Prevalence of neurocognitive disorders and depression in a Brazilian HIV population

Troncoso, Flávio Trentin; Conterno, Lucieni de Oliveira

doi:10.1590/0037-8682-0034-2015

Cited by 40 publications

(51 citation statements)

References 36 publications

(53 reference statements)

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“…In addition, being a self-assessed measure, the use of the BDI can be related with a response bias. The sociodemographic and economic characteristics of the people living with HIV/Aids evidenced in this study support other background studies developed in Brazil (15,20) and around the world. (10,19,21) In the United States, depression is very common and, according to one study, (11) the overall prevalence rate was estimated at 6.6%, while ranging between 5 and 10% in PLHA.…”

Section: Discussionsupporting

confidence: 89%

“…(19) Higher scores on the subscales mean higher somatic and cognitive-affective disorders. (20) To analyze the data, the software IBM SPSS version 17.0 for Windows was used. Descriptive analysis was applied to characterize the sample, Student's t-test for independent samples compared the mean domain scores of the somatic and affective/cognitive symptom subscales and the Mann-Whitney test was used to calculate the mean item scores.…”

Section: Methodsmentioning

confidence: 99%

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Avaliação dos sintomas depressivos somáticos e afetivo-cognitivos de pessoas vivendo com HIV/AIDS

et al. 2017

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Objective: To analyze the somatic and affective-cognitive symptoms of depression according to the sex of people living with HIV/AIDS. Methods: Analytic study developed at specialized care services in Ribeirão Preto-SP, including a sample of 331 participants. To collect the data, a sociodemographic characterization tool and Beck's Depression Inventory (BDI) were used. Results: Among the interviewees, 50.4% were male, 52.1% of whom in the age range between 20 and 35 years. Higher education (p=0.001) and lower income (<0.001) were found for the women and more comorbidities (p=0.004) for the men. It was identified that the women presented higher mean depression scores in the somatic (p<0.001) as well as in the affective/cognitive domains (p<0.001). Conclusion: These study results appoint that the women present higher depressive symptom scores than the man, in the somatic as well as in the affective/cognitive domains of the BDI subscales. ResumoObjetivo: Analisar os sintomas somáticos e afetivo-cognitivos de depressão segundo o sexo de pessoas que vivem com HIV/AIDS. Métodos: Estudo analítico realizado em serviços de atendimento especializado em Ribeirão Preto-SP, com amostra de 331 participantes. Para coleta de dados foram utilizados instrumento de caracterização sociodemográfica e o Inventário de Depressão de Beck (BDI). Resultados: Dos entrevistados, 50,4% eram do sexo masculino e destes, 52,1% estavam na faixa etária de 20 a 35 anos. As mulheres apresentaram maior escolaridade (p=0,001) e menor renda (<0,001), e os homens apresentaram mais comorbidades (p=0,004). Identificou-se que as mulheres apresentaram maiores médias de escores de depressão, tanto no domínio somático (p<0,001) quanto no afetivo/cognitivo (p<0,001). Conclusão: Os resultados deste estudo apontam que as mulheres apresentam maiores escores de sintomatologia depressiva do que os homens, tanto no domínio somático quanto no afetivo/cognitivo das subescalas do IDB.

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Section: Discussionsupporting

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Avaliação dos sintomas depressivos somáticos e afetivo-cognitivos de pessoas vivendo com HIV/AIDS

et al. 2017

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“…However, the prevalence of HAND in the current study was higher than a cross-sectional study done in Brazil (53%)(16), (53%)(4), in Botswana (38%)(8) Indonesia (51%)(26), Nigeria 30%(20), South Africa (25%) (27), South Asia (22.7%) (13) and in Ethiopia at Debre Markos North West (24.8%) (17), Dessie (36.4%) (18) and the Mekele referral hospital Northern Ethiopia 33.3% (21). The differences might be accounted to the neurovirulence strain differences and sociodemographic differences.…”

Section: Discussioncontrasting

confidence: 87%

“…HIV-associated neurocognitive disorder (HAND) is one of the most common complications of Human Immune Deficiency Virus (HIV) infection (2, 3). It is characterized by cognitive, motor, and behavioral alterations secondary to the preferential impairment of sub cortical structures by the HIV virus (4). The burden of HIV associated neurocognitive disorder (HAND) in adult patients ranges from 19% to 52% in developing countries (9, 10), and from 14% to 64% in low resource settings (8, 11).…”

Section: Introductionmentioning

confidence: 99%

High prevalence of neurocognitive disorders observed among adult people living with HIV/AIDS in Southern Ethiopia: a cross-sectional study

