• J Gen Intern Med · Jun 2003

    Underdiagnosis of depression in HIV: who are we missing?

    • Steven M Asch, Amy M Kilbourne, Allen L Gifford, M Audrey Burnam, Barbara Turner, Martin F Shapiro, Samuel A Bozzette, and HCSUS Consortium.
    • VA Los Angeles Healthcare System and UCLA Department of Medicine, Los Angeles, California 90073, USA.
    • J Gen Intern Med. 2003 Jun 1; 18 (6): 450460450-60.

    ObjectiveTo determine the sociodemographic and service delivery correlates of depression underdiagnosis in HIV.DesignCross-sectional survey.Patients/ParticipantsNational probability sample of HIV-infected persons in care in the contiguous United States who have available medical record data.Measurements And Main ResultsWe interviewed patients using the Composite International Diagnostic Interview (CIDI) survey from the Mental Health Supplement. Patients also provided information regarding demographics, socioeconomic status, and HIV disease severity. We extracted patient medical record data between July 1995 and December 1997, and we defined depression underdiagnosis as a diagnosis of major depressive disorder based on the CIDI and no recorded depression diagnosis by their principal health care provider in their medical records between July 1995 and December 1997. Of the 1140 HIV Cost and Services Utilization Study patients with medical record data who completed the CIDI, 448 (37%) had CIDI-defined major depression, and of these, 203 (45%) did not have a diagnosis of depression documented in their medical record. Multiple logistic regression analysis revealed that patients who had less than a high school education (P <.05) were less likely to have their depression documented in the medical record compared to those with at least a college education. Patients with Medicare insurance coverage compared to those with private health insurance (P <.01) and those with >or=3 outpatient visits (P <.05) compared to <3 visits were less likely to have their depression diagnosis missed by providers.ConclusionsOur results suggest that providers should be more attentive to diagnosing comorbid depression in HIV-infected patients.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…