Does It Matter What Screener We Use? A Comparison of Ultra-brief PHQ-4 and E-mwTool-3 Screeners for Anxiety and Depression Among People With and Without HIV.
Cale N BasarabaMelissa A StocktonAnnika SweetlandAndrew Medina-MarinoKathryn L LoveroMaria A OquendoM Claire GreeneAna Olga MocumbiLidia GouveiaMilena MelloPalmira Dos SantosAntonio SulemanDirceu MabundaFlávio MandlateAmalio XavierWilza FumoLuciana MassingaSaida KhanPaulino FelicianoBianca KannAndre Fiks SalemCharl BezuidenhoutJennifer J MootzCristiane S DuarteFrancine CournosMelanie M WallMilton L WainbergPublished in: AIDS and behavior (2022)
The burden of depression and anxiety disorders is high in sub-Saharan Africa, especially for people with HIV (PWH). The Patient Health Questionnaire-4 (PHQ-4) and Electronic Mental Wellness Tool-3 (E-mwTool-3) are ultra-brief screening tools for these disorders. We compared the performance of PHQ-4 and E-mwTool-3 for screening MINI-International Neuropsychiatric Interview diagnoses of depression and anxiety among a sample of individuals with and without HIV in two primary care clinics and one general hospital in Maputo City, Mozambique. Areas-under-the-curve (AUC) were calculated along with sensitivities and specificities at a range of cutoffs. For PWH, at a sum score cutoff of ≥ 1, sensitivities were strong: PHQ-4:Depression = 0.843; PHQ-4:Anxiety = 0.786; E-mwTool-3:Depression = 0.843; E-mwTool-3:Anxiety = 0.929. E-mwTool-3 performance was comparable to PHQ-4 among people with and without HIV.
Keyphrases
- antiretroviral therapy
- hiv positive
- hiv infected
- hiv testing
- human immunodeficiency virus
- primary care
- hepatitis c virus
- sleep quality
- hiv aids
- men who have sex with men
- depressive symptoms
- healthcare
- mental health
- public health
- high resolution
- physical activity
- risk factors
- health information
- case report
- cross sectional
- risk assessment
- adverse drug