Prevalence of moderate and severe depression among Croatian patients infected with human immunodeficiency virus

Kolarić, Branko and Tešić, Vanja and Ivanković, Davor and Begovac, Josip (2006) Prevalence of moderate and severe depression among Croatian patients infected with human immunodeficiency virus. Collegium Antropologicum, 30 (Suppl.). pp. 85-88. ISSN 0350-6134

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Abstract

The aim of the study was to assess the prevalence of depression among Croatian patients infected with human immunodeficiency virus (HIV) and to make a comparison with patients with other acute and chronic infectious diseases. We assessed the depressive disorder using the Beck Depression Inventory questionnaire (BDI), without clinical confirmation. The BDI scores were examined in 80 HIV-infected persons and compared to 80 persons with chronic viral hepatitis and 78 with acute infectious diarrhea. All examinees were treated as outpatients at the University Hospital for Infectious Diseases in Zagreb in March and April of 2003. Prevalence of moderate and severe depression among HIV-infected was 16/80 (20%) with a 95% confidence interval 11% to 29%. Male patients with HIV or chronic viral hepatitis had a significantly higher BDI scores than males with acute infectious diarrhea (p = 0.017, Kruskall-Wallis, d.f. 2). Female patients with HIV infection tended to have a lower BDI score than females with chronic viral hepatitis or acute infectious diarrhea (p = 0.087, Kruskall-Wallis, d.f. 2). Prevalence of moderate and severe depression among Croatian HIV-positive patients is higher than the upper estimate for general population. Croatian males with chronic infectious disease have higher rate of depression than those with acute infectious disease.

Abstract in Croatian

Cilj istraživanja bio je utvrditi učestalost depresije u hrvatskih bolesnika zaraženih virusom humane imunodeficijencije (HIV) te usporediti s učestalošću u bolesnika s drugom akutnom i drugom kroničnom bolešću. Prevalenciju smo procijenili korištenjem Beck Depression Inventory upitnika (BDI), bez kliničke potvrde dijagnoze. Zbroj BDI bodova utvrđen je u 80 bolesnika zaraženih HIV-om te uspoređen s 80 osoba oboljelih od kroničnog virusnog hepatitsa i 78 oboljelih od akutnog infektivnog proljeva. Svi ispitanici bili su ambulantni klijenti Klinike za infektivne bolesti »Dr. Fran Mihaljević« iz Zagreba u ožujku i travnju 2003. g. Učestalost umjereno teške i teške depresije u HIV-om zaraženih osoba bila je 16/80 (20%) uz 95% interval pouzdanosti 11% do 29%. Muški ispitanici zaraženi HIV-om ili kroničnim virusnim hepatitisom imali su statistički značajno viši zbroj BDI bodova od muškaraca oboljelih od akutnog infektivnog proljeva (p=0,017, Kruskall-Wallis, d.f. 2). Žene zaražene HIV-om imale su niži zbroj BDI bodova od žena zaraženih kroničnim virusnim hepatitisom ili akutnim infektivnom proljevom (p=0,087 Kruskall-Wallis, d.f. 2). Učestalost umjerene do teške depresije u hrvatskih bolesnika zaraženih HIV-om je veća nego gornja procjena za opću populaciju. Muškarci s kroničnom zaraznom bolešću imaju višu učestalost depresije od onih s akutnom zaraznom bolešću.

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