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\Pain and Sadness...\ Factor Analysis of the Beck Depression Inventory for Patients with Sickle Cell Disease: A Cross-Cultural Analysis
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\Pain and Sadness...\ Factor Analysis of the Beck Depression Inventory for Patients with Sickle Cell Disease: A Cross-Cultural Analysis
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Dissertation
\Pain and Sadness...\ Factor Analysis of the Beck Depression Inventory for Patients with Sickle Cell Disease: A Cross-Cultural Analysis
2020
Overview
The Beck Depression Inventory (BDI) is one of the most widely used tools in assessing depression, however only a handful have looked at the BDI as it pertains to those suffering from chronic pain. Previous studies have shown a two-factor structure with the first factor being affect and the second somatic. Data were collected from a sample of 54 patients with sickle cell disease (27 men and women) from the Duke Pain Center, and a sample of 143 patients with sickle cell disease (69 men and 74 women) from a Jamaica Medical Center in the West Indies to assess indices of multi-dimension pain, demographics, and other health related inventories including the BDI. Exploratory and confirmatory factor analysis were conducted on the BDI from both samples. Results indicate that BDI has a two-factor solution but interestingly, the structure is reversed with somatic concerns being most prevalent and affect as a secondary component. These findings suggest that the somatic nature of the pain experience of SCD patients is constant and has been present indefinitely. This should allow the traditional treatment models that emphasize “fix the body” then “deal with the feelings” to be very effective, but in fact this is not true. Alternative strategies for treating patients with SCD and depression need to be further explored.
Publisher
ProQuest Dissertations & Theses
Subject
ISBN
9798516954900
