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Erschienen in: AIDS and Behavior 8/2012

01.11.2012 | Original Paper

Sensitivity and Specificity of a Visual Depression Screening Instrument Among HIV-Positive Individuals in Uganda, an Area with Low Literacy

verfasst von: Dickens Akena, John Joska, Seggane Musisi, Dan J. Stein

Erschienen in: AIDS and Behavior | Ausgabe 8/2012

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Abstract

Given the high prevalence of depression in PHC, the use of depression screening instruments has often been recommended. The aim of this study was to construct and validate a visual depression screening instrument in a setting of low literacy and a high burden of HIV/AIDS. We engaged the help of a fine artist to draw pictures depicting DSM-IV-TR criteria for a depressive episode. We then validated this instrument named the Akena’s visual depression inventory (AVIDI), in 92 persons living with HIV/AIDS in Uganda. The performance of the AVIDI in those with high and low education levels was determined. The area under curve (AUC) score of the AVIDI was 0.82. There was no difference between the AUC scores in persons with lower versus higher education levels. The AVIDI demonstrated a good psychometric property and can therefore be used to screen for depression in settings with higher rates of illiteracy.
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Literatur
1.
Zurück zum Zitat Organization WH. HIV/AIDS and mental health: WHO;2008. Organization WH. HIV/AIDS and mental health: WHO;2008.
2.
Zurück zum Zitat Ministry of Health of Uganda. Preliminary Results of the Uganda HIV/AIDS Sero-Behavioural Survey (UHSBS). Kampala: Ministry of Health; 2005. Ministry of Health of Uganda. Preliminary Results of the Uganda HIV/AIDS Sero-Behavioural Survey (UHSBS). Kampala: Ministry of Health; 2005.
3.
Zurück zum Zitat Olatunji BO, Mimiaga MJ, O’Cleirigh C, Safren SA. Review of treatment studies of depression in HIV. International AIDS Society-USA Topics in HIV Medicine, Review-Depression and HIV. 2006;14(3):112–24. Olatunji BO, Mimiaga MJ, O’Cleirigh C, Safren SA. Review of treatment studies of depression in HIV. International AIDS Society-USA Topics in HIV Medicine, Review-Depression and HIV. 2006;14(3):112–24.
4.
Zurück zum Zitat Jeffrey A, Roberts JE. Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry. 2001;158:725–30.CrossRef Jeffrey A, Roberts JE. Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry. 2001;158:725–30.CrossRef
5.
Zurück zum Zitat Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet. 1997;349:1436–42.PubMedCrossRef Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet. 1997;349:1436–42.PubMedCrossRef
6.
Zurück zum Zitat Prince M, Patel V, Saxena S, et al. Global Mental Health 1 No health without mental health. Lancet. 2007;370:859–77.PubMedCrossRef Prince M, Patel V, Saxena S, et al. Global Mental Health 1 No health without mental health. Lancet. 2007;370:859–77.PubMedCrossRef
7.
Zurück zum Zitat Patel V, Simon G, Chowdhary N, Kaaya S, Araya R. Packages of care for depression in low- and middle-income countries. PLoS Med;2009:6(10):e1000159. Patel V, Simon G, Chowdhary N, Kaaya S, Araya R. Packages of care for depression in low- and middle-income countries. PLoS Med;2009:6(10):e1000159.
8.
Zurück zum Zitat Patel V. Mental health in low- and middle-income countries. Br Med Bull. 2007;81–82:81–96.PubMedCrossRef Patel V. Mental health in low- and middle-income countries. Br Med Bull. 2007;81–82:81–96.PubMedCrossRef
9.
Zurück zum Zitat Patel V, Weiss HA, Chowdhary N, et al. Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. Lancet. 2010;376:2086–95.PubMedCrossRef Patel V, Weiss HA, Chowdhary N, et al. Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. Lancet. 2010;376:2086–95.PubMedCrossRef
10.
