       Document 0637
 DOCN  M9640637
 TI    Health values of patients infected with human immunodeficiency virus.
       Relationship to mental health and physical functioning.
 DT    9604
 AU    Tsevat J; Solzan JG; Kuntz KM; Ragland J; Currier JS; Sell RL; Weinstein
       MC; Department of Medicine, Beth Israel Hospital, Harvard Medical;
       School, Boston, MA, USA.
 SO    Med Care. 1996 Jan;34(1):44-57. Unique Identifier : AIDSLINE
       MED/96142309
 AB    To assess the health values of patients infected with human
       immunodeficiency virus (HIV) and examine the relationships between their
       health values and health status at two points in time, the authors
       sought to determine whether patients' physical and mental health
       statuses were good predictors of how they valued their current state of
       health. One hundred thirty-nine patients with various stages of HIV
       infection were interviewed in a prospective cohort study based in a
       primary care practice of a community-based teaching hospital. Patients
       were interviewed twice at 6-month intervals using three health value
       measures--the time trade off, rating scale, and Quality of Well-being
       Scale--and three health status measures: the 18-item Mental Health
       Inventory, the Dyspnea-Fatigue Index, and the Medical Outcomes Study
       SF-36 Health Survey. The health status of HIV-infected patients was
       compromised and, with the exception of mental health, generally was
       worse among patients with more advanced HIV-infection. Rating scale and
       Quality of Well-being Scale scores were related inversely to disease
       stage, but time-trade off scores generally were higher regardless of
       disease stage. Health value measures showed moderate relationships with
       measures of physical functioning (r = 0.34-0.68) but only a fair
       relationship with mental health (r = 0.00-0.48). The health status of
       HIV-infected patients who remained asymptomatic or remained symptomatic
       but without developing acquired immunodeficiency syndrome (AIDS) changed
       little over 6 months, whereas the health status of patients with AIDS
       and of patients manifesting progression of HIV-infection deteriorated
       over time. In contrast, health values, particularly time-tradeoff
       scores, remained stable even in the face of changes in health status and
       disease progression. With the exception of mental health, the impact of
       HIV infection on health status tends to parallel the clinical stage of
       disease. Health values of HIV-infected patients, however, generally are
       high and correlate better with physical functioning than with mental
       health.
 DE    *Activities of Daily Living  Adult  *Attitude to Health  Female  *Health
       Status  Human  HIV Infections/PHYSIOPATHOLOGY/*PSYCHOLOGY  Male
       Massachusetts  *Mental Health  Predictive Value of Tests  Prospective
       Studies  Quality of Life  Quality-Adjusted Life Years  Questionnaires
       Severity of Illness Index  Support, U.S. Gov't, P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

