Depression among People Living With HIV/AIDS Undergoing Antiretroviral Therapy at a Tertiary Care Centre: A Descriptive Cross-sectional Study
Introduction: HIV affects mental health in multiple ways, including its direct pathophysiological effects, associated stigma, impacts on social, and economic dimensions, medications used for long durations and multiple secondary physical health issues that affect the clients and comorbid substance...
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2023-05-01
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| Series: | Journal of Nepal Medical Association |
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| Online Access: | http://jnma.com.np/jnma/index.php/jnma/article/view/8157 |
| _version_ | 1797822437507727360 |
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| author | Sunil Kumar Shah Richa Sinha Srijana Bhurtel Gobinda Kandel |
| author_facet | Sunil Kumar Shah Richa Sinha Srijana Bhurtel Gobinda Kandel |
| author_sort | Sunil Kumar Shah |
| collection | DOAJ |
| description |
Introduction: HIV affects mental health in multiple ways, including its direct pathophysiological effects, associated stigma, impacts on social, and economic dimensions, medications used for long durations and multiple secondary physical health issues that affect the clients and comorbid substance use. In the post-COVID era, in our socio-cultural and geographical context, depression among these populations needs assessment to evaluate their mental health care needs. The objective of this study was to find out the prevalence of depression among people living with HIV/AIDS undergoing antiretroviral therapy at a tertiary care centre.
Methods: This was a descriptive cross-sectional study conducted at a tertiary care centre from December 2021 to November 2022 after taking ethical approval from Institutional Review Committee (Reference number: 078/79-006) from the same institute. Convenience sampling method was used. Clients 18 years and above under antiretroviral therapy were included and those acutely medically ill were excluded. The PHQ-9 was used as a self-administered, valid, screening tool for the assessment of depressive symptoms. Point estimate and 95% Confidence Interval were calculated.
Results: Among 183 participants, the prevalence of depression was 19 (10.4%) (5.98-14.82, 95% Confidence Interval).
Conclusions: Depression was found higher among people living with HIV/AIDS as compared to the other studies done in similar settings. Assessment and timely management of depression could be an important step in improving lives and the effectiveness of HIV/AIDS intervention efforts, ultimately improving access to mental health care and universal health coverage.
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| first_indexed | 2024-03-13T10:07:59Z |
| format | Article |
| id | doaj.art-eb50925be6804a428b899df90c51148e |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2024-03-13T10:07:59Z |
| publishDate | 2023-05-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-eb50925be6804a428b899df90c51148e2023-05-22T10:54:34ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-05-016126110.31729/jnma.8157Depression among People Living With HIV/AIDS Undergoing Antiretroviral Therapy at a Tertiary Care Centre: A Descriptive Cross-sectional StudySunil Kumar Shah0Richa Sinha1Srijana Bhurtel2Gobinda Kandel3Department of Psychiatry, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Psychiatry, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Psychiatry, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Internal Medicine, Bharatpur Hospital, Bharatpur, Chitwan, Nepal Introduction: HIV affects mental health in multiple ways, including its direct pathophysiological effects, associated stigma, impacts on social, and economic dimensions, medications used for long durations and multiple secondary physical health issues that affect the clients and comorbid substance use. In the post-COVID era, in our socio-cultural and geographical context, depression among these populations needs assessment to evaluate their mental health care needs. The objective of this study was to find out the prevalence of depression among people living with HIV/AIDS undergoing antiretroviral therapy at a tertiary care centre. Methods: This was a descriptive cross-sectional study conducted at a tertiary care centre from December 2021 to November 2022 after taking ethical approval from Institutional Review Committee (Reference number: 078/79-006) from the same institute. Convenience sampling method was used. Clients 18 years and above under antiretroviral therapy were included and those acutely medically ill were excluded. The PHQ-9 was used as a self-administered, valid, screening tool for the assessment of depressive symptoms. Point estimate and 95% Confidence Interval were calculated. Results: Among 183 participants, the prevalence of depression was 19 (10.4%) (5.98-14.82, 95% Confidence Interval). Conclusions: Depression was found higher among people living with HIV/AIDS as compared to the other studies done in similar settings. Assessment and timely management of depression could be an important step in improving lives and the effectiveness of HIV/AIDS intervention efforts, ultimately improving access to mental health care and universal health coverage. http://jnma.com.np/jnma/index.php/jnma/article/view/8157depression; HIV; prevalence. |
| spellingShingle | Sunil Kumar Shah Richa Sinha Srijana Bhurtel Gobinda Kandel Depression among People Living With HIV/AIDS Undergoing Antiretroviral Therapy at a Tertiary Care Centre: A Descriptive Cross-sectional Study Journal of Nepal Medical Association depression; HIV; prevalence. |
| title | Depression among People Living With HIV/AIDS Undergoing Antiretroviral Therapy at a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_full | Depression among People Living With HIV/AIDS Undergoing Antiretroviral Therapy at a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_fullStr | Depression among People Living With HIV/AIDS Undergoing Antiretroviral Therapy at a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_full_unstemmed | Depression among People Living With HIV/AIDS Undergoing Antiretroviral Therapy at a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_short | Depression among People Living With HIV/AIDS Undergoing Antiretroviral Therapy at a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_sort | depression among people living with hiv aids undergoing antiretroviral therapy at a tertiary care centre a descriptive cross sectional study |
| topic | depression; HIV; prevalence. |
| url | http://jnma.com.np/jnma/index.php/jnma/article/view/8157 |
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