Comparison of Three Health-Related Quality of Life Instruments to Evaluate Symptoms of Depression in HIV Patients in Brazil

J Clin Psychol Med Settings. 2020 Dec;27(4):643-650. doi: 10.1007/s10880-019-09657-9.

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; HIV/AIDS; Health-related quality of life; Mental health.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Brazil
  • Case-Control Studies
  • Cohort Studies
  • Depressive Disorder / complications*
  • Depressive Disorder / psychology*
  • Female
  • HIV Infections / complications*
  • HIV Infections / psychology*
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Quality of Life / psychology*
  • Reproducibility of Results
  • Surveys and Questionnaires