Stability of the CORE-OM and the BDI-I prior to therapy: evidence from routine practice

Psychol Psychother. 2007 Jun;80(Pt 2):269-78. doi: 10.1348/147608306X148048.

Abstract

Background: It is important to know the stability of standard outcome measures prior to therapy over differing periods of time that map onto the realities of waiting times in routine service settings.

Method: We studied 1,684 clients who completed one or both the targeted measures Clinical Outcomes in Routine Evaluation-Outcome Measures (CORE-OM) and Beck Depression Inventory-I (BDI-I) two times, at intervals of up to 12 months, prior to beginning psychotherapy. We also selected an additional 1,623 clients who completed the CORE-OM (N=1,623), BDI-I (N=980) or both at referral, but had no records of further contact with the service.

Results: There was little change in the mean CORE-OM or BDI-I scores between referral and clinical assessment. The test-retest correlations showed substantial stability on both measures, declining only moderately at the longer intervals studied.

Conclusion: The high test-retest correlations for periods of up to 6 months suggest that psychological disturbance was both reliably measured by the CORE-OM and the BDI-I, and reasonably stable among clients waiting to be assessed. Implications for routine practice are discussed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Depressive Disorder, Major / diagnosis*
  • Female
  • Humans
  • Male
  • Practice Patterns, Physicians'*
  • Predictive Value of Tests
  • Reproducibility of Results
  • Surveys and Questionnaires*