Profiles of depressive symptoms and influential factors among people living with HIV in China

Wang, Dongfang; Deng, Qijian; Chen, Huilin; Wang, Min; Liu, Zhening; Wang, Honghong; Ouyang, Xuan

doi:10.1186/s12889-023-15057-4

Cited by 4 publications

(5 citation statements)

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“…As the most common mental health challenge associated with HIV/AIDS patients, depression may even aggravate the disease [ 24 ]. In our study population, the mean depression score of HIV/AIDS patients was 18.33 ± 9.72, and the prevalence of depression sympyoms was 54.5%, which was higher than the global prevalence (31%) [ 25 ], and what was reported by Kim Madundo et al (41%) [ 26 ] and Wang (47.7%) [ 27 ]. Possible reasons for this discrepancy may be related to timing, sample size, and differences in response to HIV infection around China, which influenced our subjects socially.…”

Section: Discussioncontrasting

confidence: 47%

Sleep quality mediates the effect of medical social support on depression symptoms in patients with HIV/AIDS

Chen,

He,

Chen

et al. 2024

BMC Public Health

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Objectives The purpose of our study is to further understanding of the depression symptoms of HIV/AIDS patients in Guilin, Guangxi via exploring whether there is a mediating effect of sleep quality on medical-social support and depression symptoms and therefore provide a theoretical basis for application of medical-social support to alleviate depression symptoms of HIV/AIDS patients. Methods A convenience sampling method was used to select 200 HIV/AIDS patients for the study. Depression symptoms, sleep quality, and medical-social support of the study participants were investigated using The Center for Epidemiological Studies Depression Scale (CES-D), The Pittsburg Sleep Quality Index (PSQI), and The Medical Outcomes Study Social Support Survey (MOS-SSS), respectively. Predictors of depression symptoms were explored by multiple linear regression, and Pearson correlation was used to analyze the relationship between sleep quality, medical-social support, and depression symptoms. Mediating effect analysis was performed by nonparametric Bootstrap test. Results In this study, the incidence of depression symptoms was 54.4%. Multiple linear regression analysis showed that leanness (β = 0.161, P = 0.008), obesity (β = 0.186, P = 0.002), sleep quality score > 7 (β = 0.331, P < 0.001), and medical-social support score > 56 (β = -0.247, P < 0.001) could influence depression symptoms of HIV and Pearson’s correlation analysis demonstrated that there was a two-way correlation between sleep quality, medical social support and depression symptoms (P < 0.05). In addition, Bootstrap tests showed that medical-social support might affect depression symptoms not only directly but also indirectly through the mediating effect of sleep quality with the direct and mediating effects accounting for 77.25% and 22.75% of the total effect, respectively. Conclusion The prevalence of depression symptoms is high among HIV/AIDS patients in Guilin City. The depressive symptoms of PLWHs(people living with HIV) are related to their sleep quality and medical-social support, and sleep quality partially mediates the relationship between medical-social support and depression symptoms. Therefore, interventions to improve sleep quality and medical-social support have the potential to allay the depression symptoms of HIV/AIDS patients.

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Section: Discussioncontrasting

confidence: 47%

Sleep quality mediates the effect of medical social support on depression symptoms in patients with HIV/AIDS

Chen,

He,

Chen

et al. 2024

BMC Public Health

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“…According to the recommendation of Kroenke et al, a PHQ-9 score > 9 was used to identify participants with a possible depressive disorder [ 33 ]. The PHQ-9 has shown good reliability and validity in previous studies of HIV-infected individuals in China [ 34 , 35 ]. The McDonald’s omega of this scale was 0.850 and Cronbach’s α was 0.849, indicating that it has good reliability.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional study

