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Screening HIV-Infected Patients with Chronic Pain for Anxiety and Mood Disorders with the Beck Anxiety and Depression Inventory-Fast Screens for Medical Settings
Authors:David G Krefetz  Robert A Steer  Richard T Jermyn  David V Condoluci
Institution:(1) Department of Psychiatry, University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, Stratford, New Jersey, USA;(2) Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey, USA;(3) Garden State Infectious Disease Associates, Voorhees, New Jersey, USA
Abstract:The Beck Anxiety (BAI-FS) and Depression (BDI-FS) Inventory-Fast Screens for Medical Settings were administered to 63 HIV-infected outpatients seeking treatment at a chronic pain clinic to evaluate how effectively these 7-item instruments would, respectively, differentiate those who were and were not diagnosed with DSM-IV anxiety, mood, or both disorders. The Anxiety and Mood Modules from the Primary Care Evaluation of Mental Disorders (PRIME-MD) were employed to establish the diagnoses. The coefficient agr's for the BAI- and BDI-FS were, respectively, .80 and .84. A BAI-FS cut-off score of 4 and above yielded 82% sensitivity and 59% specificity rates for identifying patients with and without anxiety disorders, whereas a BDI-FS cut-off score of 4 and above had 90% sensitivity and 74% specificity rates for detecting patients with and without mood disorders. It was concluded that the BDI-FS was a useful instrument for screening HIV-infected patients with chronic pain for mood disorders.
Keywords:anxiety  depression  BAI-FA  BDI-FS  HIV
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