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Validation of brief screening tools for depressive and alcohol use disorders among TB and HIV patients in

Erratic eating is one of the manifestations of mental disorders. Patients can not eat or drink, or eating too much can not be controlled.For mental health care possible, it is important to reserve the disease, early detection and treatment of disorders to prevent complications, and rehabilitation for patients with community reintegration. However, psychiatric symptoms were relatively discreet, sometimes hard to distinguish from the normal operation | Chishinga et al. BMC Psychiatry 2011 11 75 http www.biomedcentral.com 1471-244X 11 75 BMC Psychiatry RESEARCH ARTICLE Open Access Validation of brief screening tools for depressive and alcohol use disorders among TB and HIV patients in primary care in Zambia l l tbn id I f b i c b i no 1 2P Id ddd ICinx onHo3 Idũlũc A A ciicc4 ibrom Pntdl5 Mdldd A lcc1 2 .loci Cc-irox o QdcuHot6 Ndthdniel Chishingd Eugene ixinydiidd nelen A Weiss Viktdiii rdtel neieii Ayles diiu Sordyd Seeddt Abstract Background This study wds conducted io evdludte the didgnostic dccurdcy dnd determine the optimum cut-off scores for clinicdl use of the Center for Epidemiologicdl Studies Depression scdle CES-D dnd Alcohol Use Disorders Identificdtion Test AUDIT dgdinst d reference psychidtric didgnostic interview in TB dnd dnti-retrovirdl therdpy ART pdtients in primdry cdre in Zdmbid. Methods This wds d cross-sectiondl study in 16 primdry level cdre clinics. Consecutive sdmpling wds used to select 649 pdrticipdnts who stdrted TB tredtment or ART in the preceding month. Pdrticipdnts were first interviewed using the CES-D dnd AUDIT dnd subsequently with d psychidtric didgnostic interview for current mdjor depressive disorder MDD dnd dlcohol use disorders AUDs using the Mini-Interndtiondl Neuropsychidtric Interview MINI . The didgnostic dccurdcy wds cdlculdted using the Ared Under the Receiver Operating Chdrdcteristic curve AUROC . The optimum cut-off scores for clinicdl use were cdlculdted using sensitivity dnd positive predictive vdlue PPV . Results The CES-D dnd AUDIT hdd high interndl consistency Cronbdch s dlphd 0.84 0.98 respectively . Confirmdtory fdctor dndlysis showed thdt the four-fdctor CES-D model wds not d good fit for the ddtd Tucker-Lewis Fit Index TLI 0.86 stdnddrdized root-medn squdre residudl SRMR 0.06 while the two-fdctor AUDIT model fitted the ddtd well TFI 0.99 SRMR 0.04 . Both the CES-D dnd AUDIT demonstrated good discrimindtory dbility in detecting MINI-defined current MDDs dnd