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Erschienen in: Current HIV/AIDS Reports 4/2021

20.05.2021 | Behavioral-Bio-Medical Interface (RJ DiClemente and JL Brown, Section Editors)

Interventions Addressing Depression and HIV-Related Outcomes in People with HIV

verfasst von: Noelle A. Mendez, Daniel Mayo, Steven A. Safren

Erschienen in: Current HIV/AIDS Reports | Ausgabe 4/2021

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Abstract

Purpose of Review

People with HIV (PWH) are more likely to experience depression than those without HIV. Depression is not only distressing and interfering in and of itself, but it is also consistently associated with non-adherence to antiretroviral treatment (ART). Accordingly, research and clinical priorities require updated knowledge about interventions that address depression in PWH.

Recent Findings

Twenty efficacy trials and nine pilot studies since a 2009 review emerged in the literature review search. Of these, 11 and 6 respectively had a depression-related inclusion criterion. The intervention strategies included individual psychotherapy (n=6), group therapy (n=6), telehealth (n=3), and antidepressant medication (n=5). Generally, these interventions demonstrated acute efficacy for improving depression symptoms in PWH, with some also addressing ART non-adherence. However, not all studies collected follow-up data. Furthermore, trials that addressed depression but did not specifically address non-adherence did not also show adherence improvements.

Summary

Existing interventions for depression have demonstrated efficacy in PWH, and these may have both positive mental and physical health outcomes. Future trials should measure and boost longer-term effects. It would be useful to incorporate adherence interventions into depression treatment to improve self-care behaviors and health outcomes.
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Metadaten
Titel
Interventions Addressing Depression and HIV-Related Outcomes in People with HIV
verfasst von
Noelle A. Mendez
Daniel Mayo
Steven A. Safren
Publikationsdatum
20.05.2021
Verlag
Springer US
Erschienen in
Current HIV/AIDS Reports / Ausgabe 4/2021
Print ISSN: 1548-3568
Elektronische ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-021-00559-w

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