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Becks theory of depression case study
Becks theory of depression case study
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The first assessment that to be considered for mental health issues is the Beck Depression Inventory II. The revised version of the original BDI consists of 21 questions that access the symptoms and cognitive feelings on a 4-point scale, which is given by the clinician or in written form (Back and Steer, 1993). The BDI II should not take more than 15 minutes and depending on the total score will result in a mild, moderate or severe depression evaluation of the test taker (Back and Steer, 1993). The BDI II is one of the founding assessment tools to monitor the level of depression in individuals. The revised version allows for assessing the changes in sleep and appetite (Erford, Johnson & Bardoshi, 2016). The tool does not suggest any …show more content…
This form of assessment consists of two different approaches. One way is given by the clinician and the other is taken by the individual (Warren, 1994). The RHRSD consists of 17-21 questions, lasting 20 minutes and precise evaluate score scores greater than 20 is considered depressive (Warren, 1994). The assessment asks questions related to anxiety and insomnia, two of which are possible dual diagnosis’s to evaluate in the case of Miguel. (Warren, 1994). A limitation of the assessment tool does not allow for a careful examination of cognitive elements when determining the various levels of depression (Warren, 1994). Furthermore, there is scholarly discussions regarding the assessment accuracy level (Trajković, Starčević, Latas, Leštarević, Ille, Bukumirić & Marinković, 2011). However, Trajković et al., (2011) concluded that reliability of the exam proved itself to be one of the few accurate depression assessment tool to be used by clinicians. Whereas, there is more research needed in the area of race, ethnicity and gender to determine if the RHRSD produces inaccurate results. Providing that Miguel is Mexican-American there does not appear to be any biases with accurate
Measuring depression in different culture is a complicated task, “there is a need for tools for multicultural mental health primary in order to promote communication and improve clinical diagnosis” (Lehti et al, 2009). This results indicated that there is still a need for a tool to accurately measure depression in patients from different countries/cultures. Each culture is unique in its very own, and certain abnormal behavior can only be found in certain culture. For instance, in western society we have the histrionic personality disorder, in which an individual desperately seek out attention, while in Japan, there is a phenomenon called “hikikomori” is an abnormal behavior where a person would go great length to avoid any social contract at any means. This abnormal behavior is similar to the avoidant personality disorder, however hikikomori is more severe. “Hikikomori is used to refer to group of young people who have withdrawn from social life and have had no relationships outside of family for a period in excess of six months.” (Furlong, 2008). The long period of time to be withdrawn from society is quite serious and will have many psychological damage. Another factor that is important when looking at abnormal behavior is the gender. The gender of an individual have play an important role in shaping the diagnosis and the diagnostic feature of these symptoms.
This fifth revision of the Diagnostic and Statistical Manual of Mental Disorders or DSM will be the standard classification of mental disorders (Nauert, 2011). Mental health professionals and other health professionals will use this standard in their diagnoses and researches. The American Psychiatric Association released a draft of proposed changes after a decade of review and revision by the Association. Allen Frances, chairman and editor of DSM IV, and Robert Spitzer, editor of DSM III, expressed objections to the task force conducting the revisions and the proposed revisions. Present chairman is David Kupfer and vice chairman is Darrel Regier (Nauert; Collier, 2010).
The Beck Anxiety Inventory is a 21-item scale that measures the severity of self-reported anxiety in adults and adolescents. The inventory was created by Aaron T. Beck and his colleague, Robert A. Steer, at the Center for Cognitive Therapy, University of Pennsylvania School of Medicine, Department of Psychiatry. The most recent edition was published in 1993 by The Psychological Corporation, Harcourt Brace & Company in San Antonio, TX. The first edition was published in 1988. The 1993 edition recommends different scoring guidelines than previous editions. There is only one form and one manual as part of the Beck Anxiety Inventory (BAI). To purchase the BAI in 2010, the manual and 25 scoring sheets would cost $110.00. This information is from the Pearson Assessments website.
VanVoorhis, C., & Blumentritt, T. (2007). Psychometric Properties of the Beck Depression Inventory-II in a Clinically-Identified Sample of Mexican American Adolescents. Journal of Child & Family Studies, 16(6), 789-798. doi:10.1007/s10826-006-9125-y
Zung, W. W. K., (1965). A self-rating depression scale. Arch. Gen. Psychiatry. 12:63-70.[Duke Univ. Med. Ctr., Dept. Psychiatry, Durham, NC]
Park, Jung M., Angela R. Fertig, and Paul D. Allison. "Physical and Mental Health, Cognitive
The Beck Depression Inventory measures depression criteria as evidenced in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (Flanagan & Henington, 2005). The Beck Anxiety Inventory assesses childhood fears related to health and school (Flanagan & Henington, 2005). The Beck Anger Inventory appraises the individual’s opinion of mistreatment, negative thoughts, and physiological arousal (Flanagan & Henington, 2005). The Beck Disruptive Behavior Inventory measures behaviors and attitudes related to oppositional and defiant behavior (Flanagan & Henington, 2005). This is consistently seen in youth diagnosed with Oppositional Defiant Disorder and Conduct Disorder. Lastly, the Beck Self-Concept Inventory assesses feelings of self-worth and competence (Flanagan & Henington, 2005).
