Psychiatric Morbidity and Adherence to Antiretroviral Medication in Patients With HIV/AIDS

Sternhell, Peter; Corr, Melissa J

doi:10.1046/j.1440-1614.2002.00999.x

Cited by 51 publications

(35 citation statements)

References 30 publications

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“…[16][17][18][19] In our study, majority of respondents were aged 35 years and more, male, married, Hindu, literate and employed. Significant association of depression was found with religion, occupation and socio-economic status.…”

Section: Discussionmentioning

confidence: 67%

A study on depression in people living with HIV/AIDS in South-West part of Uttar Pradesh, India

Rai

Verma

2015

SE Asia J. Pub. Health

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HIV/AIDS and depression are often thought to be interlinked. HIV positive cases may trigger symptoms of depression which, in turn, may result in risky sexual behavior and spread of HIV. Interviews were conducted in 104 patients of HIV/AIDS at the Anti-Retroviral Therapy (ART) Clinic of a teaching hospital in Uttar Pradesh (India) to study depression and examine its prevalence and association, if any, with some socio-demographic and clinical variables. The tools used to assess anxiety and depression and their severities were General Health Questionnaire (GHQ) 28 and Montgomery-Asberg Depression Rating Scale (MADRS) . The majority of patients were of age 35 years & above (62%), males (67%), married (85%), Hindus (88%), literate (73.1%), unemployed (35%) and of upper-lower socio-economic status (52%). Significant association of depression was found with religion, occupation and socio-economic status. Depression and anxiety were also found to be significantly associated with each other. There was, however, no association of depression with respondents' age, gender, marital status, education, habitat, income, duration of illness from HIV/AIDS and the CD4 count. The high prevalence rate (67.3%) of depression amongst HIV patients in our study may be taken as marker to alert Counsellors of country's ART Clinics for possible risk of depression in HIV patients. The above findings however, should be interpreted in the light of the fact that a parallel control group in the study was not included, studied sample was not large enough and the tools used to study the subjects for depression and anxiety were not adequately standardized.

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Section: Discussionmentioning

confidence: 67%

A study on depression in people living with HIV/AIDS in South-West part of Uttar Pradesh, India

Rai

Verma

2015

SE Asia J. Pub. Health

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“…The evidence has mainly come from case reports and anecdotal accounts. However, studies in other adolescent populations with chronic illnesses, including diabetes (21), HIV infection (22), and cystic fibrosis (23), have demonstrated the association of emotional problems with poorer adherence.…”

Section: Introductionmentioning

confidence: 99%

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Penkower¹,

Dew²,

Ellis³

et al. 2003

American Journal of Transplantation

103

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This longitudinal pilot study of adolescent renal transplant recipients (a) describes the prevalence of psychological distress, (b) describes the prevalence of nonadherence, and (c) explores the association between the recipient's psychological distress and his/her subsequent medical adherence. Twenty-two adolescents, aged 13-18 years, completed two interviews that were separated by approximately 12 months. Psychological distress was assessed in three domains: symptoms of depression, anxiety, and anger. Adherence was assessed in three domains: medication taking, blood work, and clinic attendance. At the initial interview, 36.4% had symptoms of depression, 36.4% endorsed anxiety, and 18.2% endorsed excessive state anger. Non-adherence rates were 13.6% for medication, 22.7% for blood work, and 50% for missed clinic. At the second interview, nonadherence with medication remained the same and the other domains decreased. Our small pilot sample, however, limited our ability to detect statistically significant changes over time. Predictive analyses demonstrated that adolescents with excessive anger were at greater risk for subsequently missing medications than adolescents without excessive anger. These findings suggest that while symptoms of depression and anxiety are observed among some adolescents with renal transplants, only anger is associated with elevated risk for nonadherence with medication.

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“…The management of comorbid psychiatric and physical illness is an important issue for health services. [19][20][21][22][23][24] This study examined the socio-demographic parameters, sources of referrals and diagnostic pattern of psychiatric disorders by assessing the referrals of patients sent for psychiatric consultation. According to this study, the mean age of referred patients was 32.6 years, a finding which is in agreement with other studies.…”

Section: Discussionmentioning

confidence: 99%

Pattern of Psychiatric Morbidity Among Referred Patients to the Department of Psychiatry in Super Speciality Hospital of Kashmir

Gania¹,

Suhaff²,

Hakak³

et al. 2016

jemds

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BACKGROUNDThe paper discusses the role of referrals in psychiatric practice using referrals from various departments in super-speciality teaching hospital. It is a care delivered by psychiatrists to patients with co-occurring medical and psychiatric problems who are being treated primarily in medical settings. The department of psychiatry in a super-speciality hospital setting, has a multidimensional role providing inpatient care, maintaining strong interaction with community psychiatric services and offering specialist services to the general hospital wards either as part of the multidisciplinary approach to patient management or by offering specialist inpatient care to patients already hospitalised in other departments, or attending patients referred from other departments with psychiatric problems. 1-3 The most referrals were from department of medicine with most common reasons being depression, anxiety and somatic symptoms. MATERIALS AND METHODSThis cross-sectional study was conducted at Sher-e-Kashmir Institute of Medical Sciences (SKIMS). All patients being referred to psychiatry were included in the study over 3-month period. The information was recorded on a structured questionnaire and analysed the data using SPSS. A total of 350 patients were referred to psychiatry from various departments. RESULTSAverage age of the patients referred to was 32.6 years. 151 (48.2%) referrals were males. 71 (22.7%) referrals were from Cardiology, 46 (14.7%) from Neurology, 39 (12.5%) from General Medicine, 36 (11.5%) from Gastroenterology, 28(8%) from Physical Medicine, 24 (7.7%) from Accident & Emergency, 22 (7%) from Endocrinology, and 47 (15%) were from various other departments. Among the various reasons of referrals, 40 (12.8%) were for depressive disorder, 29 (9.3%) for functional neurological symptom disorder, 28 (8.9%) for generalised anxiety disorder, 27 (8.6%) for panic disorder and somatic symptom disorder each. 162 (51.8%) referrals for other reasons. CONCLUSIONWe concluded that awareness of using referral services is most important. We also conclude that it was necessary for a physician to have a comprehensive knowledge of psychiatric symptoms and timely intervention should be adopted in referral system.

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Psychiatric Morbidity and Adherence to Antiretroviral Medication in Patients With HIV/AIDS

Cited by 51 publications

References 30 publications

A study on depression in people living with HIV/AIDS in South-West part of Uttar Pradesh, India

A study on depression in people living with HIV/AIDS in South-West part of Uttar Pradesh, India

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Pattern of Psychiatric Morbidity Among Referred Patients to the Department of Psychiatry in Super Speciality Hospital of Kashmir

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