Effectiveness of Collaborative Care for Depression in Human Immunodeficiency Virus Clinics

Pyne, Jeffrey M.; Fortney, John C.; Curran, Geoffrey M.; Tripathi, Shanti P.; Atkinson, J. H.; Kilbourne, Amy M.; Hagedorn, Hildi; Rimland, David; Rodriguez‐Barradas, Maria C.; Monson, Thomas P.; Bottonari, Kathryn A.; Asch, Steven M.; Gifford, Allen L.

doi:10.1001/archinternmed.2010.395

Cited by 84 publications

(156 citation statements)

References 67 publications

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“…Such interventions have proven to be effective (Pyne et al, 2011). The implementation of group activities directed to promoting self-esteem and the sharing of experiences can broaden and strengthen social support sources, working as a protective factor against vulnerabilities in mental health.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with depressive symptoms in individuals living with HIV/AIDS

Reis

Melo

Castrighini

et al. 2017

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Introduction. Symptoms of depression are highly prevalent among people living with HIV/AIDS in Brazil and in other countries. This situation points to the need for proper diagnosis and timely treatment by the health team. Objective. To identify the prevalence of depressive symptoms and its association with sociodemographic, clinical and behavioral disorders among PLWHA. Method. This cross-sectional study analyzed 331 people living with HIV/AIDS in the city of São Paulo, Southeast Brazil. The Beck Depression Inventory was used to assess depressive symptoms. To identify predictors of depression, a multiple regression model was used, with a 95% confidence interval. Results. Of the participants, 167 (50.5%) were men, with an average age of 40. Depressive symptoms were prevalent in 42.3% and the factors associated with depression were being employed, age, and immunological status. Being employed was 1.8 times more likely (95% CI [1.0, 2.8]) to develop depressive symptoms than those who were not employed. The odds ratio of individuals under the age of 40 indicates they were 1.8 times more likely (95% CI [1.1, 2.8]) to have depressive symptoms than those over 40 years old. In regard to clinical aspects, individuals with 200 CD4 cells per mm 3 are 2.1 times (95% CI [1.1, 3.9]) more likely to develop depression. Discussion and conclusion. We conclude that the prevalence of depressive symptoms among people living with HIV/AIDS was 42.3% and it was associated with being employed, age and CD4 + cell count.

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Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with depressive symptoms in individuals living with HIV/AIDS

Reis

Melo

Castrighini

et al. 2017

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“…Five studies used technology-based interventions (interactive computers assisted sessions, phone calls, text messaging, and pagers). 36,50,56,67,78 Only one (20%) of these improved both adherence and clinical outcomes. 67 …”

Section: Effects Of Interventionsmentioning

confidence: 99%

Interventions for Enhancing Adherence to Antiretroviral Therapy (ART): A Systematic Review of High Quality Studies

Mbuagbaw

Sivaramalingam

Navarro

et al. 2015

AIDS Patient Care and STDs

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We sought to review the effectiveness of interventions designed to improve adherence to antiretroviral therapy (ART) from studies included in a recent Cochrane review that reported a clinical and an adherence outcome, with at least 80% follow-up for 6 months or more. Data were extracted independently and in duplicate, with an adjudicator for disagreements. Risk of bias was assessed using the Cochrane Risk of Bias tool. Of 182 relevant studies in the Cochrane review, 49 were related to ART. Statistical pooling was not warranted due to heterogeneity in interventions, participants, treatments, adherence measures and outcomes. Many studies had high risk of bias in elements of design and outcome ascertainment. Only 10 studies improved both adherence and clinical outcomes. These used the following interventions: adherence counselling (two studies); a once-daily regimen (compared to twice daily); text messaging; web-based cognitive behavioral intervention; face-to-face multi-session intensive behavioral interventions (two studies); contingency management; modified directly observed therapy; and nurse-delivered home visits combined with telephone calls. Patient-related adherence interventions were the most frequently tested. Uniform adherence measures and higher quality studies of younger populations are encouraged.

