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A randomized controlled trial of an HIV/AIDS Symptom Management Manual for depressive symptoms.
- Source :
-
AIDS Care . Apr2013, Vol. 25 Issue 4, p391-399. 9p. 3 Charts, 1 Graph. - Publication Year :
- 2013
-
Abstract
- Depressive symptoms are highly prevalent, underdiagnosed, and undertreated in people living with HIV/AIDS (PLWH), and are associated with poorer health outcomes. This randomized controlled trial examined the effects of the HIV/AIDS Symptom Management Manual self-care symptom management strategies compared with a nutrition manual on depressive symptoms in an international sample of PLWH. The sample consisted of a sub-group (N=222) of participants in a larger study symptom management study who reported depressive symptoms. Depressive symptoms of the intervention (n=124) and control (n=98) groups were compared over three months: baseline, one-month, and two-months. Use and effectiveness of specific strategies were examined. Depressive symptom frequency at baseline varied significantly by country (χ212.9;p=0.04). Within the intervention group there were significant differences across time in depressive symptom frequency [F(2, 207) = 3.27,p=0.05], intensity [F(2, 91) = 4.6,p=0.01], and impact [F(2, 252) = 2.92,p= 0.05), and these were significantly lower at one month but not at two months, suggesting that self-care strategies are effective in reducing depressive symptoms, however effects may be short term. Most used and most effective self-care strategies were distraction techniques and prayer. This study suggests that people living with HIV can be taught and will employ self-care strategies for management of depressive symptoms and that these strategies are effective in reducing these symptoms. Self-care strategies are noninvasive, have no side-effects, and can be readily taught as an adjunct to other forms of treatment. Studies are needed to identify the most effective self-care strategies and quantify optimum dose and frequency of use as a basis for evidence-based practice. [ABSTRACT FROM PUBLISHER]
- Subjects :
- *PREVENTION of mental depression
*HIV infection complications
*HEALTH self-care
*ANALYSIS of variance
*CHI-squared test
*CONCEPTUAL structures
*STATISTICAL correlation
*RESEARCH funding
*STATISTICAL sampling
*SCALES (Weighing instruments)
*STATISTICS
*DATA analysis
*RANDOMIZED controlled trials
*DATA analysis software
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 25
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 86009721
- Full Text :
- https://doi.org/10.1080/09540121.2012.712662