Mental health and its consequences in people living with HIV: A network approach
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Le résumé fourni par la source
OBJECTIVES: Psychiatric symptoms occur frequently in people living with human immunodeficiency virus (PLWH), which may affect quality of life, sexual risk behavior, and adherence to antiretroviral therapy (ART). Data from large cohorts are limited, and symptoms are often analyzed in isolation. Therefore, we applied a network analysis to assess the interrelatedness of mental health indicators in a large cohort of PLWH. METHODS: We included 1615 PLWH on ART. Participants reported on the severity of depression, anxiety, impulsivity, substance use, quality of life, sexual risk behavior, and ART adherence. An Ising network model was constructed to analyze interrelations between mental health indicators and connections with clinical consequences. RESULTS: Our network analysis revealed that symptoms of depression, anxiety, and indicators of impulsivity were interrelated. Substance use was prevalent and strongly connected with sexual risk behavior. Quality of life was most strongly connected with symptoms of depression. Unexpectedly, ART adherence did not display connections with any of the mental health indicators. CONCLUSION: In PLWH, the interrelatedness between symptoms of depression and anxiety and indicators of impulsivity is high. Mainly, depressive symptoms seem to impact quality of life, which warrants attention for depression in PLWH. We did not observe evidence for the common assumption that patients suffering from psychiatric symptoms are less adherent to HIV treatment.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Mental health and its consequences in people living with HIV: A network approach
- Date Crossref
- 01/10/2024
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Radboud University Nijmegen Department of Psychiatry pays non établi dans la noticeUniversité ou école supérieure
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Radboud University Medical Center pays non établi dans la noticeOrganisme public
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Nijmegen Institute for Scientist Practitioners in Addiction pays non établi dans la noticeInstitution
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Elisabeth-TweeSteden Ziekenhuis pays non établi dans la noticeÉtablissement de santé
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Erasmus MC pays non établi dans la noticeÉtablissement de santé
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Erasmus University Rotterdam Department of Internal Medicine and Department of Medical Microbiology and Infectious diseases pays non établi dans la noticeUniversité ou école supérieure
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OLVG pays non établi dans la noticeÉtablissement de santé
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Iuliu Hațieganu University of Medicine and Pharmacy pays non établi dans la noticeUniversité ou école supérieure
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University of Bonn Department of Immunology and Metabolism pays non établi dans la noticeUniversité ou école supérieure
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Department of Internal Medicine and Infectious Diseases Elizabeth‐Tweesteden Ziekenhuis Tilburg The Netherlands pays non établi dans la noticeInstitution
Department of Psychiatry — Radboud University Nijmegen, Radboud University Medical Center et Nijmegen Institute for Scientist Practitioners in Addiction, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.