Depression and its associated factors among people living with HIV/AIDS: Can it affect their quality of life?

Introduction: Depression, being the most common neuropsychiatric complication of HIV, is also associated with increased health-care utilization, decreased quality of life (QOL), and poor adherence to antiretroviral therapy (ART). Depression is a multidimensional disorder affected by a variety of bio...

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Bibliographic Details
Published in:Journal of family medicine and primary care 2017-07, Vol.6 (3), p.549-553
Main Authors: Deshmukh, Namita, Borkar, Avinash, Deshmukh, Jyotsna
Format: Article
Language:English
Subjects:
Depression
Depression (Mood disorder)
depression anxiety and stress scale
Health aspects
HIV patients
HIV/AIDS
Original
Psychological aspects
Quality of life
Risk factors
WHO Quality of Life BREF scale
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Summary:Introduction: Depression, being the most common neuropsychiatric complication of HIV, is also associated with increased health-care utilization, decreased quality of life (QOL), and poor adherence to antiretroviral therapy (ART). Depression is a multidimensional disorder affected by a variety of biological, psychological, and social determinants and this relation becomes more complicated in HIV patients. The current study therefore aimed to investigate the sociodemographic and clinical determinants of depression and assess difference in the QOL of HIV patients not having depression and those suffering from depression. Materials and Methods: A cross-sectional study was conducted at an ART center in a tertiary care hospital in HIV/AIDS patients of 18 years of age. Sociodemographic and clinical characteristics were studied, depression anxiety and stress scale-21 was used to assess depression, and QOL assessment was done using WHOQOL-HIV BREF questionnaire. Results and Conclusions: Out of 754 study subjects, 377, i.e., 50% suffered from depression and nearly 75.9% of them were in the age group of 25-44 years. The prevalence of depression was higher in females, illiterates, and unemployed HIV patients as compared to males, literates, and employed subjects, respectively. HIV patients who were depressed had significantly lower QOL than the subjects not suffering from depression, more so in the environment and social relationships domains.
ISSN:2249-4863
2278-7135
DOI:10.4103/2249-4863.222016