Anxiety, depression and treatment adherence among HIV-infected migrants.

Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE

Publication: London : Informa Healthcare
Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989-

Antiretroviral Therapy, Highly Active*; Anti-HIV Agents/*administration & dosage ; Anxiety/*diagnosis ; Anxiety Disorders/*diagnosis ; Depression/*diagnosis ; HIV Infections/*drug therapy ; Medication Adherence/*psychology ; