item have not been previously studied. Aims To examine the overall picture of the magnitude of the symptoms in the Finnish population, and compare the relative mean score of each symptom between all published population-based samples from different countries fulfilling the search criteria. Method We conducted a search for population-based studies reporting BDI-II item, using Scopus, PsycINFO and PubMed, and five population-based samples were identified. Relative average scores for each item of the scale were calculated for the Finnish population and five populations from other countries. Meta-regression methods were used to test the differences in the relative score of each symptom between each country separately, and results were then visually compared with spider charts. Results We found significant differences in several BDI-II item scores between countries: lower indecisiveness, higher changes in sleep pattern and higher irritability in Finland; higher loss of pleasure in Norway; higher loss of interest in the Dominic Republic; higher self-criticalness and feelings of punishment in Mexico; and higher sadness in Japan. Conclusions Based on the study fundings and including all currently published population-based samples with BDI-II scores, cultural differences in depressive symptoms should be considered when interpreting BDI-II item scores. https://www.cambridge.org/core/product/identifier/S2056472422000138/type/journal_articleDepressive disordersepidemiologyrating scalestranscultural psychiatrystatistical methodology |
| spellingShingle | Marjo Seppänen Tiina Lankila Juha Auvinen Jouko Miettunen Raija Korpelainen Markku Timonen Cross-cultural comparison of depressive symptoms on the Beck Depression Inventory-II, across six population samples BJPsych Open Depressive disorders epidemiology rating scales transcultural psychiatry statistical methodology |
| title | Cross-cultural comparison of depressive symptoms on the Beck Depression Inventory-II, across six population samples |
| title_full | Cross-cultural comparison of depressive symptoms on the Beck Depression Inventory-II, across six population samples |
| title_fullStr | Cross-cultural comparison of depressive symptoms on the Beck Depression Inventory-II, across six population samples |
| title_full_unstemmed | Cross-cultural comparison of depressive symptoms on the Beck Depression Inventory-II, across six population samples |
| title_short | Cross-cultural comparison of depressive symptoms on the Beck Depression Inventory-II, across six population samples |
| title_sort | cross cultural comparison of depressive symptoms on the beck depression inventory ii across six population samples |
| topic | Depressive disorders epidemiology rating scales transcultural psychiatry statistical methodology |
| url | https://www.cambridge.org/core/product/identifier/S2056472422000138/type/journal_article |
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