Zurück zum Zitat Faydi E, Funk M, Kleintjes S, et al. An assessment of mental health policy in Ghana, South Africa, Uganda and Zambia. Health Res Policy Syst. 2011;9:17. Biomed central.PubMedCrossRef Faydi E, Funk M, Kleintjes S, et al. An assessment of mental health policy in Ghana, South Africa, Uganda and Zambia. Health Res Policy Syst. 2011;9:17. Biomed central.PubMedCrossRef
11.
Zurück zum Zitat NICE. Depression: management of depression in primary and secondary care. National Institute of Clinical Excellence: London;2004. NICE. Depression: management of depression in primary and secondary care. National Institute of Clinical Excellence: London;2004.
12.
Zurück zum Zitat USPSTF. Screening for depression, recommendations and rationale: US preventive services Task Force 1996. USPSTF. Screening for depression, recommendations and rationale: US preventive services Task Force 1996.
13.
Zurück zum Zitat Gilbodyl S, Sheldon T, House A. Screening and case-finding instruments for depression: a meta-analysis. CMAJ. 2008;178(8):997–1003.CrossRef Gilbodyl S, Sheldon T, House A. Screening and case-finding instruments for depression: a meta-analysis. CMAJ. 2008;178(8):997–1003.CrossRef
14.
Zurück zum Zitat Spitzer R, Kroenke K, Williams J. Validation and utility of a self-report version of PRIME-MD: the PHQ Primary Care Study. J Am Med Assoc. 1999;282:1737–44.CrossRef Spitzer R, Kroenke K, Williams J. Validation and utility of a self-report version of PRIME-MD: the PHQ Primary Care Study. J Am Med Assoc. 1999;282:1737–44.CrossRef
15.
Zurück zum Zitat Beck AI, Steer RA, Carbin MC. Psychometric properties of the beck depression inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77–100.CrossRef Beck AI, Steer RA, Carbin MC. Psychometric properties of the beck depression inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77–100.CrossRef
16.
Zurück zum Zitat Radloff LS. Center for epidemiologic studies depression scale (CESD). In: Center for Epidemiologic Studies NIMH, Publisher, West Publishing Company, ed. 1977. Radloff LS. Center for epidemiologic studies depression scale (CESD). In: Center for Epidemiologic Studies NIMH, Publisher, West Publishing Company, ed. 1977.
17.
Zurück zum Zitat Patel V, Pereira J, Coutinho L, Fernandes R, Fernandes J, Mann A. Poverty, psychological disorder and disability in primary care attenders in Goa, India. Br J Psychiatry. 1998;171:533–6.CrossRef Patel V, Pereira J, Coutinho L, Fernandes R, Fernandes J, Mann A. Poverty, psychological disorder and disability in primary care attenders in Goa, India. Br J Psychiatry. 1998;171:533–6.CrossRef
19.
Zurück zum Zitat Puertas G, Patel V, Marshall T. Are visual measures of mood superior to questionnaire measures in non-Western settings? Soc Psychiatry Psychiatr Epidemiol. 2004;39:662–6.PubMedCrossRef Puertas G, Patel V, Marshall T. Are visual measures of mood superior to questionnaire measures in non-Western settings? Soc Psychiatry Psychiatr Epidemiol. 2004;39:662–6.PubMedCrossRef
20.
Zurück zum Zitat Aitken RCB. Measurement of feelings using visual analogue scales. Proc R Soc Med. 1969;62:989–93.PubMed Aitken RCB. Measurement of feelings using visual analogue scales. Proc R Soc Med. 1969;62:989–93.PubMed
21.
Zurück zum Zitat Ickovics JR, Hamburger ME, Vlahov D. Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women: longitudinal analysis from the HIV Epidemiology Research Study. JAMA. 2001;285:1466–74.PubMedCrossRef Ickovics JR, Hamburger ME, Vlahov D. Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women: longitudinal analysis from the HIV Epidemiology Research Study. JAMA. 2001;285:1466–74.PubMedCrossRef
22.
