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Brief Symptom Inventory (BSI-18)
Transcript of Brief Symptom Inventory (BSI-18)
Age Range: 18 years and older
Population(s): same as BSI
Time Limit: 4 minutes (18 items, five-point rating scale ranging from 0 [not at all] to 4 [very much])
Three subscales: Somatization, Depression, and Anxiety
"The BSI was reduced to the BSI-18 to decrease the average completion time and to improve its structural validity. According to Derogatis, the structural validity has improved because the reduced scale is composed of only three dimensions (see above) which together are more homogenous than other dimensions from previous instruments, both conceptually and empirically" (Vries & Bruggen, 2011).
page 2 of your handout
What do you see?
A self-report questionnaire that measures general psychological distress.
Author: Leonard R. Derogatis, PhD
Administration: Paper-and-pencil, computer or online administration.
Scoring options: Q-global™ Scoring & Reporting, Q™ Local Software, Mail-in Scoring Service, and Manual Scoring
Languages: English, Spanish, French for Canada
Qualification level: B
Qualification Level: B
What does it mean?
Authorized purchasers of the BSI:
1. A master's degree in psychology, education, occupational therapy, social work, or in a field closely related to the intended use of the assessment, and formal training in the ethical administration, scoring, and interpretation of clinical assessments.
2. Certification by or full active membership in a professional organization (such as ASHA, AOTA, AERA, ACA, AMA, CEC, AEA, AAA, EAA, NAEYC) that requires training and experience in the relevant area of assessment.
3. A degree or license to practice in the healthcare or allied healthcare field.
4. Formal, supervised mental health, speech/language, and/or educational training specific to assessing children, or in infant and child development, and formal training in the ethical administration, scoring, and interpretation of clinical assessments.
Reliability and Validity
Research showed that reliability rated above .7 for the scales. Test-retest reliability was variable (e.g. .68-.91). Strong correlations were also seen with the SCL-90-R.
Concerning validity, high convergence was seen for the dimensions of the BSI with the MMPI scales.
As Christian counselors, what can we glean from this measure? Can we confidently offer the BSI to our clients?
Age Range: 13 years and older
Population(s): clinical and general public; normed for three populations- psychiatric outpatients, non-patient normal subjects, and psychiatric inpatients
Time Limit: 8-10 minutes (53 items, five-point rating scale ranging from 0 [not at all] to 4 [very much])
(distress arising from perceptions of bodily dysfunction),
(thoughts and impulses that are experienced as unremitting and irresistible but are of an unwanted nature),
(feelings of personal inadequacy and inferiority in comparison with others),
(symptoms of dysphoric mood and affect as well as lack of motivation and loss of interest in life),
(nervousness and tension as well as panic attacks and feelings of terror),
(thoughts, feelings or actions that are characteristic of anger),
(persistent fear response to a specific place, object or situation that is irrational),
(disordered thinking characteristic of projective thoughts, hostility, suspiciousness, grandiosity, fear of loss of autonomy, and delusions) and
(withdrawn, isolated, schizoid lifestyle as well as first rank symptoms of schizophrenia such as thought control).
A little history...
Self-reports have been around since WWI
Created as an alternative to the Symptom Checklist (SCL-90-R)
Created in 1975
For the BSI-18, research was conducted on traumatic brain injury patients. The results were as follows:
"The BSI-18 GSI had excellent reliability and validity among inpatients and follow-up participants. Modest reliability estimates may place an upper bound on the validity of the BSI-18 clinical subscales in inpatient TBI populations.
Center for Mental Health Services Research, Washington University. (1982). Brown Projects. Retrieved from CMHSR Measures Collection: http://brownprojects.wustl.edu/CMHSRMeasures/d2.html
Correctional Service of Canada. (2010). An Initial Report on the Results of the Pilot of the Computerized Mental Health Intake Screening System (CoMHISS). Ontario: CoMHISS.
Meachen, S.-J., Hanks, R. A., Millis, S. R., & Rapport, L. J. (2008, May). The Reliability and Validity of the Brief Symptom Inventory-18 in Persons With Traumatic Brain Injury. Archives of Physical and Medical Rehabilitation .
Meijer, R. R., de Vries, R. M., & van Bruggen, V. (2011). An Evaluation of the Brief Symptom Inventory-18 Using Item Response Theory: Which Items Are Most Strongly Related to Psychological Distress? Psychological Assessment , 193-202.
Pearson. (2014). Brief Symptom Inventory. Retrieved from Pearson Clinical Psychology: http://www.pearsonclinical.com/psychology/products/100000450/brief-symptom-inventory-bsi.html
39 years old
3 extramarital affairs
One child through affair, one through adoption
Reason for referral: She sought out Day Seven in order to have a better understanding of herself. She reports feelings of sadness, excessive guilt and shame. Her behaviors within these feelings exhibit maladaptive coping skills, which lead to relational strain. Client states that, “I just want to be happy and healthy.”
The reliability, validity, and utility of the BSI instrument have been tested in more than 400 research studies.
Sample BSI-18 report:
Accessibility of info that that is ordinarily unavailable through other forms of evaluation
Info is derived directly from the from the client who be experiencing psychological distress
Quick and efficient
Assumption that the client will be open and honest in self-report