Utility of Bender-Gestalt Test-II for Differential Diagnosis of Major Depressive patients, Brain damaged and Normal Subjects

Forough al_Sadat Bozorgpour, Changiz Rahimi, Norolah Mohamadi


The current study was performed with the aim of investigating the diagnostic utility of Bender-Gestalt Test-II (BDT-II) in two groups of patients with major depression and brain-damage, and to compare them with normal individuals. This was a causal-comparative study. Major depressive patients (n=30), brain-damaged patients (n=30) and normal subjects (n=30) were compared using BDT-II in copying, recall, motor, and perceptual phases. Data was analyzed via one-way variance and Kruskal-Wallis test approaches. The patients with depression and brain-damaged patients were not significantly different in none of the phases, however, the normal individuals had significantly better performances in all the three phases. The results indicated that BGT-II could differentiate the patients groups from normal subjects however its differential diagnostic power between the patient groups was weak. In addition, it was found that among the four subscales of BGT-II, recall, motor and perceptual phases had the highest power, while the copying subscale had the lowest power for differentiating different groups. This test is not able to rule out organic brain pathology from psychiatric patients, but it could differentiate brain damaged and psychiatric patients with severe symptoms from normal subjects.


Differential Diagnosis, Bender-Gestalt Test-II, Major Depression, Brain Damag

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Ackerman PT, Peters JE, Dykman RA. (1971). Children with specific learning disabilities: Bender-Gestalt test findings and other signs. Journal of Learning Disabilities, 4, 437-446.

Alexopoulos GS, Meyers BS, Young RC, Kakuma T, Silbersweig D, Charlson M. (1997). Clinically defined vascular depression. Am J Psychiatry, 154(4), 562-5.

Bahramian A, Hadianfard H, Mohamadi N, Rahimi C. (2013). Standardization of Bender-Gestalt II in Children Aged Between 4 and 11 Years in Shiraz. Training Measurement, 4(11), 165-188.

Bender L. (1938). A visual-motor Gestalt test and its clinical use. American Orthopsychiatric Association Monograph Series Number 3. NY: American Orthopsychiatric Association.

Brannigan GG, Brunner NA. (2002). Guide to the qualitative scoring system for the Modified Version of the Bender-Gestalt Test. Springfield, IL: Charles C Thomas Publisher.

Brannigan GG, Decker SL. (2006). The Bender-Gestalt II. American Journal of Orthopsychiaty, 76, 1, 10-12.

Cavedini P, Ferri S, Scarone S, Bellodi L. (1998). Frontal lobe dysfunction in obsessive-compulsive disorder and major depression: a clinical-neuropsychological study. Psychiatry Res, 78, 21-28.

Dadsetan P. (1996). Psychopathology transformation: from childhood to adulthood (Second Press). Tehran: SAMT.

Eno L, Deichmann J. (1980). A review of the Bender-Gestalt test as a screening instrument for brain damage with school-aged children of normal intelligence since 1970. The Journal of Special Education, 14, 37-45.

Eysenck MW. (2001). Psychology. Taylor and Francis Inc.

Frodl T, Schaub A, Banac S, Charypar M, Jager M, Kummler P, et al. (2006). Reduced hippocampal volume correlates with executive dysfunctioning in major depression. J Psychiatry Neurosci, 31, 316-323.

Groth-Marnat G, Wright AJ. (2016). Handbook of Psychological Assessment, 6th Edition. Chicago :Wiley.

Hain JD. (1964). The Bender Gestalt Test: A scoring method for identifying brain damage. Journal of Consulting Psychology, 28(1), 34-40.

Hamid N, Ghaffari M. (2009). Examining performances of brain-damaged patients in Bender-Gestalt visual-motor Test in comparison to MRI images of their minds with normal individuals. Journal of Medical Science, 8 (2), 185-190.

Ibrahim pour M. (2008). Examining and comparing brain damages in children with autism and Asperger. M.A Thesis of Psychology of Exceptional Children, Allame Tabatabayi University.