Zurück zum Zitat Sherbourne CD, Hays RD, Fleishman JA, et al. Impact of psychiatric conditions on health-related quality of life in persons with HIV infection. Am J Psychiatry. 2000;157:248–54.PubMedCrossRef Sherbourne CD, Hays RD, Fleishman JA, et al. Impact of psychiatric conditions on health-related quality of life in persons with HIV infection. Am J Psychiatry. 2000;157:248–54.PubMedCrossRef
23.
Zurück zum Zitat Ammassari A, Antinori A, Aloisi MS, et al. Depressive symptoms, neurocognitive impairment, and adherence to highly active antiretroviral therapy among HIV-infected persons. Psychosomatics. 2004;45:394–402.PubMedCrossRef Ammassari A, Antinori A, Aloisi MS, et al. Depressive symptoms, neurocognitive impairment, and adherence to highly active antiretroviral therapy among HIV-infected persons. Psychosomatics. 2004;45:394–402.PubMedCrossRef
24.
Zurück zum Zitat Horberg MA, Silverberg MJ, Hurley LB, et al. Effects of depression and selective serotonin reuptake inhibitor use on adherence to highly active antiretroviral therapy and on clinical outcomes in HIV-infected patients. J Acquir Immune Defic Syndr. 2008;47:384–90.PubMedCrossRef Horberg MA, Silverberg MJ, Hurley LB, et al. Effects of depression and selective serotonin reuptake inhibitor use on adherence to highly active antiretroviral therapy and on clinical outcomes in HIV-infected patients. J Acquir Immune Defic Syndr. 2008;47:384–90.PubMedCrossRef
25.
Zurück zum Zitat Treisman G, Angelino A. Interrelation between psychiatric disorders and the prevention and treatment of HIV infection. Clin Infect Dis. 2007;45:S313–7.PubMedCrossRef Treisman G, Angelino A. Interrelation between psychiatric disorders and the prevention and treatment of HIV infection. Clin Infect Dis. 2007;45:S313–7.PubMedCrossRef
26.
Zurück zum Zitat Cruess DG, Douglas SD, Petitto JM, et al. Association of resolution of major depression with increased natural killer cell activity among HIV-seropositive women. Am J Psychiatry. 2005;162:2125–30.PubMedCrossRef Cruess DG, Douglas SD, Petitto JM, et al. Association of resolution of major depression with increased natural killer cell activity among HIV-seropositive women. Am J Psychiatry. 2005;162:2125–30.PubMedCrossRef
27.
Zurück zum Zitat Evans DL, Ten Have TR, Douglas SD, et al. Association of depression with viral load, CD8 T lymphocytes, and natural killer cells in women with HIV infection. Am J Psychiatry. 2002;159:1752–9.PubMedCrossRef Evans DL, Ten Have TR, Douglas SD, et al. Association of depression with viral load, CD8 T lymphocytes, and natural killer cells in women with HIV infection. Am J Psychiatry. 2002;159:1752–9.PubMedCrossRef
28.
Zurück zum Zitat Rabkin JG, Wagner GJ, Rabkin R. Fluoxetine treatment for depression in patients with HIV and AIDS: a randomized, placebo-controlled trial. Am J Psychiatry. 1999;156:101–7.PubMed Rabkin JG, Wagner GJ, Rabkin R. Fluoxetine treatment for depression in patients with HIV and AIDS: a randomized, placebo-controlled trial. Am J Psychiatry. 1999;156:101–7.PubMed
29.
Zurück zum Zitat Bass J, Neugebauer R, Clougherty KF, et al. Group interpersonal psychotherapy for depression in rural Uganda: 6-month outcomes: randomised controlled trial. Br J Psychiatry. 2006;188:567–73.PubMedCrossRef Bass J, Neugebauer R, Clougherty KF, et al. Group interpersonal psychotherapy for depression in rural Uganda: 6-month outcomes: randomised controlled trial. Br J Psychiatry. 2006;188:567–73.PubMedCrossRef
30.
