Mental health of people living with hiv and adherence to antiretroviral therapy

Introduction Adherence to antiretroviral therapy is a key factor in predicting the success or failure of treatment. Data suggest that the status of mental health and especially depression of people living with HIV can affect adherence to antiretroviral therapy. Objectives The purpose of this stu...

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Main Authors: F. Goma, G. Papazisis, E. Papakonstantinou, G. Karakioulakis
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821006568/type/journal_article
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author F. Goma
G. Papazisis
E. Papakonstantinou
G. Karakioulakis
author_facet F. Goma
G. Papazisis
E. Papakonstantinou
G. Karakioulakis
author_sort F. Goma
collection DOAJ
description Introduction Adherence to antiretroviral therapy is a key factor in predicting the success or failure of treatment. Data suggest that the status of mental health and especially depression of people living with HIV can affect adherence to antiretroviral therapy. Objectives The purpose of this study was to assess the mental health status of people living with HIV, to record adherence to antiretroviral therapy and to investigate whether mental health affects adherence to antiretroviral therapy. Methods A cross-sectional mixed observational correlation study in a sample of 112 HIV-positive individuals was conducted. The Simplified Medication Adherence Questionnaire (SMAQ) was used to assess adherence to antiretroviral therapy, the Beck Depression Inventory (BDI) was used to assess depression, and the WHOQOL – BREF tool was used to assess mental health. Results The results of the study showed that 58.93% of patients were found to be non-adherent to antiretroviral therapy. Furthermore, according to the BDI scale, 10.7% of patients experienced marginal clinical depression, 10.7% experienced moderate levels of depression and 2.7% experienced severe or very severe levels of depression. Further, people living with HIV had a moderate level of mental health (M = 3.40, SD = 0.58). Conclusions Our study showed that a high percentage of people living with HIV are non-adherent to antiretroviral therapy. Factors that are possibly associated with decreased adherence are mental health and especially depression. Psychological support for people living with HIV and anti-depressant prevention programs could increase adherence to antiretroviral therapy.
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spelling doaj.art-29b467dca07e40e8ab9661c403f09e412023-11-17T05:06:28ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S244S24510.1192/j.eurpsy.2021.656Mental health of people living with hiv and adherence to antiretroviral therapyF. Goma0G. Papazisis1E. Papakonstantinou2G. Karakioulakis31st Department Of Pharmacology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment Of Clinical Pharmacology, School of Medicine, Aristotle University of Thessaloniki, THESSALONIKI, Greece1st Department Of Pharmacology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece1st Department Of Pharmacology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece Introduction Adherence to antiretroviral therapy is a key factor in predicting the success or failure of treatment. Data suggest that the status of mental health and especially depression of people living with HIV can affect adherence to antiretroviral therapy. Objectives The purpose of this study was to assess the mental health status of people living with HIV, to record adherence to antiretroviral therapy and to investigate whether mental health affects adherence to antiretroviral therapy. Methods A cross-sectional mixed observational correlation study in a sample of 112 HIV-positive individuals was conducted. The Simplified Medication Adherence Questionnaire (SMAQ) was used to assess adherence to antiretroviral therapy, the Beck Depression Inventory (BDI) was used to assess depression, and the WHOQOL – BREF tool was used to assess mental health. Results The results of the study showed that 58.93% of patients were found to be non-adherent to antiretroviral therapy. Furthermore, according to the BDI scale, 10.7% of patients experienced marginal clinical depression, 10.7% experienced moderate levels of depression and 2.7% experienced severe or very severe levels of depression. Further, people living with HIV had a moderate level of mental health (M = 3.40, SD = 0.58). Conclusions Our study showed that a high percentage of people living with HIV are non-adherent to antiretroviral therapy. Factors that are possibly associated with decreased adherence are mental health and especially depression. Psychological support for people living with HIV and anti-depressant prevention programs could increase adherence to antiretroviral therapy. https://www.cambridge.org/core/product/identifier/S0924933821006568/type/journal_articleHIVmental healthadherenceantiretroviral therapy
spellingShingle F. Goma
G. Papazisis
E. Papakonstantinou
G. Karakioulakis
Mental health of people living with hiv and adherence to antiretroviral therapy
European Psychiatry
HIV
mental health
adherence
antiretroviral therapy
title Mental health of people living with hiv and adherence to antiretroviral therapy
title_full Mental health of people living with hiv and adherence to antiretroviral therapy
title_fullStr Mental health of people living with hiv and adherence to antiretroviral therapy
title_full_unstemmed Mental health of people living with hiv and adherence to antiretroviral therapy
title_short Mental health of people living with hiv and adherence to antiretroviral therapy
title_sort mental health of people living with hiv and adherence to antiretroviral therapy
topic HIV
mental health
adherence
antiretroviral therapy
url https://www.cambridge.org/core/product/identifier/S0924933821006568/type/journal_article
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