Abstract
We compared provider diagnosis of mental illness as noted in a chart audit to an indication of mental illness using the Revised Symptom Checklist (SCL-90R). We identified cases of correct diagnoses, over-diagnoses, and missed diagnoses of mental illness by examining mental functioning (using the SF-36). Providers over diagnosed mental illness in 23% of the cases and missed a diagnosis in 9% of the cases. The over-diagnosed group had significantly better mental functioning and the missed-diagnosis group did not have better mental functioning than those who the provider and SCL-90 agreed had mental illness. The SCL-90R had a higher correlation with mental functioning than did the providers' diagnoses, suggesting that such instruments may increase the correct detection of mental illness in the HIV population.
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Douglas, J.P., Perrin, N.A. Patients with HIV Infection and Mental Illness: A Study of Clinical Identification. Community Ment Health J 39, 523–533 (2003). https://doi.org/10.1023/B:COMH.0000003013.68232.12
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DOI: https://doi.org/10.1023/B:COMH.0000003013.68232.12