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The Use of the Beck Depression Inventory- II and the Patient Health Questionnaire-9 with Persons Diagnosed with HIV/AIDS: An Exploratory Study

Seymour, Jennifer M.
http://rave.ohiolink.edu/etdc/view?acc_num=toledo1271475267

Abstract Details

2010, Doctor of Philosophy, University of Toledo, Counselor Education.
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.
Kathleen Salyers, PhD (Committee Chair)
Holly Harper, PhD (Committee Member)
Martin Ritchie, PhD (Committee Member)
Mojisola Tiamiyu, PhD (Committee Member)
147 p.
HIV; depression

Recommended Citations

Citations

  • Seymour, J. M. (2010). The Use of the Beck Depression Inventory- II and the Patient Health Questionnaire-9 with Persons Diagnosed with HIV/AIDS: An Exploratory Study [Doctoral dissertation, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1271475267

    APA Style (7th edition)

  • Seymour, Jennifer. The Use of the Beck Depression Inventory- II and the Patient Health Questionnaire-9 with Persons Diagnosed with HIV/AIDS: An Exploratory Study. 2010. University of Toledo, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=toledo1271475267.

    MLA Style (8th edition)

  • Seymour, Jennifer. "The Use of the Beck Depression Inventory- II and the Patient Health Questionnaire-9 with Persons Diagnosed with HIV/AIDS: An Exploratory Study." Doctoral dissertation, University of Toledo, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1271475267

    Chicago Manual of Style (17th edition)

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