Client Psychological Distress Knowledge Item 01: Results from HRSA/HAB's SPNS Innovative Models of Care

Knowledge Item: CA-Client Psychological Distress-01
Levels in Five Programs

In a sample of 62 male clients and 621 female clients with HIV/AIDS assessed in five projects using a short form of the Center for Epidemiological Studies Depression Scale (CES-D), 51.6 percent of the male clients and 65.7 percent of the female clients scored above the cut-point for depression the first time that they were assessed, an average of 30 days after enrollment. Limiting the analysis to 31 male clients and 380 female clients assessed initially no more than 90 days after enrollment, 48.4 percent of the male clients and 69.2 percent of the female clients score above the cut-point for depression. More than three times as many women pass this screening criterion for possible depression as compared to the rate of about 20 percent usually found in unscreened groups of community members.

Many clients with HIV/AIDS have potentially clinically significant levels of psychological distress that may be indicative of a diagnosable case of depression.

Note that a fairly high rate of potential depression, as indicated by being above the clinical cutpoint for the scale, was found at the different projects, so it can be concluded that no one project is inflating these estimates.

More Information: CHAID and CHAID Diagram

Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Client Psychological Distress-01 from HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at www.TheMeasurementGroup.com.

Last Updated: March 25, 2005; data through June 15, 1999; analyses conducted November 1999 and March - July 2000.

Knowledge Base Citation: The Knowledge Base and this Knowledge Item were designed and authored by G. J. Huba, Ph.D.; in collaboration with Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; and the staff of The Measurement Group. Cite this work as "Huba, G. J., Melchior, L. A., and Panter, A. T. (1998 - 2001). The Measurement Group Knowledge Base on HIV/AIDS Care. On the World Wide Web: http://www.TheMeasurementGroup.com."

Questions or Comments: Contact The Measurement Group.

Use of Knowledge Base Information: Acceptable Uses and Limitations.

Collaborators from Participating Projects: Cooperative Agreement Steering Committee 1999.

Participating Projects: This Knowledge Base is based on the service delivery experiences of 27 Cooperative Agreement Projects on Innovative Models of HIV/AIDS Care. These projects and the Evaluation and Dissemination Center which produced this Knowledge Base were funded by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) as Special Projects of National Significance (SPNS) between 1994 and 1999. Click the Model Programs button above for descriptions of the projects that contributed to this specific Knowledge Item, a list of key staff, and project grant numbers.

Why This Evaluation was Conducted: Editorial.

More Information: Design of this Knowledge Base.

Recommended Citation Format for Web Materials: American Psychological Association Publication Manual Section, Revised 2001.

Work on the Knowledge Base and the cross-cutting evaluation was supported in part by Grant Number 5 U90 HA 00030-05 from the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau's (HAB) Special Projects of National Significance (SPNS). The contents of this Knowledge Base are solely the responsibility of The Measurement Group and do not necessarily represent the official views of HRSA or HRSA/HAB's Special Projects of National Significance nor may they represent the positions of the individual grantees whose projects are included in the cross-cutting evaluation.