Marley ML. (1982). Organic brain pathology and the Bender Gestalt Test: A differential diagnostic scoring system. New York: Grune & Stratton.

McCarthy J, Rabinowitz D, Habib M, Goldman H, Miley D, Stefanyshyn HY, Freeman S, Murray T, Clauselle R. (2002). Bender Gestalt Recall as a measure of short-term visual memory in children and adolescents with psychotic and other severe disorders. Percept Mot Skills, 95(3 Pt 2), 1233-8.

Moazemi D. (2000). Introduction to Neuropsychology. Tehran: SAMT.

Mohammadi pour BM. (1995). Examining validity and reliability of Bender-Gestalt Test in for diagnosing male schizophrenic patients hospitalized in hospitals of Mashhad city. M.A Thesis of Psychometrics.

Monkul ES, Hatch JP, Nicoletti MA, Spence S, Brambilla P, Lacerda ALT, Sassi RB, Mallinger AG, Keshavan MS and Soares JC. (2007). Fronto-limbic brain structures in suicidal and non-suicidal female patients with major depressive disorder. Molecular Psychiatry, 12, 360–366. doi:10.1038/sj.mp.4001919.

Prakash A. (2010). Bender-Gestalt Test Correlates of Prognosis in Unipolar Depression (Brief Communication) (Clinical Report). Internet Journal of Medical Update, 5(2):34-37.

Radaellia D, Sferrazza Papaa G, Vaia B, Polettia S, Smeraldia E, Colomboa C, Benedettia F. (2015). Fronto-limbic disconnection in bipolar disorder. European Psychiatry, 30(1), 82–88.

Radi M. (1994). Examining performances of elementary students of Najaf Abad city on Bender-Gestalt Test and comparing then with that of the American students. M.A Thesis of Psychology of Exceptional Children. Allame Tabatabayi University.

Rahimi C. (2000). Neuropsychological Disorders and Clinical Symptoms in Schizophrenic and Depressive Patients. Thesis, Osnabrueck University, Osnabbrueck, Germany.

Saravani MR. (1994). Examining validity and reliability of Bender-Gestalt Test for diagnosing brain damage and comparing it with E.E.G results. M.A Thesis of Psychometrics. Allame Tabatabyi University.

Seif Allahi M. (1978). Differential diagnosis of Epilepsy by Bender-Gestalt Test. M. A Thesis of Clinical Psychology. Tehran University.

Sheikhi S. (2007) Clinical use of Bender-Gestalt Test in brain lesions diagnosis and its comparison with Magnetic Resonance Imaging (MRI). Journal of Urmia Nursing and Midwifery Faculty, 5(1), 15–21.

Sheikhi S. (2007). Clinical application if Bender-Gestalt Test in screening brain damages and comparing them with MRI results. Journal of School of Nursing and Midwifery of Orumiye, 5 (1). 14-12.

Tirgari, AH. (2000). Bender-Gestalt Test: normalization of adults’ performances by Lex scoring system. Journal of Medical Science University of Mazandaran, 10 (26), 38-44.

Tizdast T. (1995). Comparing the drawing pattern of normal individuals and brain-damaged patients based on the location of damage in each of the brain lobes in Bender-Gestalt Test. M.A Thesis in Clinical Psychology. Islamic Azad University, Roodhen Branch.

Wagner EE, Murray AY. (1969). Bender-Gestalt of organic children: Accuracy of clinical judgments. Journal of projective techniques and personality Assessment, 33, 240-242.

Wertheimer M. (1923). Untersuchungen zur Lehre von der Gestalt, II. [Investigations in Gestalt Theory: II. Laws of organization in perceptual forms]. Psychologische Forschung, 4, 301–350.

Yousefi, F. (1990). Validation of visual-motor Bender-Gestalt test in elementary schools of Shiraz city. M.A thesis in Educational Psychology. Shiraz University.


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