Zurück zum Zitat Cuijpers P, van Straten A, van Schaik A, Andersson G. Psychological treatment of depression in primary care: a meta-analysis. Br J Gen Pract. 2009;59:e51–60.PubMedCrossRef Cuijpers P, van Straten A, van Schaik A, Andersson G. Psychological treatment of depression in primary care: a meta-analysis. Br J Gen Pract. 2009;59:e51–60.PubMedCrossRef
31.
Zurück zum Zitat Sheehan DV, Lecrubier Y, Harnett-Sheehan K. The Mini International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview. J Clin Psychiatry. 1998;59(suppl 20):22–33.PubMed Sheehan DV, Lecrubier Y, Harnett-Sheehan K. The Mini International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview. J Clin Psychiatry. 1998;59(suppl 20):22–33.PubMed
32.
Zurück zum Zitat Okello ES, Ekblad S. Lay concepts of depression among the Baganda of Uganda: a pilot study. Transcult Psychiatry. 2006;43(2):287–313.PubMedCrossRef Okello ES, Ekblad S. Lay concepts of depression among the Baganda of Uganda: a pilot study. Transcult Psychiatry. 2006;43(2):287–313.PubMedCrossRef
33.
Zurück zum Zitat Nakasujja N, Skolasky RL, Musisi S, et al. Depression symptoms and cognitive function among individuals with advanced HIV infection initiating HAART in Uganda. BMC Psychiatry. 2010;10:44.PubMedCrossRef Nakasujja N, Skolasky RL, Musisi S, et al. Depression symptoms and cognitive function among individuals with advanced HIV infection initiating HAART in Uganda. BMC Psychiatry. 2010;10:44.PubMedCrossRef
34.
Zurück zum Zitat Spies G, Kader A, Kidd M, et al. Validity of the K-10 in detecting DSM-IV-defined depression and anxiety disorders among HIV-infected individuals. AIDS Care. 2009;21(9):1163–8.PubMedCrossRef Spies G, Kader A, Kidd M, et al. Validity of the K-10 in detecting DSM-IV-defined depression and anxiety disorders among HIV-infected individuals. AIDS Care. 2009;21(9):1163–8.PubMedCrossRef
35.
Zurück zum Zitat Baggaley RF, Ganaba R, Filippi V, et al. Short communication: detecting depression after pregnancy the validity of the K10 and K6 in Burkina Faso. Trop Med Int Health. 2007;12(10):1225–9.PubMedCrossRef Baggaley RF, Ganaba R, Filippi V, et al. Short communication: detecting depression after pregnancy the validity of the K10 and K6 in Burkina Faso. Trop Med Int Health. 2007;12(10):1225–9.PubMedCrossRef
36.
Zurück zum Zitat STATA Inventor; 4905 Lakeway Drive College Station. Texas 77845 USA 800-STATA-PC. assignee. STATA, Statistics/Data Analysis;2011. STATA Inventor; 4905 Lakeway Drive College Station. Texas 77845 USA 800-STATA-PC. assignee. STATA, Statistics/Data Analysis;2011.
37.
Zurück zum Zitat Fischer JE, Bachmann LM, Jaeschke R. A readers’ guide to the interpretation of diagnostic test properties. Clinical example of sepsis. Intensive Care Med. 2003;29(7):1043–51.PubMedCrossRef Fischer JE, Bachmann LM, Jaeschke R. A readers’ guide to the interpretation of diagnostic test properties. Clinical example of sepsis. Intensive Care Med. 2003;29(7):1043–51.PubMedCrossRef
38.
Zurück zum Zitat Swets JA. Measuring the accuracy of diagnostic systems. Science. 1998;240(4857):1285–93.CrossRef Swets JA. Measuring the accuracy of diagnostic systems. Science. 1998;240(4857):1285–93.CrossRef
39.
Zurück zum Zitat Mogga S, Prince M, Alem A, et al. Outcome of major depression in Ethiopia: population-based study. Br J Psychiatry. 2006;189:241–6.PubMedCrossRef Mogga S, Prince M, Alem A, et al. Outcome of major depression in Ethiopia: population-based study. Br J Psychiatry. 2006;189:241–6.PubMedCrossRef
40.
