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Obesity Surgery
Published in: Obesity Surgery 4/2010

01-04-2010 | Clinical Research

Confirmatory Factor Analysis of the Beck Depression Inventory in Obese Individuals Seeking Surgery

Authors: Melissa J. Hayden, John B. Dixon, Maureen E. Dixon, Paul E. O’Brien

Published in: Obesity Surgery | Issue 4/2010

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Abstract

Background

The Beck Depression Inventory (BDI) is frequently employed as measure of depression in studies of obesity. The aim of the study was to assess the factorial structure of the BDI in obese patients prior to bariatric surgery.

Methods

Confirmatory factor analysis was conducted on the current published factor analyses of the BDI. Three published models were initially analysed with two additional modified models subsequently included. A sample of 285 patients presenting for Lap-Band® surgery was used.

Results

The published bariatric model by Munoz et al. was not an adequate fit to the data. The general model by Shafer et al. was a good fit to the data but had substantial limitations. The weight loss item did not significantly load on any factor in either model. A modified Shafer model and a proposed model were tested, and both were found to be a good fit to the data with minimal differences between the two. A proposed model, in which two items, weight loss and appetite, were omitted, was suggested to be the better model with good reliability.

Conclusions

The previously published factor analysis in bariatric candidates by Munoz et al. was a poor fit to the data, and use of this factor structure should be seriously reconsidered within the obese population. The hypothesised model was the best fit to the data. The findings of the study suggest that the existing published models are not adequate for investigating depression in obese patients seeking surgery.
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Metadata
Title
Confirmatory Factor Analysis of the Beck Depression Inventory in Obese Individuals Seeking Surgery
Authors
Melissa J. Hayden
John B. Dixon
Maureen E. Dixon
Paul E. O’Brien
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 4/2010
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-009-9977-5

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