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Measuring depression in autistic adults : psychometric validation of the Beck Depression Inventory–II

Zachary J. Williams, Jonas Everaert (UGent) and Katherine O. Gotham
(2021) ASSESSMENT. 28(3). p.858-876
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Abstract
Depressive disorders are common in autistic adults, but few studies have examined the extent to which common depression questionnaires are psychometrically appropriate for use in this population. Using item response theory, this study examined the psychometric properties of the Beck Depression Inventory–II (BDI-II) in a sample of 947 autistic adults. BDI-II latent trait scores exhibited strong reliability, construct validity, and moderate ability to discriminate between depressed and nondepressed adults on the autism spectrum (area under the receiver operating characteristic curve = 0.796 [0.763, 0.826], sensitivity = 0.820 [0.785, 0.852], specificity = 0.653 [0.601, 0.699]). These results collectively indicate that the BDI-II is a valid measure of depressive symptoms in autistic adults, appropriate for quantifying depression severity in research studies or screening for depressive disorders in clinical settings. A free online score calculator has been created to facilitate the use of BDI-II latent trait scores for clinical and research applications (available at https://asdmeasures.shinyapps.io/bdi_score/ ).
Keywords
Applied Psychology, Clinical Psychology, autism spectrum disorder, depression, psychometric, Beck Depression Inventory-II, item response theory, ITEM RESPONSE THEORY, SPECTRUM DISORDER, ANXIETY DISORDER, SOCIAL ANXIETY, YOUNG-ADULTS, ADOLESCENTS, OUTCOMES, SELF, INDIVIDUALS, PREVALENCE

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MLA
Williams, Zachary J., et al. “Measuring Depression in Autistic Adults : Psychometric Validation of the Beck Depression Inventory–II.” ASSESSMENT, vol. 28, no. 3, 2021, pp. 858–76, doi:10.1177/1073191120952889.
APA
Williams, Z. J., Everaert, J., & Gotham, K. O. (2021). Measuring depression in autistic adults : psychometric validation of the Beck Depression Inventory–II. ASSESSMENT, 28(3), 858–876. https://doi.org/10.1177/1073191120952889
Chicago author-date
Williams, Zachary J., Jonas Everaert, and Katherine O. Gotham. 2021. “Measuring Depression in Autistic Adults : Psychometric Validation of the Beck Depression Inventory–II.” ASSESSMENT 28 (3): 858–76. https://doi.org/10.1177/1073191120952889.
Chicago author-date (all authors)
Williams, Zachary J., Jonas Everaert, and Katherine O. Gotham. 2021. “Measuring Depression in Autistic Adults : Psychometric Validation of the Beck Depression Inventory–II.” ASSESSMENT 28 (3): 858–876. doi:10.1177/1073191120952889.
Vancouver
1.
Williams ZJ, Everaert J, Gotham KO. Measuring depression in autistic adults : psychometric validation of the Beck Depression Inventory–II. ASSESSMENT. 2021;28(3):858–76.
IEEE
[1]
Z. J. Williams, J. Everaert, and K. O. Gotham, “Measuring depression in autistic adults : psychometric validation of the Beck Depression Inventory–II,” ASSESSMENT, vol. 28, no. 3, pp. 858–876, 2021.
@article{8674170,
  abstract     = {{Depressive disorders are common in autistic adults, but few studies have examined the extent to which common depression questionnaires are psychometrically appropriate for use in this population. Using item response theory, this study examined the psychometric properties of the Beck Depression Inventory–II (BDI-II) in a sample of 947 autistic adults. BDI-II latent trait scores exhibited strong reliability, construct validity, and moderate ability to discriminate between depressed and nondepressed adults on the autism spectrum (area under the receiver operating characteristic curve = 0.796 [0.763, 0.826], sensitivity = 0.820 [0.785, 0.852], specificity = 0.653 [0.601, 0.699]). These results collectively indicate that the BDI-II is a valid measure of depressive symptoms in autistic adults, appropriate for quantifying depression severity in research studies or screening for depressive disorders in clinical settings. A free online score calculator has been created to facilitate the use of BDI-II latent trait scores for clinical and research applications (available at https://asdmeasures.shinyapps.io/bdi_score/ ).}},
  articleno    = {{1073191120952889}},
  author       = {{Williams, Zachary J. and Everaert, Jonas and Gotham, Katherine O.}},
  issn         = {{1073-1911}},
  journal      = {{ASSESSMENT}},
  keywords     = {{Applied Psychology,Clinical Psychology,autism spectrum disorder,depression,psychometric,Beck Depression Inventory-II,item response theory,ITEM RESPONSE THEORY,SPECTRUM DISORDER,ANXIETY DISORDER,SOCIAL ANXIETY,YOUNG-ADULTS,ADOLESCENTS,OUTCOMES,SELF,INDIVIDUALS,PREVALENCE}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{1073191120952889:858--1073191120952889:876}},
  title        = {{Measuring depression in autistic adults : psychometric validation of the Beck Depression Inventory–II}},
  url          = {{http://doi.org/10.1177/1073191120952889}},
  volume       = {{28}},
  year         = {{2021}},
}
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