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 language | English (US) |
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Pages (from-to) | 523-533 |
Number of pages | 11 |
Journal | Community Mental Health Journal |
Volume | 39 |
Issue number | 6 |
DOIs | |
State | Published - Dec 2003 |
Externally published | Yes |
Keywords
- Detection
- HIV
- Mental illness
ASJC Scopus subject areas
- Health(social science)
- Public Health, Environmental and Occupational Health
- Psychiatry and Mental health