Zurück zum Zitat Monahan PO, Shacham E, Reece M, et al. Validity/reliability of PHQ-9 and PHQ-2 depression scales among adults living with HIV/AIDS in western Kenya. J Gen Intern Med. 2008;24(2):189–97.PubMedCrossRef Monahan PO, Shacham E, Reece M, et al. Validity/reliability of PHQ-9 and PHQ-2 depression scales among adults living with HIV/AIDS in western Kenya. J Gen Intern Med. 2008;24(2):189–97.PubMedCrossRef
41.
Zurück zum Zitat Kertzman S, Aladjem Z, Milo R, et al. The utility of the Visual Analogue Scale for the assessment of depressive mood in cognitively impaired patients. Int J Geriatr Psychiatry. 2004;19:789–96.PubMedCrossRef Kertzman S, Aladjem Z, Milo R, et al. The utility of the Visual Analogue Scale for the assessment of depressive mood in cognitively impaired patients. Int J Geriatr Psychiatry. 2004;19:789–96.PubMedCrossRef
42.
Zurück zum Zitat Price CIM, Urless RH, Rodgers H. Can stroke patients use visual analogue scales? Stroke. 1999;30:1357–61.PubMedCrossRef Price CIM, Urless RH, Rodgers H. Can stroke patients use visual analogue scales? Stroke. 1999;30:1357–61.PubMedCrossRef
43.
Zurück zum Zitat Berg A, Lönnqvist J, Palomäki H, Kaste M. Assessment of depression after stroke: a comparison of different screening instruments. Stroke. 2009;40:523–9.PubMedCrossRef Berg A, Lönnqvist J, Palomäki H, Kaste M. Assessment of depression after stroke: a comparison of different screening instruments. Stroke. 2009;40:523–9.PubMedCrossRef
44.
Zurück zum Zitat Myer L, Smit J, Roux LL, Parker S, Stein DJ, Seedat S. Common mental disorders among HIV-infected individuals in South Africa: prevalence, predictors, and validation of brief psychiatric rating scales. AIDS Patient Care STDs. 2008;22(2):147–58.PubMedCrossRef Myer L, Smit J, Roux LL, Parker S, Stein DJ, Seedat S. Common mental disorders among HIV-infected individuals in South Africa: prevalence, predictors, and validation of brief psychiatric rating scales. AIDS Patient Care STDs. 2008;22(2):147–58.PubMedCrossRef
45.
Zurück zum Zitat Omoro SAO, Fann JR, Weymuller EA, Macharia IM, Yueh B. Swahili translation and validation of the Patient Health Questionnaire-9 depression scale in the Kenyan head and neck cancer patient population. Int J Psychiatry Med. 2006;36(3):367–81. PMID 17236703.PubMedCrossRef Omoro SAO, Fann JR, Weymuller EA, Macharia IM, Yueh B. Swahili translation and validation of the Patient Health Questionnaire-9 depression scale in the Kenyan head and neck cancer patient population. Int J Psychiatry Med. 2006;36(3):367–81. PMID 17236703.PubMedCrossRef
46.
Zurück zum Zitat Adewuya AO, Ola BA, Afolabi OO. Validity of the patient health questionnaire (PHQ-9) as a screening tool for depression amongst Nigerian university students. J Affect Disord. 2006;96(2006):89–93.PubMedCrossRef Adewuya AO, Ola BA, Afolabi OO. Validity of the patient health questionnaire (PHQ-9) as a screening tool for depression amongst Nigerian university students. J Affect Disord. 2006;96(2006):89–93.PubMedCrossRef
Metadaten
Titel
Sensitivity and Specificity of a Visual Depression Screening Instrument Among HIV-Positive Individuals in Uganda, an Area with Low Literacy
verfasst von
Dickens Akena
John Joska
Seggane Musisi
Dan J. Stein
Publikationsdatum
01.11.2012
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 8/2012
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-012-0267-1

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