Quality-of-life assessment in HIV-infected psychiatric outpatients: Perceived health,functional status,symptoms, and preferences for cardiopulmonary resuscitation |
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| Authors: | William R. Lenderking Ph.D. Jonathan L. Worth M.D. Alexandra Beckett M.D. |
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| Affiliation: | 1. Department of Biostatistics , Harvard School of Public Health , Boston, MA;2. Department of Psychiatry , Massachusetts General Hospital, Harvard Medical School , Boston, MA;3. Department of Psychiatry , Massachusetts General Hospital, Harvard Medical School , Boston, MA;4. Department of Psychiatry , Beth Israel Hospital, Harvard Medical School , Boston, MA |
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| Abstract: | Abstract The current study had two purposes: (1) to describe the reliability and validity of a measure of quality of life (QOL) in HIV-infected psychiatric outpatients, and (2) to predict cardiopulmonary resuscitation (CPR) preferences from disease stage, depression, and other QOL factors. We studied 63 patients, who were seen in one year at an HIV/AIDS psychiatry clinic. The results provide evidence for the validity of our instrument as a measure of health status in an HIV-infected psychiatric population. Overall symptoms were the strongest associates of functional limitations. disability, and perceived health, but depression was also significantly associated with all measures of QOL. Twenty-two patients (35.5%) would not have wanted to be revived if their heart stopped beating the day of the study. Disease stage and poor mental health were independent predictors of this preference, but severity of depression, social support, fatigue, perceived health, functional limitations, and life satisfaction were not. |
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| Keywords: | HIV/AIDS quality of life depression preferences for resuscitation suicide |
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