Erica Breuer1, Kevin Stoloff, Landon Myer, Soraya Seedat, Dan J Stein, John A Joska. 1. Alan J. Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Building B, 46 Sawkins Rd, Rondebosch, Cape Town, 7700, South Africa, erica.breuer@uct.ac.za.
Abstract
UNLABELLED: Given the high prevalence of HIV in South Africa and co-morbid mental disorders in people living with HIV/AIDs (PLWHA) we sought to validate a brief screening tool in primary HIV care. METHODS: 366 PLWHA were recruited prior to combination anti-retroviral treatment (CART) initiation from two primary health HIV clinics. A mental health nurse administered a socio-demographic questionnaire and the Mini Neuropsychiatric Interview (MINI) and a lay counsellor administered the Substance and Mental Illness Symptom Screener (SAMISS). RESULTS: Using the MINI, 17 % of participants were identified with either depression, anxiety disorders or adjustment disorder and 18 % with substance or alcohol abuse/dependence. The sensitivity and specificity of the SAMISS was 94 % (95 % CI: 88-98 %) and 58 % (95 % CI: 52-65 %) respectively, with the alcohol component (sensitivity: 94 %; specificity: 85 %) performing better than the mental illness component of the SAMISS (sensitivity: 97 %; specificity: 60 %). The specificity of the tool improved when the cut-off for the mental illness component was increased. CONCLUSION: The SAMISS may provide a useful first tier screening tool for common mental disorders in primary care for PLWHA.
UNLABELLED: Given the high prevalence of HIV in South Africa and co-morbid mental disorders in people living with HIV/AIDs (PLWHA) we sought to validate a brief screening tool in primary HIV care. METHODS: 366 PLWHA were recruited prior to combination anti-retroviral treatment (CART) initiation from two primary health HIV clinics. A mental health nurse administered a socio-demographic questionnaire and the Mini Neuropsychiatric Interview (MINI) and a lay counsellor administered the Substance and Mental Illness Symptom Screener (SAMISS). RESULTS: Using the MINI, 17 % of participants were identified with either depression, anxiety disorders or adjustment disorder and 18 % with substance or alcohol abuse/dependence. The sensitivity and specificity of the SAMISS was 94 % (95 % CI: 88-98 %) and 58 % (95 % CI: 52-65 %) respectively, with the alcohol component (sensitivity: 94 %; specificity: 85 %) performing better than the mental illness component of the SAMISS (sensitivity: 97 %; specificity: 60 %). The specificity of the tool improved when the cut-off for the mental illness component was increased. CONCLUSION: The SAMISS may provide a useful first tier screening tool for common mental disorders in primary care for PLWHA.
Authors: J A Joska; J Witten; K G Thomas; C Robertson; M Casson-Crook; H Roosa; J Creighton; J Lyons; J McArthur; N C Sacktor Journal: AIDS Behav Date: 2016-08
Authors: Daniel J Paulus; Charles Jardin; Jafar Bakhshaie; Carla Sharp; Steven Paul Woods; Chad Lemaire; Amy Leonard; Clayton Neighbors; Charles P Brandt; Michael J Zvolensky Journal: Addict Behav Date: 2016-07-21 Impact factor: 3.913
Authors: Charles Brandt; Michael J Zvolensky; Steven P Woods; Adam Gonzalez; Steven A Safren; Conall M O'Cleirigh Journal: Clin Psychol Rev Date: 2016-11-17
Authors: Celia C Y Wong; Daniel J Paulus; Chad Lemaire; Amy Leonard; Carla Sharp; Clayton Neighbors; Charles P Brandt; Qian Lu; Michael J Zvolensky Journal: J HIV AIDS Soc Serv Date: 2017-11-30
Authors: Charles P Brandt; Daniel J Paulus; Charles Jardin; Luke Heggeness; Chad Lemaire; Michael J Zvolensky Journal: J Anxiety Disord Date: 2016-08-06
Authors: Kathleen J Sikkema; Alexis C Dennis; Melissa H Watt; Karmel W Choi; Tatenda T Yemeke; John A Joska Journal: Glob Ment Health (Camb) Date: 2015-09-09