Skip to main content
Log in

Screening HIV-Infected Patients with Chronic Pain for Anxiety and Mood Disorders with the Beck Anxiety and Depression Inventory-Fast Screens for Medical Settings

  • Published:
Journal of Clinical Psychology in Medical Settings Aims and scope Submit manuscript

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 α'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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Beck, A. T., Guth, D., Steer, R. A., & Ball, R. (1997a). Screening for major depression disorders in medical inpatients with the Beck Depression Inventory for Primary Care. Behaviour Research and Therapy, 35, 785–791.

    Google Scholar 

  • Beck, A. T., & Steer, R. A. (1993a). Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Beck, A. T., & Steer, R. A. (1993b). Manual for the Beck Depression Inventory. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Steer, R. A., Ball, R., Ciervo, C. A., & Kabat, M. (1997b). Use of the Beck Anxiety and Beck Depression Inven-tories for Primary Care with medical outpatients. Assessment, 4, 211–219.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (2000). Manual for the Beck Depression Inventory-Fast Screen for Medical Patients. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Campbell, L. C., Clauw, D. J., & Keefe, F. J. (2003). Persistent pain and depression: Abiopsychosocial perspective. Biological Psychiatry, 54, 399–409.

    Google Scholar 

  • Cavanaugh, S. V., Clark, D. C., & Gibbons, R. D. (1983). Diagnosing depression in the hospitalized medically ill. Psychosomatics, 24, 809–815.

    Google Scholar 

  • Chandra, P. S., Ravi, V., Desai, A., & Subbakrishna, D. K. (1998). Anxiety and depression among HIV-infected heterosexuals: A report from India. Journal of Psychosomatic Research, 45, 401–409.

    Google Scholar 

  • Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6, 284–290.

    Google Scholar 

  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.

    Google Scholar 

  • Elliott, A. J., & Roy-Byrne, P. P. (1998). Major depressive disorder and HIV-1 infection: Areview of the treatment trials. Seminars in Clinical Neuropsychiatry, 3, 137–150.

    Google Scholar 

  • Evans, S., Ferrando, S., Sewell, M., Goggin, K., Fishman, B., & Rabkin, J. (1998). Pain and depression in HIV illness. Psychosomatics, 39, 528–535.

    Google Scholar 

  • Horwath, E. (2002, October). Psychiatric and neuropsychiatric manifestations of HIV infection. Journal of the International Association of Physicians in AIDS Care, 1(4, Suppl.), 1–13.

  • Kalichman, S. C., Rompa, D., & Cage, M. (2000). Distinguishing between overlapping somatic symptoms of depression in HIV disease in people living with HIV-AIDS. Journal of Nervous and Mental Disease, 188, 662–670.

    Google Scholar 

  • Komiti, A., Judd, F., Grech, P., Mijch, A., Hoy, J., Williams, B., et al. (2003). Depression in people living with HIV/AIDS attend-ing primary care and outpatient clinics. Australian and New Zealand Journal of Psychiatry, 37, 73–77.

    Google Scholar 

  • Metz, C. E. (1998). ROCKIT, Windows 95, Version 0.9.1 Beta [Computer software]. Retrieved from http:/www.radiology. uchicago.edu/topage11.htm.

  • Mori, D. L., Lambert, J. F., Niles, B. L., Orlander, J. D., Grace, M., & LoCastro, J. S. (2003). The BAI-PC as a screen for anxi-ety, depression, and PTSD in primary care. Journal of Clinical Psychology in Medical Settings, 10, 187–192.

    Google Scholar 

  • Morrison, M. F., Petitto, J. M., Ten Have, T., Gettes, D. R., Chiappini, M. S., Weber, A. L., et al. (2002). Depressive and anxiety disorders in women with HIV infection. American Journal of Psychiatry, 159, 789–796.

    Google Scholar 

  • Plumb, M. M., & Holland, J. (1977). Comparative studies of psy-chological function in patients with advanced cancer, I: Self-reported depressive symptoms. Psychosomatic Medicine, 39, 264–279.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychia-try Measurement, 1, 385–401.

    Google Scholar 

  • Scheinthal, S. M., Steer, R. A., Giffin, L., & Beck, A. T. (2001). Eval-uating geriatric medical outpatients with the Beck Depression Inventory-FastScreen for Medical Patients. Aging and Mental Health, 5, 143–148.

    Google Scholar 

  • Somoza, E., & Mossman, D. (1991). ROC curves and the binormal assumption. Journal of Neuropsychiatry and Neuroscience, 3, 436–439.

    Google Scholar 

  • Spitzer, R. L., Williams, J. B. W., Kroenke, K., Linzer, M., deGruy III, F. V., Hahn, S. R., et al. (1994). Utility of a new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 study. JAMA, 14, 1749–1756.

    Google Scholar 

  • Spitzer, R. L., Williams, J. B. W., Kroenke, K., Linzer, M., deGruy III, F. V., Hahn, S. R., et al. (1995). Prime-MD instruction manual updated for DSM-IV. New York: Bio-metrics Research Department, New York State Psychiatric Institute.

    Google Scholar 

  • Steer, R. A., Cavalieri, T. A., Leonard, D. M., & Beck, A. T. (1999). Use of the Beck Depression Inventory for Primary Care to screen for major depression disorders. General Hos-pital Psychiatry, 21, 106–111.

    Google Scholar 

  • Tedlie-Moskowitz, J. (2003). Positive affect predicts lower risk of AIDS mortality. Psychosomatic Medicine, 65, 620–626.

    Google Scholar 

  • Winter, L. B., Steer, R. A., Jones-Hicks, L., & Beck, A. T. (1999). Screening for major depression disorders in adoles-cent medical outpatients with the Beck Depression Inven-tory for Primary Care. Journal of Adolescent Health, 24, 389–394.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Krefetz, D.G., Steer, R.A., Jermyn, R.T. et al. Screening HIV-Infected Patients with Chronic Pain for Anxiety and Mood Disorders with the Beck Anxiety and Depression Inventory-Fast Screens for Medical Settings. Journal of Clinical Psychology in Medical Settings 11, 283–289 (2004). https://doi.org/10.1023/B:JOCS.0000045348.28440.82

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/B:JOCS.0000045348.28440.82

Navigation