The underlying structure of the Beck Depression Inventory II: A multidimensional scaling approach

The purpose of the present study was to confirm Beck's six symptom categorization of depression through the most recent version of Beck Depression Inventory (BDI-II) by employing a confirmatory multidimensional scaling (MDS). This analysis indicates two independent dimensions in the BDI-II. The disturbance domain dimension relates to the domains wherein the disturbances occur, and validates Beck's six symptom categorization dividing the items into disturbances in basic need-satisfaction, energy regulation, focused attention, regulation of emotion, motivation, and cognitive distortion in self-evaluation. The level of arousal dimension relates to how the disturbances are expressed, namely in an under-active, regular, or over-active manifestation. The MDS solution suggests 18 (6 × 3) symptom areas of depression, and may serve as a guide for constructing additional items.