Comparison of Three Health-Related Quality of Life Instruments to Evaluate Symptoms of Depression in HIV Patients in Bra
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Comparison of Three Health‑Related Quality of Life Instruments to Evaluate Symptoms of Depression in HIV Patients in Brazil Juliet Valdelamar‑Jiménez1 · Liliane Lins‑Kusterer1 · Suzane Tínel Gonzaga de Jesus2 · Eduardo Martins Netto1 · Carlos Brites1
© Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract The evaluation of quality of life could be a useful indicator of depression in HIV patients. We compared the performance of three health-related quality of life (HRQoL) instruments for detecting depression. This nested case–control study included 200 HIV patients attended at an AIDS referral center. Depression was measured by Beck Depression Inventory (BDI). We accessed HRQoL by SF-36v2, HAT-QoL, and WHOQOL-HIV Bref. The depression diagnostic accuracy was evaluated by receiver operating characteristic (ROC) curve analysis. SF-36v2 presented negative correlation with BDI score (− 0.72 to − 0.40), and HAT-QoL (− 0.66 to 0.05) and WHOQoL-HIV Bref (− 0.67 to 0.32) domains presented negative and positive correlations. Mental Health (r = − .71) and Mental Component Summary (r = − .72) showed high negative correlation with BDI. SF-36v2 showed excellent measure by the ROC curve analysis in four factors, and high correlation in Mental Health and MCS. Sf-36 may represent a useful tool for screening of depressive symptoms in HIV patients. Keywords Depression · Mental health · Health-related quality of life · HIV/AIDS
Introduction In 2013, of the 146.3 million people above 18 years in Brazil, depression was diagnosed in 7.6% of adult population, which represents around 11.2 million people. Depression Juliet Valdelamar-Jiménez and Liliane Lins-Kusterer have equally contributed for this work. * Liliane Lins‑Kusterer [email protected] Juliet Valdelamar‑Jiménez [email protected] Suzane Tínel Gonzaga de Jesus [email protected] Eduardo Martins Netto [email protected] Carlos Brites [email protected] 1
LAPI ‑ Infectious Diseases Research Laboratory, Edgard Santos Federal University Hospital, Rua Augusto Viana, S/n, Canela, Salvador, Bahia CEP‑40110060, Brazil
School of Medicine, Federal University of Bahia, Salvador, Bahia, Brazil
2
was more prevalent in urban areas (8.0%), females (10.9%), and the elderly (11.1%) (IBGe, 2014). In 2017, the prevalence of HIV in Brazil was estimated in 860,000 (630,000–1,100,000) with an incidence of 48,000 new cases (UNAIDS, 2018). The World Health Organization defines quality of life (QoL) as “individual’s perception of their position in life, in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns” (WHO, 1947). The concept of Health-related Quality of Life (HRQoL) englobes the disease impact and its treatment on the patient’s perception of their own well-being (Schwartzmann, 2009). HRQoL has emerged as a relevant medical outcome measure, which includes physical, psychological, social, environmental, and spiritual aspects (Basavaraj, Navya, Rashmi, 2010). QoL ev
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