The stability of depressive symptoms in college students: An empirical demonstration of regression to the mean

Abstract

In a recent paper, Vredenburg, Flett, and Krames (1993) hypothesized that the apparent instability of depressive symptom scores in college students may be due, in part, to the phenomenon known as statistical regression to the mean. This statistical principle was demonstrated in the current study. A sample of 183 university students completed the Beck Depression Inventory (BDI) at two timepoints separated by a 3-month interval. Consistent with past results, analyses revealed substantial changes in symptom scores over time with decrements being evident among many subjects with elevated symptom scores at Time 1. Examination of the amount of change over time in BDI scores indicated a pattern of findings that approximated the regression to the mean phenomenon. Statistical tests confirmed that regression to the mean accounted for a significant amount of the change in symptom scores over time. The implications of these findings are discussed in terms of the nature of depressive symptoms in students and the inappropriateness of assigning subjects to depressed or nondepressed groups on the basis of elevated scores on a self-report measure.