Triple Burden of Neurocognitive Impairment and Co-occurring Depression and Anxiety Among People Living With HIV in Bahir Dar, Ethiopia: A Multicenter Study
BackgroundNeurocognitive impairment is associated with psychological morbidities, such as depression and anxiety, among people living with HIV. The presence of these comorbidities affects viral load suppression, treatment adherence, quality of life, treatment outcomes, and functionality. Despite thi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.732229/full |
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| author | Minale Tareke Tilahun Belete Temesgen Ergetie Meseret Tadesse Melak Menberu Asmamaw Ketemaw |
| author_facet | Minale Tareke Tilahun Belete Temesgen Ergetie Meseret Tadesse Melak Menberu Asmamaw Ketemaw |
| author_sort | Minale Tareke |
| collection | DOAJ |
| description | BackgroundNeurocognitive impairment is associated with psychological morbidities, such as depression and anxiety, among people living with HIV. The presence of these comorbidities affects viral load suppression, treatment adherence, quality of life, treatment outcomes, and functionality. Despite this fact, there is a dearth of studies that examined the triple burden of neurocognitive impairment and co-occurring depression and anxiety among antiretroviral therapy attendees in Ethiopia. This study aimed to assess the magnitude of HIV-associated neurocognitive impairment and co-occurring depression and anxiety at the same time among people living with HIV/AIDS.MethodWe conducted an institution-based multicenter cross-sectional study in Bahir Dar, Northwest Ethiopia. A total of 410 study participants were selected using a systematic random sampling technique. Neurocognitive impairment was assessed using the International HIV Dementia Scale. Co-occurring depression and anxiety were assessed using the Hospital Anxiety and Depression Scale. A semi-structured questionnaire was applied to collect data on sociodemographic and clinical-related characteristics. Data were analyzed using descriptive statistics and univariate and multivariable logistic regression.ResultsTwo-thirds (66.8%) of the people living with HIV had neurocognitive impairment. The prevalence of co-occurring depression and anxiety was found in 39.8%. Women with HIV, people with comorbid chronic medical illness, and those under a second-line treatment regimen were factors associated with neurocognitive impairment. Furthermore, pill burden, second-line treatment regimen, HIV clinical stages, social support, HIV-perceived stigma, and neurocognitive impairment were associated factors with co-occurring depression and anxiety.ConclusionsWe found a high prevalence of neurocognitive impairment and co-occurring depression and anxiety among people living with HIV/AIDs. Further research is needed to assess the clinical course of neurocognitive impairment and co-occurring depression and anxiety. |
| first_indexed | 2024-12-12T22:25:49Z |
| format | Article |
| id | doaj.art-15b59fafd8f94c8dbcdf5beb448e6305 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-12T22:25:49Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-15b59fafd8f94c8dbcdf5beb448e63052022-12-22T00:09:45ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-04-011310.3389/fpsyt.2022.732229732229Triple Burden of Neurocognitive Impairment and Co-occurring Depression and Anxiety Among People Living With HIV in Bahir Dar, Ethiopia: A Multicenter StudyMinale Tareke0Tilahun Belete1Temesgen Ergetie2Meseret Tadesse3Melak Menberu4Asmamaw Ketemaw5Department of Psychiatry, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, EthiopiaSchool of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, EthiopiaBackgroundNeurocognitive impairment is associated with psychological morbidities, such as depression and anxiety, among people living with HIV. The presence of these comorbidities affects viral load suppression, treatment adherence, quality of life, treatment outcomes, and functionality. Despite this fact, there is a dearth of studies that examined the triple burden of neurocognitive impairment and co-occurring depression and anxiety among antiretroviral therapy attendees in Ethiopia. This study aimed to assess the magnitude of HIV-associated neurocognitive impairment and co-occurring depression and anxiety at the same time among people living with HIV/AIDS.MethodWe conducted an institution-based multicenter cross-sectional study in Bahir Dar, Northwest Ethiopia. A total of 410 study participants were selected using a systematic random sampling technique. Neurocognitive impairment was assessed using the International HIV Dementia Scale. Co-occurring depression and anxiety were assessed using the Hospital Anxiety and Depression Scale. A semi-structured questionnaire was applied to collect data on sociodemographic and clinical-related characteristics. Data were analyzed using descriptive statistics and univariate and multivariable logistic regression.ResultsTwo-thirds (66.8%) of the people living with HIV had neurocognitive impairment. The prevalence of co-occurring depression and anxiety was found in 39.8%. Women with HIV, people with comorbid chronic medical illness, and those under a second-line treatment regimen were factors associated with neurocognitive impairment. Furthermore, pill burden, second-line treatment regimen, HIV clinical stages, social support, HIV-perceived stigma, and neurocognitive impairment were associated factors with co-occurring depression and anxiety.ConclusionsWe found a high prevalence of neurocognitive impairment and co-occurring depression and anxiety among people living with HIV/AIDs. Further research is needed to assess the clinical course of neurocognitive impairment and co-occurring depression and anxiety.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.732229/fullneurocognitive impairmentpeople living with HIVco-occurringdepressionanxiety |
| spellingShingle | Minale Tareke Tilahun Belete Temesgen Ergetie Meseret Tadesse Melak Menberu Asmamaw Ketemaw Triple Burden of Neurocognitive Impairment and Co-occurring Depression and Anxiety Among People Living With HIV in Bahir Dar, Ethiopia: A Multicenter Study Frontiers in Psychiatry neurocognitive impairment people living with HIV co-occurring depression anxiety |
| title | Triple Burden of Neurocognitive Impairment and Co-occurring Depression and Anxiety Among People Living With HIV in Bahir Dar, Ethiopia: A Multicenter Study |
| title_full | Triple Burden of Neurocognitive Impairment and Co-occurring Depression and Anxiety Among People Living With HIV in Bahir Dar, Ethiopia: A Multicenter Study |
| title_fullStr | Triple Burden of Neurocognitive Impairment and Co-occurring Depression and Anxiety Among People Living With HIV in Bahir Dar, Ethiopia: A Multicenter Study |
| title_full_unstemmed | Triple Burden of Neurocognitive Impairment and Co-occurring Depression and Anxiety Among People Living With HIV in Bahir Dar, Ethiopia: A Multicenter Study |
| title_short | Triple Burden of Neurocognitive Impairment and Co-occurring Depression and Anxiety Among People Living With HIV in Bahir Dar, Ethiopia: A Multicenter Study |
| title_sort | triple burden of neurocognitive impairment and co occurring depression and anxiety among people living with hiv in bahir dar ethiopia a multicenter study |
| topic | neurocognitive impairment people living with HIV co-occurring depression anxiety |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.732229/full |
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