Liu,

Yang,

Tian

et al. 2023

BMC Psychiatry

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Background Alexithymia is common and causes serious harm to people living with HIV/AIDS. Therefore, this study aimed to examine its prevalence and associated factors among people living with HIV/AIDS in China. Methods A cross-sectional study was conducted in two designated AIDS medical institutions in Harbin, China between January and December 2019. In total, 767 participants completed the 20-item Toronto Alexithymia Scale, the University of California Los Angeles Loneliness short-form, the Patient Health Questionnaire-9, the HIV Treatment Regimen Fatigue Scale, and the Alcohol Use Disorders Identification Test‐Consumption. The participants responded to several questions regarding their demographic characteristics, life satisfaction, disease-related economic burden, and their antiretroviral therapy (ART) side effects. Multivariate logistic regression assessed the relationship between alexithymia and associated factors. Odds ratios (OR) and 95% confidence intervals (CI) for OR were calculated. Results Approximately 36.1% of the participants were classified as having alexithymia. After adjusted age and education, the logistic regression model indicated that disease-related economic burden (OR = 1.477, 95% CI = 1.155–1.888), ART side effects (OR = 1.249, 95% CI = 1.001–1.559), loneliness (OR = 1.166, 95% CI = 1.101–1.236), and HIV treatment regimen fatigue (OR = 1.028, 95% CI = 1.017–1.039) were positively associated with alexithymia. Conclusions The mental health problems of people living with HIV/AIDS are essential to understand and deserve attention. Disease-related economic burdens are major associated factors. Multiple actors should provide better services and guarantees for patients.

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“…People living with HIV/AIDS (PLWHA) are susceptible to depressive and anxiety disorders or their symptoms, 1 but depressive symptoms are the most frequently observed mental disorder among PLWHA. [1][2][3] The majority of the PLWHA (36.0 million) lives in sub-Saharan Africa (SSA); 630,000 HIV-related deaths, 1.3 million newly infected with HIV, and 29.8 million receives antiretroviral therapy (ART) in 2021. 4 Notwithstanding the spectrum of interventions, the HIV prevalence rates continue to increase in developing countries compared to developed countries.…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown that older age, [10][11][12][13] female gender, [14][15][16] single or divorced/widowed marital status, 2,10,17 low educational attainment, 1,13 low financial income or hardships, 14,18 difficulty accessing HIV care and treatment services, 19,20 and HIV positive status 12,21 as the socio-demographic correlates of depressive symptoms in PLWAH. Pertaining to psychosocial factors, low social support, 3,10,12 food insecurity, 22 HIV-related stigma and discrimination, 1,16,19,23 risky sexual behaviours, 24 and social isolation, 14,25 are significantly associated with depressive symptoms in PLWHA. Other psychosocial correlates of depressive symptoms among this population include family conflict or crises, 5 stressful life events, 26 and alcohol and other substance abuse use.…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms and Associated Factors Among People Living with HIV/AIDS and Undergoing Antiretroviral Therapy: A Cross-Sectional Study in the Amathole District, South Africa

Njajula,

Okafor

2023

JMDH

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Background and Aim: People living with HIV/AIDS (PLWHA) are susceptible to depressive symptoms. Consequently, we examined the prevalence of depressive symptoms and associated factors among PLWHA and on antiretroviral therapy (ART) in South Africa. Methods: We conducted a cross-sectional study of 150 PLWHA on ART in primary health facilities in Amathole District, Eastern Cape Province of South Africa. A self-designed questionnaire solicits information on participant's demographic characteristics. Patient Health Questionnaire (PHQ-9) rating scale was used to screen depressive symptoms (cut-off point of ≤5). Data was also collected on lifestyle behaviours, early ART initiation, medication adherence, depression-related symptoms, and depression severity scores. Results: The prevalence of depressive symptoms was 41.3%, with females exhibited higher prevalence (67.7%) compared to males (32.3%). Depressive symptoms was significantly associated with unemployment, female gender, low educational level, and HIV staging. Predictors of depressive symptoms were lower CD4 cell count of 350 to 500 (OR=4.0; 1.05-17.50), pain and discomfort (OR=6.2; 1.69-28.01), suffering from complications and opportunistic diseases (OR=1.5; 0.19-3.49), experiencing discrimination at health facilities (OR=11.0; 0.93-167.1), and workplaces (OR=18.1; 2.53-43.23), and being satisfied with ART treatment results (OR=0.1; 0.05-1.06). Conclusion: Depressive symptoms was high among PLWHA in this setting, and particularly in women compared to men. Low CD4 cell count, pain and discomfort, complications and opportunistic diseases, discrimination at health facilities and workplaces were more likely susceptible to depressive symptoms. Mental health screening should be prioritised in primary health care facilities for early detection of depressive symptoms to facilitate prompt referrals and treatment.

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Profiles of depressive symptoms and influential factors among people living with HIV in China

Cited by 4 publications

References 66 publications

Sleep quality mediates the effect of medical social support on depression symptoms in patients with HIV/AIDS

Sleep quality mediates the effect of medical social support on depression symptoms in patients with HIV/AIDS

Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional study

Depressive Symptoms and Associated Factors Among People Living with HIV/AIDS and Undergoing Antiretroviral Therapy: A Cross-Sectional Study in the Amathole District, South Africa

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