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Depression is usually a response to life events such as relationship issues, financial problems, physical illness, bereavement, etc. Some people can become depressed for no obvious reason and their suffering is just as real as those reacting from life events. Psychological makeup can also play a role in vulnerability to depression.
The BDI is a clinically based, 21-item, self-rated symptom scale for adults in determining whether or not they are experiencing depression and/or depressive symptoms. [1] Though the BDI was already being used in assessing adults with depression, there was a need for the development of a similar test for children and youth.
Some depression rating scales are completed by patients. The Beck Depression Inventory, for example, is a 21-question self-report inventory that covers symptoms such as irritability, fatigue, weight loss, lack of interest in sex, and feelings of guilt, hopelessness or fear of being punished. [11]
When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is compared to a key to determine the depression's severity. The standard cut-off scores were as follows: [7] 0–9: indicates minimal depression; 10–18: indicates mild depression; 19–29: indicates moderate depression; 30–63: indicates severe ...
DASS, the Depression Anxiety Stress Scales, [1] is made up of 42 self-report items to be completed over five to ten minutes, each reflecting a negative emotional symptom. [2] Each of these is rated on a four-point Likert scale of frequency or severity of the participants' experiences over the last week to emphasize states over traits.
The patient is rated by a clinician on 17 to 29 items (depending on version) scored either on a 3-point or 5-point Likert-type scale. For the 17-item version, a score of 0–7 is considered to be normal while a score of 20 or higher (indicating at least moderate severity) is usually required for entry into a clinical trial. [11]
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