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ORIGINAL ARTICLE
Year : 2020  |  Volume : 36  |  Issue : 3  |  Page : 180-183

Evaluation of center for epidemiological studies depression scale-10 (Malayalam Shorter Version) for depression among people living with HIV/AIDS


1 Department of Psychiatry, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India
2 Department of Community Medicine, Government Medical College, Thrissur, Kerala, India
3 Department of Dermatology and Venereology, Government Medical College, Kozhikode, Kerala, India
4 Department of Psychiatry, Government Medical College, Thrissur, Kerala, India

Correspondence Address:
Dr. Sharanabasappa Algoodkar
Department of Psychiatry, Sapthagiri Institute of Medical Sciences, Bengaluru - 560 090, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijsp.ijsp_109_19

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Background: Depression and other neuropsychiatric illnesses are common in people living with human immunodeficiency virus/acquired immunodeficiency syndrome (PLWHIV) because of its physical and mental health consequences. In this study, depression status has been evaluated and validated using the Center for Epidemiological Studies Depression scale (CES-D-10) Malayalam shorter version. Objective: The objective of the study was to study the outcome of CES-D-10 (Malayalam shorter version) in the screening of depression in PLWHIV and to evaluate its sensitivity and specificity. Patients and Methods: A cross-sectional survey of 100 PLWHIV patients was conducted at the antiretroviral treatment (ART) Centre, Government Medical College Chest Hospital, Thrissur, Kerala. Patients meeting the study criteria were subjected to a self-reported questionnaire which includes CES-D-10 with a cutoff score of 4. The depressive symptoms were evaluated using the International Classification of Diseases-10th version classification of mental and behavioral disorders. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV), and false-positive rate (FPR) and false-negative rate (FNR) were calculated to assess the performance of the CES-D-10 Malayalam version. Further, receiver operating characteristic (ROC) curve was used to evaluate the criterion validity. Results: In this study, for a cutoff score of 4 and above, the sensitivity, specificity, PPV, NPV, FPR, and FNR were found to be 86.66%, 91.43%, 81.25%, 94.12%, 8.57%, and 13.3%, respectively. The ROC curve was significant, with an area of 0.916. Conclusions: Thus, the 10-item shorter version of CES-D-10 (Malayalam shorter version) is a valuable tool for screening depressive symptoms among the PLWHIV.


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