{
  "abstract": "Background: This study evaluated the psychometric properties and clinical validity of the Clinic Screening Tool for HIV (CST-HIV) to determine whether the CST-HIV demonstrates a reliable multidimensional structure and clinically meaningful associations with established patient-reported outcome measures (PROM) and HIV clinical markers.\n\nMethods: A cross-sectional study was conducted within the Spanish CoRIS multicentre cohort, including 286 adults with HIV. Participants completed the CST-HIV and validated PROMs. Clinical indicators (CD4+ cell count and percentage, HIV-1 RNA viral load, and non-AIDS events) were collected at current and retrospective time points. Analyses included confirmatory factor analysis, internal consistency, convergent and discriminant validity, associations with clinical markers, and age-group comparisons.\n\nResults: Confirmatory factor analysis showed good model fit, with satisfactory internal consistency across domains (ω = 0.86–0.89). CST-HIV shows convergent validity, including psychological distress with PHQ-4 (r = 0.79), anticipated stigma with HIV stigma (r = 0.65), sexuality with sexual satisfaction (r = −0.74), sleep and fatigue with insomnia severity (r = 0.79), and material deprivation with social exclusion (r = 0.67) (all p < 0.001). Anticipated stigma (ρ = −0.16, p = 0.014) and material deprivation (ρ = −0.18, p = 0.005) were associated with lower CD4+ counts, while material deprivation was associated with higher viral load (ρ = 0.13, p = 0.046). Sexual satisfaction was lower among participants aged ≥50 years (d = −0.47, p < 0.001).\n\nConclusion: The CST-HIV demonstrates strong psychometric performance, supporting its use as a valid, brief, multidimensional screening tool to inform person-centered HIV care and clinical intervention.",
  "abstract_shown": true,
  "affiliations": [
    "Faculty of Psychology, Universidad Nacional de Educación a Distancia (UNED) , ,",
    "Barcelona Institute for Global Health (ISGlobal) , ,",
    "Spanish Interdisciplinary AIDS Society (SEISIDA) , ,",
    "CIBERINFEC, Carlos III Health Institute , ,"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "María José Fuster-RuizdeApodaca"
    },
    {
      "affs": [
        0
      ],
      "name": "Patricia Recio"
    },
    {
      "affs": [
        1
      ],
      "name": "Trenton M. White"
    },
    {
      "affs": [
        2
      ],
      "name": "Carlos Iniesta"
    },
    {
      "affs": [
        3
      ],
      "name": "Rebeca Izquierdo"
    },
    {
      "affs": [
        2
      ],
      "name": "Julián Alexander Portocarrero"
    },
    {
      "affs": [
        1
      ],
      "name": "Jeffrey V. Lazarus"
    },
    {
      "affs": [
        3
      ],
      "name": "Inmaculada Jarrín"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0xj6egyd7r3g0.bib",
  "cited_by": 0,
  "doi": "10.3389/fpsyg.2026.1940441",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13719464/?tool=EBI",
  "id": "0xj6egyd7r3g0",
  "issns": [
    "1664-1078"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13719464",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2725|HIV/AIDS Research and Interventions"
    ]
  ],
  "openalex": "W7222584012",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13719464/pdf/?tool=EBI",
  "pmcid": "PMC13719464",
  "pmid": "42964230",
  "published": "2026-10-16",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/0xj6egyd7r3g0.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T12:21:36Z",
      "native_id": "PMC:PMC13719464",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13719464"
    },
    {
      "first_seen": "2026-11-02T12:23:25Z",
      "native_id": "PMC13719464",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpsyg.2026.1940441"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|HIV/AIDS Research and Interventions",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Validity evidence for the Clinic Screening Tool for HIV (CST-HIV) addressing factors that undermine health-related quality of life in people living with HIV",
  "title_text": "Validity evidence for the Clinic Screening Tool for HIV (CST-HIV) addressing factors that undermine health-related quality of life in people living with HIV",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T12:20:31Z",
  "url": "https://research.draconitic.com/paper/0xj6egyd7r3g0",
  "venue": "Frontiers in psychology",
  "versions": []
}