Discrepancies between physician's perception of depression in HIV patients and self-reported CES-D-20 assessment: the DHIVA study

Depression in HIV/AIDS patients affects adherence and disease progression and often goes unnoticed. DHIVA is a cross-sectional epidemiologic survey, investigating the prevalence of depression in people living with HIV through use of a validated self-administered scale (CES-D-20), as well and the deg...

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Bibliographic Details
Published in:AIDS care 2016-02, Vol.28 (2), p.147-159
Main Authors: Marando, F., Gualberti, G., Costanzo, A.M., di Luzio Paparatti, U., Franzetti, M., Ammassari, A., Antinori, A., Galli, M.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
AIDS/HIV
Antiretroviral therapy
CES-D-20 scale
Clinical assessment
Concordance
Cross-Sectional Studies
Depression
Depression - complications
Depressive Disorder, Major
Discrepancies
Employment
Epidemiology
Female
Highly active antiretroviral therapy
HIV
HIV Infections - complications
Human immunodeficiency virus
Humans
Italy
Male
Medical personnel
Medical screening
Mental depression
Middle Aged
Mildly
Original
Patients
Perception
Physicians
psychological evaluation
Risk assessment
Self concept
Self Report
Smoking
Unemployment
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Summary:Depression in HIV/AIDS patients affects adherence and disease progression and often goes unnoticed. DHIVA is a cross-sectional epidemiologic survey, investigating the prevalence of depression in people living with HIV through use of a validated self-administered scale (CES-D-20), as well and the degree of concordance between the physician's perception and patients' reports. A total of 690 HIV-infected patients attending 24 centers across Italy were enrolled. Concordance was calculated by K statistics. Association between depression and subject characteristics were evaluated through univariate and multivariate logistic models (OR and 95%CI). The prevalence of depressive symptoms was 48.8% from patient's questionnaires and 49.5% from physicians' reports, with a low/fair concordance (K = .38, p 
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2015.1080794