The Beck Depression Inventory-II (BDI-II) is used within the Veterans Health Administration (VHA) to measure depression symptom severity. This naturalistic study aimed to examine VHA-specific BDI-II use and establish normative data and psychometric properties. Initial BDI-II data for 152,260 individual veterans were extracted from preexisting medical records using the VA Informatics and Computing Infrastructure. BDI-II scores were compared against Beck, Steer, and Brown (1996)'s original sample, as well as across veteran subgroups. Exploratory and confirmatory factor analyses were also conducted. Similar to Beck et al.'s (1996) sample, the BDI-II was most frequently administered in outpatient psychiatric VHA settings, although it was also used in inpatient and medical settings. Veterans scored significantly higher on the BDI-II than the original comparison groups. This was true across diagnostic categories. The largest discrepancy was seen between nondepressed veterans and corresponding patients from the original sample (Cohen's d = 1.34). Older veterans endorsed less severe levels of depression symptomatology. Additionally, a 2-factor model similar to Beck et al.'s (1996) original solution provided the best fit to the data. Veterans reported higher levels of somatic-affective symptoms than cognitive symptoms. Although potentially useful, the BDI-II requires further investigation in veterans. Standard cut scores are not recommended for use in this population when evaluating severity of depression. A cut score of 27 or higher best differentiated between veterans with and without mood disorders in the current sample. Treatment providers should also consider using BDI-II factor scores, rather than the total score, to measure depressive symptom change. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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退伍军人贝克抑郁量表II（BDI-II）的初步回顾：是否需要新的规范并降低分数？

退伍军人卫生管理局（VHA）使用贝克抑郁量表II（BDI-II）来测量抑郁症症状的严重程度。这项自然主义的研究旨在检查特定于VHA的BDI-II的使用，并建立规范性数据和心理计量学特性。使用VA信息学和计算机基础设施从先前存在的医疗记录中提取了152,260名退伍军人的原始BDI-II数据。将BDI-II得分与Beck，Steer和Brown（1996）的原始样本以及所有退伍军人亚组进行比较。还进行了探索性和验证性因素分析。与Beck等人（1996）的样本相似，BDI-II最常用于门诊精神病患者VHA场所，尽管它也用于住院和医疗场所。退伍军人在BDI-II上的得分显着高于原始对照组。在所有诊断类别中都是如此。未抑郁的退伍军人与来自原始样本的相应患者之间的差异最大（Cohen d = 1.34）。老年退伍军人认可抑郁症状的程度较轻。另外，类似于Beck等人（1996）原始解决方案的2因子模型提供了最适合数据的模型。退伍军人报告的躯体情感症状水平高于认知症状。尽管BDI-II可能有用，但需要对退伍军人进行进一步调查。在评估抑郁症的严重程度时，不建议在该人群中使用标准切割分数。在当前样本中，有或没有情绪障碍的退伍军人的最高割伤分数是27分或更高。治疗提供者还应考虑使用BDI-II因子评分而非总评分来衡量抑郁症状的改变。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。