As the prevalence of HIV/AIDS continues to reach pandemic proportions and medical advancements allow for persons to live longer with the disease, counselors should expect to work with clientele who present with HIV/AIDS. Persons with HIV/AIDS often present with unique mental health issues and diagnostic dilemmas. One of the most common mental health issues reported in persons with HIV/AIDS is that of depression. Research suggests that depressive symptoms are more common in persons with HIV/AIDS; however, depression in persons with HIV may be over-diagnosed and/or misdiagnosed as a result of the somatic features of HIV (Judd et al., 2005; Kalichman, Sikkema, & Somlai, 1995). The physical and physiological symptoms of HIV/AIDS often resemble typical symptoms of depression (Kalichman, Sikkema, & Somlai, 1995; Rabkin, Wagner, & Rabkin, 2002). As a result of depressive symptoms and HIV illness consisting of similar features, the literature both challenges and supports the belief that persons with HIV/AIDS are more likely to be depressed. Subsequently, it is suggested that when using depression rating tools with persons with HIV, one should focus on affective symptoms rather than somatic symptoms (Rabkin et al., 2002). The Beck Depression Inventory-II (BDI-II), which is the most widely used instrument for measuring depression in the mental health profession, has not been validated among persons with HIV/AIDS (Barroso & Sandelowski, 2001; Kalichman, Sikkema, & Somlai, 1995). Further, research suggests that specific items on depression rating tools, like the BDI-II, may be more indicative of HIV illness, such as central nervous system functioning or physical ailments, rather than depressive symptoms (Castellon et al., 2006). In order to determine if the Beck Depression Inventory-II is an effective tool in assessing depression in persons with HIV/AIDS, it may be useful to compare the BDI-II with other depression screening tools that are more widely used in persons with chronic illness such as HIV.
In the current study, persons diagnosed with HIV who were receiving medical treatment for HIV management completed both the Beck Depression Inventory-II (BDI-II) and the Patient Health Questionnaire (PHQ-9). In addition, study participants were also invited to respond to open-ended items relating to depression and factors commonly associated with depression. Results indicated that there were no statistically significant difference between depression as indicated by the BDI-II and the PHQ-9. Limitations of the study and suggestions for future research are presented.
|Advisor:||Salyers, Kathleen M.|
|Commitee:||Harper, Holly, Ritchie, Martin, Tiamiyu, Mojisola F.|
|School:||The University of Toledo|
|School Location:||United States -- Ohio|
|Source:||DAI-B 71/11, Dissertation Abstracts International|
|Subjects:||Public health, Counseling Psychology|
|Keywords:||Counseling, Depression, HIV|
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