Sensitivity and specificity of a visual depression screening instrument among HIV-positive individuals in Uganda, an area with low literacy.

Journal: AIDS and behavior

Volume: 16

Issue: 8

Year of Publication: 2013

Affiliated Institutions:  Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. akenadickens@yahoo.co.uk

Abstract summary 

Given the high prevalence of depression in PHC, the use of depression screening instruments has often been recommended. The aim of this study was to construct and validate a visual depression screening instrument in a setting of low literacy and a high burden of HIV/AIDS. We engaged the help of a fine artist to draw pictures depicting DSM-IV-TR criteria for a depressive episode. We then validated this instrument named the Akena's visual depression inventory (AVIDI), in 92 persons living with HIV/AIDS in Uganda. The performance of the AVIDI in those with high and low education levels was determined. The area under curve (AUC) score of the AVIDI was 0.82. There was no difference between the AUC scores in persons with lower versus higher education levels. The AVIDI demonstrated a good psychometric property and can therefore be used to screen for depression in settings with higher rates of illiteracy.

Authors & Co-authors:  Akena Dickens D Joska John J Musisi Seggane S Stein Dan J DJ

Study Outcome 

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Statistics
Citations : 
Authors :  4
Identifiers
Doi : 10.1007/s10461-012-0267-1
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
United States