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“…A variety of chronic medical conditions were reported in the 20 studies: Acute coronary syndrome (ACS) (five studies; n = 866) [55][56][57][58][59], arthritis (two studies; n = 1251) [60,61], cancer (three studies; n = 727) [62][63][64], chronic obstructive pulmonary disease (COPD) (one study; n = 138) [65], diabetes mellitus (DM) type II (three studies; n = 774) [66][67][68], epilepsy (one study; n = 80) [69], human immunodeficiency virus (HIV) (one study; n = 276) [70], hypertension (one study; n = 64) [71], and multi-morbidity (three studies; n = 598) [9,72,73]. Fifteen of the 20 studies diagnosed depression or dysthymia using self-report, 12 of the studies used the Patient Health Questionnaire (PHQ-9), two studies used the Beck Depression Inventory (BDI) and one study used the Centre for Epidemiologic Studies Depression Scale (CES-D).…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

Illness burden and physical outcomes associated with collaborative care in patients with comorbid depressive disorder in chronic medical conditions: A systematic review and meta-analysis

Sluijs

Castelijns

Eijsbroek

et al. 2018

General Hospital Psychiatry

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Objective Collaborative care (CC) improves depressive symptoms in people with comorbid depressive disorder in chronic medical conditions, but its effect on physical symptoms has not yet systematically been reviewed. This study aims to do so. Methods Systematic review and meta-analysis was conducted using Pubmed, the Cochrane Library, and the European and US Clinical Trial Registers. Eligible studies included randomized controlled trials (RCTs) of CC compared to care as usual (CAU), in primary care and general hospital setting, reporting on physical and depressive symptoms as outcomes. Overall treatment effects were estimated for illness burden, physical outcomes and depression, respectively. Results Twenty RCTs were included, with N = 4774 patients. The overall effect size of CC versus CAU for illness burden was OR 1.64 (95%CI 1.47;1.83), d = 0.27 (95%CI 0.21;0.33). Overall, depression outcomes were better for CC than for CAU. Moderator analyses did not yield statistically significant differences. Conclusions CC is more effective than CAU in terms of illness burden, physical outcomes and depression, in patients with comorbid depression in chronic medical conditions. More research covering multiple physical disorders is needed. Corresponding AuthorChristina Van der Feltz-Cornelis Corresponding Author's InstitutionClinical Centre of excellence for Body, Mind and Health, GGz Breburg, Tilburg, The Netherlands Appendix A_searchterm.docx [Figure] Appendix B_PRISMA 2009 checklist.docx [Figure] Appendix C_risk of bias assessment.docx [Figure] Forest plot 1.docx [Figure] Forest plot 2.docx [Figure] Forest plot 3.docx [Figure] Forest plot 4.docx [Figure] Forest plot 5.docx [Figure] Funnel plot 1.docx [Figure] PRISMA flow diagram.docx [Figure] Table] To view all the submission files, including those not included in the PDF, click on the manuscript title on your EVISE Homepage, then click 'Download zip file'. Order of AuthorsDear Dr. Huffman,We have received your comments with regard to our manuscript 'Physical outcomes of collaborative care and illness burden in patients with comorbid depressive disorder in chronic medical conditions: a systematic review and meta-analysis' (GHP_2017_110_R1).We would like to thank you for the fast and careful review of our manuscript, and are pleased that your Journal is interested in considering a revised version. We have carefully attended to the remarks, which were most helpful for improving the manuscript. Enclosed you will also find the revised version of the manuscript, in which we have marked the revisions in yellow.During the revision process we have also changed the title to: 'Illness burden and physical outcomes associated with collaborative care in patients with comorbid depressive disorder in chronic medical conditions: A systematic review and meta-analysis'. We hope that our revised manuscript is suitable for publication in General Hospital Psychiatry. Editor comments and our response:Thank you very much for your comprehensive re...

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Effectiveness of Collaborative Care for Depression in Human Immunodeficiency Virus Clinics

Abstract: clinicaltrials.gov Identifier: NCT00304915.

Cited by 84 publications

References 67 publications

Prevalence and factors associated with depressive symptoms in individuals living with HIV/AIDS

Prevalence and factors associated with depressive symptoms in individuals living with HIV/AIDS

Interventions for Enhancing Adherence to Antiretroviral Therapy (ART): A Systematic Review of High Quality Studies

Illness burden and physical outcomes associated with collaborative care in patients with comorbid depressive disorder in chronic medical conditions: A systematic review and meta-analysis

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