Validation of the Behavioral Health Screen-Depression With Adolescents in Residential Care

The purpose of this study was to (1) examine the psychometric properties of the Behavioral Health Screen Depression Subscale (BHS-DS), including internal consistency, factor structure, convergent and discriminant validity, and (2) identify cut-off scores on the BHS-DS to distinguish patients with de...

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Published in:European journal of psychological assessment : official organ of the European Association of Psychological Assessment 2023-03, Vol.39 (2), p.124-131
Main Authors: Ruan-Iu, Linda, Chod, Douglas, Weissinger, Guy, VanFossen, Catherine, Saionz, Rebecca, Tien, Allen, Diamond, Guy S.
Format: Article
Language:English
Subjects:
Adolescent Psychopathology
Discriminant Validity
Female
Human
Inpatient
Internal Consistency
Major Depression
Male
Psychometrics
Residential Care Institutions
Screening Tests
Severity (Disorders)
Test Validity
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Summary:The purpose of this study was to (1) examine the psychometric properties of the Behavioral Health Screen Depression Subscale (BHS-DS), including internal consistency, factor structure, convergent and discriminant validity, and (2) identify cut-off scores on the BHS-DS to distinguish patients with depression risk and their level of severity among an acute clinical sample of adolescents in residential psychiatric care. Participants included 861 youths ages 10-24 at residential treatment centers who completed a battery of measures, including the BHS-DS and Patient Health Questionnaire (PHQ-9). Factor analysis, bivariate correlation, and Cronbach's α suggested the BHS-DS is a unidimensional scale with evidence of internal consistency reliability and convergent and discriminant validity. Receiver operating characteristic curve analysis identified four clinical cut-off scores (no, mild, moderate, and severe depression risk). Analysis of variance, Cohen's kappa (κ), and Wilcoxon signed-rank test results suggested the four groups differ from each other and that the BHS-DS exhibits moderate agreement with the PHQ-9. The BHS-DS demonstrates good psychometric properties among a sample of residential youth, offering clinicians a good alternative to the PHQ-9 in screening for depression.
ISSN:1015-5759
2151-2426
DOI:10.1027/1015-5759/a000697