Erschienen in:
19.01.2019 | Central Nervous System and Cognition (SS Spudich, Section Editor)
HIV, Depression, and Cognitive Impairment in the Era of Effective Antiretroviral Therapy
verfasst von:
Leah H. Rubin, Pauline M. Maki
Erschienen in:
Current HIV/AIDS Reports
|
Ausgabe 1/2019
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Abstract
Purpose of Review
Mental health disorders, especially depression, are prevalent among people living with HIV (PLWH) and are associated with cognitive impairment (CI) among HIV-uninfected (HIV−) individuals. We conducted a comprehensive review of the link between depression and cognition among PLWH.
Recent Findings
Studies examining depression and cognition in PLWH report high rates of current (median = 24%) and lifetime depression (42%). There is reliable evidence that depression is associated with overall CI among PLWH, and in the cognitive domains of processing speed, executive function, learning and memory, and motor function. Although few studies have examined the interaction between HIV serostatus and depression on CI, there is no evidence of a stronger association between CI and depression in PLWH compared with HIV− controls.
Summary
Depression is prevalent and reliably associated with CI in PLWH, with an overall pattern of domain-specific associations similar to that of HIV− individuals.