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Clinician-Assessed Depression and HAART Adherence in HIV-Infected Individuals in Methadone Maintenance Treatment.
- Source :
-
Annals of Behavioral Medicine . Aug2011, Vol. 42 Issue 1, p120-126. 7p. 1 Chart, 1 Graph. - Publication Year :
- 2011
-
Abstract
- Background: The impact of measurement methods on the relationship between depression and HIV treatment adherence has not been adequately examined. Purpose: The purpose of this paper is to examine the relationship between clinician- and patient-rated depression and HIV medication adherence. Methods: The participants were 91 HIV-infected individuals in methadone maintenance. Depression was assessed via clinician ratings (Clinical Global Impression Scale and Montgomery Asberg Depression Rating Scale) and self-report (Beck Depression Inventory-Short Form). Clinicians rated substance abuse using the Clinical Global Impression Scale and a structured interview. HIV medication adherence was measured over the following 2 weeks using electronic caps. Results: Each unit increase in the Clinical Global Impression Scale was associated with 75% increased odds of nonadherence (OR = 1.75, p = 0.002, 95% CI = 1.23-2.48). Similarly, for each standard deviation Montgomery Asberg Depression Rating Scale increase, there was a 2.6-fold increased odds of nonadherence (OR = 2.60, p = 0.001, 95% CI = 1.45-4.67). Substance abuse and self-reported depression severity were not significantly related to adherence. Conclusions: Clinician-rated depression severity was a strong predictor of nonadherence. Assessment methods may influence the relationship between depression and HIV nonadherence. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08836612
- Volume :
- 42
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Annals of Behavioral Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 62909997
- Full Text :
- https://doi.org/10.1007/s12160-011-9268-y