Patients with HIV infection and mental illness: A study of clinical identification

Jae P. Douglas, Nancy A. Perrin

Research output: Contribution to journalArticlepeer-review

Abstract

We compared provider diagnosis of mental illness as noted in a chart audit to an indication of mental illness using the Revised Symptom Checklist (SCL-90R). We identified cases of correct diagnoses, over-diagnoses, and missed diagnoses of mental illness by examining mental functioning (using the SF-36). Providers over diagnosed mental illness in 23% of the cases and missed a diagnosis in 9% of the cases. The over-diagnosed group had significantly better mental functioning and the missed-diagnosis group did not have better mental functioning than those who the provider and SCL-90 agreed had mental illness. The SCL-90R had a higher correlation with mental functioning than did the providers' diagnoses, suggesting that such instruments may increase the correct detection of mental illness in the HIV population.

Original languageEnglish (US)
Pages (from-to)523-533
Number of pages11
JournalCommunity Mental Health Journal
Volume39
Issue number6
DOIs
StatePublished - Dec 2003
Externally publishedYes

Keywords

  • Detection
  • HIV
  • Mental illness

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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