Insomnia, Health, and Health-related Quality of Life in an Urban Clinic Sample of People Living with HIV/AIDS

Insomnia is a prevalent and interfering comorbidity of HIV infection. Nearly 70% of people living with HIV/AIDS (PLWHA) experience symptoms of insomnia and associated distress. The current study examined the mechanisms of insomnia in HIV health status and health-related quality of life and explored...

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Bibliographic Details
Published in:Behavioral sleep medicine 2021-07, Vol.19 (4), p.516-532
Main Authors: Rogers, Brooke G., Bainter, Sierra A., Smith-Alvarez, Rosana, Wohlgemuth, William K., Antoni, Michael H., Rodriguez, Alan E., Safren, Steven A.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Antiretroviral drugs
Antiretroviral therapy
Chart reviews
Comorbidity
Depression - complications
Drugs
Female
Health problems
Health Status
HIV
HIV Infections - complications
HIV Infections - psychology
Human immunodeficiency virus
Humans
Immune response
Insomnia
Male
Mental depression
Middle Aged
Psychological distress
Quality of Life
Self report
Sleep Initiation and Maintenance Disorders - complications
Sleep Initiation and Maintenance Disorders - psychology
Symptoms
Viral Load
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Summary:Insomnia is a prevalent and interfering comorbidity of HIV infection. Nearly 70% of people living with HIV/AIDS (PLWHA) experience symptoms of insomnia and associated distress. The current study examined the mechanisms of insomnia in HIV health status and health-related quality of life and explored behavioral pathways to explain relationships. Participants (N = 103) were active patients in an HIV clinic located within a nonprofit, tertiary care hospital in a large, urban city in the Southeast United States. Participants completed a clinical sleep interview and self-report assessments for adherence to antiretroviral medication, depression (PHQ-9), quality of life (ACTG-QOL), and relevant covariates. Viral load and CD4 were obtained via medical chart review. Insomnia affected 67% of the clinic sample. Insomnia symptoms were directly associated with poorer health-related quality of life (p
ISSN:1540-2002
1540-2010
1540-2010
DOI:10.1080/15402002.2020.1803871