The Evaluation of Depression in Inpatients with HIV Disease

Cockram, Alexandra; Judd, Fiona; Mijch, Anne M; Norman, Trevor R.

doi:10.1046/j.1440-1614.1999.00579.x

Cited by 35 publications

(30 citation statements)

References 34 publications

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“…According to Svanborg and Aberg 4 the BDI is the most often used self-rating instrument for depressive symptoms and when compared with a self-rating version of the Montgomery Asberg Depression Rating Scale (MADRS-S), was found to be equivalent. Similar findings were found by Kalichman et al 5 and Cockram et al 6 when comparing with other rating scales.…”

Section: Inventory (Bdi)supporting

confidence: 90%

HIV in South Africa - depression and CD4 count

2005

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Objective. Published studies on the prevalence of depressive symptoms using rating scales and the relationship between depression and immune status offer inconsistent results. Depressive symptoms are common and impact on functioning, quality of life, and health status, highlighting the importance of diagnosis and treatment of patients with HIV infection. The aim of the study was to determine the occurrence of depression among HIV-positive patients using the Beck's Depression Inventory (BDI) and to determine a relationship, if any, between depressive symptoms and CD4 count.Method. Forty-one patients aged 18 years or more were recruited from the HIV outpatient clinic. All the subjects completed the 21-item BDI and their CD4 counts were determined. Patients who had a score of 10 or more on the BDI were considered positive for a depressive disorder.Results. More than half (56%) of the study sample had a BDI of ≥ 10 indicating significant symptoms of depression. There was no significant difference in the CD4 counts between the depressed and non-depressed groups (p > 0.05), and no correlation between CD4 counts and BDI scores in the total study sample (r = 0.27, p > 0.05). The affective components of the BDI contributed significantly to the overall BDI score compared with the somatic component (p < 0.05).Conclusion. The evidence from the study supports the BDI as a suitable measure for identifying those patients who meet the Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria for minor or major depression. The HIV epidemic is the most serious health challenge in South Africa and it is imperative that HIV-infected patients who complain of fatigue or insomnia be screened routinely for major depression, followed by a structured interview to confirm the diagnosis.

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Section: Inventory (Bdi)supporting

confidence: 90%

HIV in South Africa - depression and CD4 count

2005

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“…Scores ≥16 on the CESD suggest a diagnosis of dysthymia or major depression [33]. The CESD primarily taps cognitive-affective aspects of depression and has been shown to be useful in chronically ill groups experiencing fatigue (e.g., HIV, cancer), including OSA patients [34][35][36][37][38].…”

Section: Psychological Assessmentmentioning

confidence: 99%

Relationship between inflammation and cognitive function in obstructive sleep apnea

et al. 2008

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“…Physical limitations resulting from the HIV disease process have been associated with depression and have predicted the incidence of depression in HIV-infected men (Griffin, Rabkin, Remien, & Williams, 1998). The Hamilton Depression Rating Scale, Montgomery Asberg Depression Rating Scale, Beck Depression Inventory, and the Center for Epidemiological Studies Depression Rating Scale were capable of differentially diagnosing depression in men who were depressed and non-depressed (Cockram, Judd, Mijch, & Norman, 1999). Therefore, these tools are capable of assisting the clinician with the diagnostic differential of depression in HIV-infected men.…”

Section: Diagnosis Of Depressionmentioning

confidence: 99%

Depression in Hiv-Infected Men

Porche

Willis

2006

Issues in Mental Health Nursing

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Considerable gender disparity exists in the incidence of HIV/AIDS in men, with men experiencing the largest burden of this epidemic. In addition, over six million men in the United States experience depressive disorders. HIV-infected men experience the three most common depressive disorders-major depression, dysthymia, and bipolar disorder. Comorbidity associated with the dual diagnosis of HIV infection and common depressive disorders in men is a critical men's health issue. This article's purpose is to increase health care professionals' awareness and knowledge regarding the significant impact of a dual diagnosis of HIV infection and depression on men's health.

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The Evaluation of Depression in Inpatients with HIV Disease

Abstract: The aetiological approach used by clinicians familiar with the features of HIV disease, was found to be useful. All four rating scales differentiated equally well between depressed and non-depressed groups.

Cited by 35 publications

References 34 publications

HIV in South Africa - depression and CD4 count

HIV in South Africa - depression and CD4 count

Relationship between inflammation and cognitive function in obstructive sleep apnea

Depression in Hiv-Infected Men

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