Beck Anxiety Inventory
Beck Anxiety Inventory
Background
- developed by Aaron T. Beck and Robert A. Steer in 1988
- published a revised manual in 1993 after some changes in terms of scoring were made
- the test was also translated in Spanish
Purpose
- to assess a person’s anxiety level based on rating of symptoms given in 21 item assessment
- designed for adult population, or 17 years old and above
- also assesses a broad range of emotional, physical, cognitive, and behavioral symptoms but not depression
Validity
- the BAI was moderately correlated with the revised Hamilton Anxiety Rating Scale (0.51)
- mildly correlated with the Hamilton Depression Rating Scale (0.25)
What is BAI?
- 21-item multiple choice self-report inventory that measures the severity of anxiety in adults and adolescents during the past week
- uses a Likert scale that ranges from 0 to 3
- requires only basic reading skills
- each item presents a simple description that corresponds to an anxiety symptom which can be * subjective (unable to relax) * neurophysiologic (numbness) * autonomic (feeling hot) * panic-related (losing control)
- Psychometric Properties * psychometrically sound * high internal consistency score (Cronbach’s alpha) = 0.92-0.94 * acceptable test-retest reliability score = 0.75
Test Administration
- the test takes about 5 to 10 minutes to answer
- utilizes self-administration -- answered using a pre-printed copy of the test and pen
- administered by a trained professional -- orally for sight impaired individuals
Scoring and Interpretation
- manual scoring of Q-Global scoring (Pearson’s web-based platform for test administration)
- items scored on 4-point scale ranging from 0-3: * “not at all” = 0 point * “mildly; it did not bother me much” = 1 point * “moderately; it was unpleasant, but I could stand it” = 2 points * “severely; I could barely stand it” = 3 points
- Report interpretation of scores * clinician examine specific items to determine whether the symptom is subjective, neurophysiologic, autonomic, panic-related * can be further assessed during DSM criteria to identify specific diagnostic category and plan interventions
- Total score = sum of ratings of 21 items
- Maximum total score = 63 * 0-21 = low anxiety * 22-35 = moderate anxiety * >36 = severe anxiety
Clinical and Research Uses
- can be used * to assess and establish baseline anxiety level * as a diagnostic aid to detect the effectiveness of treatment as it progress * as a post-treatment outcome measure
- fast and easy administration, repeatability, discrimination between symptoms of anxiety and depression
- ability to highlight the connection between mind and body for those seeking help to reduce their anxiety
- proven validity across languages, cultures, and age ranges
- has been adapted specifically for youth -- BAI-Y; useful for preventing threats to physical and psychological safety of the youth
\