Dickens Akena|John A. Joska|Ekwaro A. Obuku|Taryn Amos|Seggane Musisi|Dan J. Stein
Comparing the accuracy of brief versus long depression screening instruments which have been validated in low and middle income countries: a systematic review
University of Cape Town|University of Cape Town|Joint Clinical Research Centre|University of Cape Town|Makerere University|University of Cape Town
given high prevalence depression primary health care phc use screening instruments recommended brief long depression screening instruments validated low middle income countries lmic including within hiv care settings however remains unknown whether brief instruments validated lmic accurate long oneswe conducted search pubmed cochrane library aidsline psychinfo inception july 2011 studies validated depression screening instruments lmic data extracted tables analyzed using revman 50 stata 112 presence heterogeneitynineteen studies met inclusion criteria reported prevalence depression lmic ranged 111 53 area curve auc scores validated instruments ranged 069099 brief well long screening instruments showed acceptable accuracy auc07 five 19 instruments validated within hiv settings statistically significant heterogeneity studies hence metaanalysis could conducted completion heterogeneity chisquared 18923 df 18 p001brief depression screening instruments general hivphc accurate long ones brief scales may edge longer instruments since administered much shorter time however ultra brief scales include whole spectrum depression symptoms including suicide use followed detailed diagnostic interview