nach oben

AIDS and Behavior

Erschienen in:

01.06.2013 | Brief Report

Moderate Levels of Depression Predict Sexual Transmission Risk in HIV-Infected MSM: A Longitudinal Analysis of Data From Six Sites Involved in a “Prevention for Positives” Study

verfasst von: Conall O’Cleirigh, Michael E. Newcomb, Kenneth H. Mayer, Margie Skeer, Lara Traeger, Steven A. Safren

Erschienen in: AIDS and Behavior | Ausgabe 5/2013

Einloggen, um Zugang zu erhalten

Abstract

Depression is highly comorbid with HIV and may contribute to increased sexual transmission risk behavior (TRB) amongst HIV-infected MSM, the largest risk group for HIV in the U.S. However, examinations of this effect are inconsistent. The present longitudinal analyses of 746 HIV-infected MSM is from a multi-site “prevention for positives” study. A non-linear association between depression and TRB emerged. Moderate levels of depression (compared to either low or high levels) were associated with a more modest decline in the odds of sexual risk behavior over 12-month follow-up. Assessing depression in HIV primary care settings may help to identify those at risk and integrating the treatment of depression into secondary prevention and treatment initiatives may decrease the likelihood of sexual risk and help to contain the epidemic among MSM.

Center for Disease Control and Prevention (CDC). (2012). Fact sheet: HIV among gay and bisexual men. Division of HIV/AIDS prevention, CDC, Atlanta, GA, USA, http://www.cdc.gov/hiv/topics/msm/pdf/msm.pdf. Accessed 14 Apr 2013.

Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, Vargas L, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. New Engl J Med. 2010;363:2587–99.PubMedCrossRef

Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, et al. Prevention of HIV-1 infection with early antiretroviral therapy. New Engl J Med. 2011;365:493–505.PubMedCrossRef

Bing EG, Burnam MA, Longshore D, Fleishman JA, Sherbourne CD, London AS, et al. Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Arch Gen Psychiatr. 2001;58:721–8.PubMedCrossRef

Mustanski BS, Newcomb ME, Du Bois SN, Garcia SC, Grov C. HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions. J Sex Res. 2011;48:218–53.PubMedCrossRef

Koblin BA, Husnik MJ, Colfax G, Huang Y, Madison M, Mayer K, et al. Risk factors for HIV infection among men who have sex with men. AIDS. 2006;20:731–9.PubMedCrossRef

Allgower A, Wardle J, Steptoe A. Depressive symptoms, social support, and personal health behaviors in young men and women. Health Psychol. 2001;20:223–7.PubMedCrossRef

Myers JJ, Shade SB, Rose CD, Koester K, Maiorana A, Malitz FE, et al. Interventions delivered in clinical settings are effective in reducing risk of HIV transmission among people living with HIV: results from the Health Resources and Services Administration (HRSA)’s Special Projects of National Significance initiative. AIDS Behav. 2010;14:483–92.PubMedCrossRef

Morin SF, Myers JJ, Shade SB, Koester K, Maiorana A, Rose CD. Predicting HIV transmission risk among HIV-infected patients seen in clinical settings. AIDS Behav. 2007;11:S6–16.PubMedCrossRef

10.

Knight RG, Williams S, McGee R, Olaman S. Psychometric properties of the Centre for Epidemiologic Studies Depression Scale (CES-D) in a sample of women in middle life. Behav Res Ther. 1997;35:373–80.CrossRef

11.

Roberts RE, Vernon SW, Rhoades HM. Effects of language and ethnic status on reliability and validity of the Center for Epidemiologic Studies-Depression Scale with psychiatric patients. J Nerv Ment Dis. 1989;177:581–92.PubMedCrossRef

12.

Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psych Meas. 1977;1:385–401.CrossRef

13.

McNair DM, Lorr M, Droppleman LF. Manual: Profile of Mood States. San Diego: Educational & Industrial Testing Service; 1971.

14.

Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999;282:1737–44.PubMedCrossRef

15.

Beck AT. Depression: Causes and Treatment. Philadelphia: University of Pennsylvania Press; 2006.

16.

Rosenthal R, Rosnow RL. Essential of behavioral research; methods and data analysis. 2nd ed. New York: McGraw Hill; 1991.

17.

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. NJ Erlbaum: Hillsdale; 1988.

18.

Hedges LV, Olkin I. Statistical methods for meta-analysis. Orlando: Academic; 1985.

19.

Zimmerman M, Martinez JN, Friedman M, Boerescu DA, Attiullah N, Toba C. How can we use depression severity to guide treatment selection when measures of depression categorize patients differently? J Clin Psychiatry. 2012;73(10):1287–91.PubMedCrossRef

20.

Raudenbush SW, Bryk AS. Hierarchical Linear Models: Applications and Data Analysis Methods. 2nd ed. Thousand Oaks: Sage; 2002.

21.

Ironson G, O’Cleirigh C, Fletcher MA, Laurenceau JP, Blabin E, Klimas N, et al. Psychosocial factors predict CD4 and viral load change in men and women with HIV in the era of HAART. Psychosom Med. 2005;67:1013–21.PubMedCrossRef

22.

Ironson G, O’Cleirigh C, Leserman J, Stuetzle R, Fordiani J, Fletcher MA, et al. Gender specific effects of an augmented written emotional disclosure intervention on osttraumatic, depressive and HIV disease-related outcomes: a randomized, controlled trial. J Consult Clin Psych. 2013;81(2):284–98.CrossRef

23.

Safren SA, O’Cleirigh C, Bullis JR, Otto MW, Stein MA, Pollack MH. Cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV-infected injection drug users: a randomized controlled trial. J Consult Clin Psych. 2012;80:404–15.CrossRef

24.

Stall R, Mills TC, Williamson J, Hart T, Greenwood G, Paul J, et al. Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health. 2003;93:939–42.PubMedCrossRef

Titel: Moderate Levels of Depression Predict Sexual Transmission Risk in HIV-Infected MSM: A Longitudinal Analysis of Data From Six Sites Involved in a “Prevention for Positives” Study
verfasst von: Conall O’Cleirigh
Michael E. Newcomb
Kenneth H. Mayer
Margie Skeer
Lara Traeger
Steven A. Safren
Publikationsdatum: 01.06.2013
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 5/2013
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-013-0462-8

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2013

The Relationship Between Internalised HIV-Related Stigma and Posttraumatic Growth

Associations Between Partner-Venue Specific Personal Responsibility Beliefs and Transmission Risk Behavior by HIV-Positive Men Who Have Sex with Men (MSM)

HIV and H2O: Tracing the Connections Between Gender, Water and HIV

HIV Seroprevalence, Associated Risk Behavior, and Alcohol Use Among Male Rwanda Defense Forces Military Personnel

Counselling, Case Management and Health Promotion for People Living with HIV/AIDS: An Overview of Systematic Reviews

Food Insecurity, CD4 Counts, and Incomplete Viral Suppression Among HIV+ Patients from Texas Children’s Hospital: A Pilot Study