Debalkie

Bekele

Workineh

et al. 2018

Preprint

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17Background: Comprehensive care given to people living with HIV/AIDS is improving 18 from time to time; however, their concurrent cognitive illness is still ignored, under 19 screened and treated particularly in developing countries. And this problem is also striking 20 in Ethiopia. Therefore, the objective of this study was to assess HIV-associated 21 neurocognitive disorders and associated factors among adult people living with HIV/AIDS. 22 Methods: An institution based cross sectional study was conducted in Gamo Gofa zone 23 public Hospitals from April to May, 2017. The systematic random sampling technique was 24 used to select a total of 697 people living with HIV/AIDS. Data was collected using 25 structured interviewer administered questionnaire and International HIV Dementia Scale 26 was used to screen HIV-associated neurocognitive deficits. Data was entered using Epidata 27 version 3.1 and analyzed using SPSS version 20. Both bivariable and multivariable logistic 28 regression analyses were performed to identify associated factors. A P value 0.05 with 95% 29 confidence level was used to declare statistical significance.30Result: A total of 684 study participants were included with a 98 % response rate. From 31 the total participants, 56% were females while 44% were males. The mean (±SD) age of 32 the participants was 38.8±8.8years. 33The prevalence of HIV-associated neurocognitive disorder was 67.1% (95%CI; 63.6, 70.5). 34The multivariable logistic analysis indicated that body mass index 16 kg/m2 (AOR 4.149 35(1.512-11.387)), being married (AOR 0.9 (0.604-0.623), unemployment (AOR 5.930 36 (3.013-11.670) and being in WHO clinical stage T3 category (AOR 2.870 (1.098-7.500) 37 were the key predictors of HIV-associated neurocognitive disorders among people living 38 with HIV/AIDS. 3 39 Conclusion: In this study the prevalence of HIV-associated neurocognitive disorder is higher 40 than the earlier reports in Ethiopia and Africa. The associated factors also vary from that of 41 earlier studies. This indicates the need for formulating preventive mental health programs and 42 policies for people living with HIV/AIDS.43

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“…[1][2][3] Tes penapisan yang secara global dipakai untuk mendeteksi gangguan kognisi pada HIV adalah IHDS. 2,[4][5][6][7] IHDS yang merupakan modifikasi dari HDS menghilangkan komponen pemeriksaan atensi didalamnya. 1 Padahal, atensi merupakan salah satu domain kognisi yang sering terganggu pada penderita HIV.…”

Section: Pendahuluanunclassified

Attention and International Hiv Dementia Scale (Ihds) Do Not Correlate With Cd4 Count in Hiv Patients

Arofah¹,

Rianawati²,

Rasyid³

et al. 2018

MNJ

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Latar belakang. Meskipun atensi merupakan domain kognisi yang sering terganggu pada penderita Human Immunodeficiency Virus (HIV), tidak terdapat pemeriksaan domain atensi pada tes penapisan HIVassociated cognitive disorder dengan menggunakan International HIV Dementia Scale (IHDS). Deteksi adanya gangguan atensi pada penderita HIV penting dilakukan karena mempengaruhi kepatuhan penderita terhadap konsumsi antiretrovirus dan aktivitas sehari-hari. Salah satu penanda keparahan dari HIV adalah kadar Cluster of Differentiation 4 (CD4) yang rendah. Tujuan. Menilai korelasi antara kadar CD4 dengan tes IHDS serta tes untuk menilai domain atensi yaitu forward digit span test (FWD), backward digit span test (BWD), dan trail making test A test (TMA). Metode. Penelitian analitik dengan desain penelitian cross sectional. Pengambilan sampel penelitian berdasarkan purposive sampling, sehingga didapatkan 30 responden. Instrumen penelitian ini adalah IHDS, FWD, BWD, dan TMA. Kadar CD4 juga dicatat. Hasil. Menggunakan uji eta, didapatkan hasil Eta 2 CD4 dengan IHDS, CD4 dengan FWD, CD4 dengan BWD, dan CD4 dengan TMA sebesar 0.025, 0.022, 0.022 dan 0.011. Simpulan. Karena kecilnya korelasi CD4 dengan IHDS, FWD, BWD, maupun TMA, maka kadar CD4 tidak berkorelasi dengan gangguan kognisi domain atensi dan IHDS.

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Prevalence of neurocognitive disorders and depression in a Brazilian HIV population

Cited by 40 publications

References 36 publications

Avaliação dos sintomas depressivos somáticos e afetivo-cognitivos de pessoas vivendo com HIV/AIDS

Avaliação dos sintomas depressivos somáticos e afetivo-cognitivos de pessoas vivendo com HIV/AIDS

High prevalence of neurocognitive disorders observed among adult people living with HIV/AIDS in Southern Ethiopia: a cross-sectional study

Attention and International Hiv Dementia Scale (Ihds) Do Not Correlate With Cd4 Count in Hiv Patients

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