The normative sample was composed of individuals ranging from age 18 to 80, all from different regions and communities in the United States. The representation of ethnicities is slightly skewed; Caucasians are overly represented and Asians and Hispanics are underrepresented. The MMPI-2-RF scores are non-K-corrected due to overwhelming data showing that K correction does not benefit, and at times, weakens the distinction between the norm group and the individuals being tested (Porath, 2012). Interpreting The MMPI-2-RF included a vast amount of information about the reliability data in the MMPI-2-RF. For example, the scores on the Somatic/Cognitive Scales, Internalizing Specific Problems Scales, Externalizing Specific Problems Scales, and Interpersonal Scales amongst others were reliable based on test-retest correlations and internal consistency estimates in clinical studies.
The participants from this study were chosen to be as average as the population can produce, with no history of medical/ or mental health problems,no history
Depression is an equal opportunity disorder, it can affect any group of people with any background, race, gender, or age. Depression is a sneak thief that slips quietly and gradually into people’s lives - robbing them of their time, and their focus. At first, depression may be undetectable, but in the long run a person could become so weighed down that their life may feel empty and meaningless. Contrary to popular belief, not everyone who commits suicide is depressed, but majority of people who commits suicide do so during a severe depressive episode. There are over 300 million people in the world today who suffer from depression. Depression has affected people for a long as records have been kept. It was first called out by the famous Greek philosopher Hippocrates over 2,400 years ago. Hippocrates called it “melancholia”. Many times we think of depression as one disorder alone, when in fact there are many different types of depression. The different types of depression are major depressive disorder, dysthymic disorder, atypical disorder, adjustment disorder, and depressive personality disorder. All types of depression share at least one common symptom. It is commons from the person who suffers from any form of depression to feel an unshakable sadness, anxious, or empty mood. Major depressive disorder also known as unipolar depression or recurrent depressive disorder is the most severe depressive disorder out of all of the depressive in my estimation. Major depressive disorder is a condition in which affects a person’s family, work or school life, sleeping, eating and general health. It is important to emphasize that we can understand the mechanics of this disorder and how it affects people with major depressive disorder.
The Beck Anxiety Inventory was designed by Aaron T. Beck and is self report scale that consists of 21 items. The items are short and straightforward, making it easy to read and comprehend. All items are related to anxiety and describe a symptom of anxiety that is rate on a four point likert scale according to severity. The answers range from 0-3 and the responses range from “not at all” to “severely; I could barely stand it” and all items are added for a total score. The instructions on the test ask for the respondent to “indicate how much you have been bothered by each symptom during the past week, including today, by placing an X in the corresponding space in the column next to each symptom” (Dowd, 2008). The assessment is intended for adolescents and adults and can be administered individually or in a group setting. An additional copy of the inventory test is also available in Spanish. It was originally created from a sample of 810 outpatients of that were predominately affected by mood and anxiety disorders and research on the original development is described as informative and thorough.
Depression is a mental health condition which is widely recognised as one of the most common conditions for which people seek and receive care. There are many specific nursing problems which are encompassed by the medical term “depression” and these include physical, cognitive and behavioural patterns. Successful treatments of depression are psychosocial interventions which aim to identify and challenge a depressed persons pessimistic attitudes and beliefs and which promote an individuals’ participation in rewarding activities in an attempt to reduce any negative behaviours. The aim of this essay is to identify specific nursing problems which are encompassed by the term “depression” and relate these to a patient whom the author had met whilst out on clinical placement who had been given a medical diagnosis of depression. It is also the aim of this essay to discuss different psychosocial interventions and how effective these are in assisting a patient in their road to recovery.
Clinical depression is very common. Over nine million Americans are diagnosed with clinical depression at some point in their lives. Many more people suffer from clinical depression because they do not seek treatment. They may feel that depression is a personal weakness, or try to cope with their symptoms alone. On the other hand, some people are comfortable with admitting their symptoms and seeking help. Such a discrepancy may account for the differences in reported cases of depression between men and women, which indicate that more than twice the numbers of women than men are clinically depressed. According to the numbers of reported cases of depression, 25% of women and 10% of men will have one or more episodes of clinical depression during their lifetimes.
Katon, W., and Sullivan, M. D., (1990) Depression and Chronic Mental Illness. Journal of Clinical Psychiatry, v.51. pgs. 8-19
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.