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Erschienen in: Current Psychiatry Reports 1/2015

01.01.2015 | Complex Medical-Psychiatric Issues (MB Riba, Section Editor)

Depression in HIV Infected Patients: a Review

verfasst von: Maria Giulia Nanni, Rosangela Caruso, Alex J. Mitchell, Elena Meggiolaro, Luigi Grassi

Erschienen in: Current Psychiatry Reports | Ausgabe 1/2015

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Abstract

Depression is the most common neuropsychiatric complication in HIV-infected patients and may occur in all phases of the infection. Accurately, diagnosing major depressive disorder in the context of HIV is an ongoing challenge to clinicians and researchers, being complicated by the complex biological, psychological, and social factors associated with the HIV illness. Evidences exist to support the importance of improving the identification of depressive symptoms and their adequate treatment. Depression has long been recognized as a predictor of negative clinical outcomes in HIV-infected patients, such as reducing medication adherence, quality of life, and treatment outcome, and possibly worsening the progression of the illness and increasing mortality. By analyzing the most relevant studies (MEDLINE, EMBASE, PsycLit, Cochrane Library), the review discusses the epidemiology and the main clinical features of depression in HIV-infected patients, the causal pathways linking depression and HIV infection, the validity of screening tools, and the efficacy of different treatment approaches, including psychosocial interventions, psychopharmacology as well as HIV-specific health psychology health service models.
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Metadaten
Titel
Depression in HIV Infected Patients: a Review
verfasst von
Maria Giulia Nanni
Rosangela Caruso
Alex J. Mitchell
Elena Meggiolaro
Luigi Grassi
Publikationsdatum
01.01.2015
Verlag
Springer US
Erschienen in
Current Psychiatry Reports / Ausgabe 1/2015
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-014-0530-4

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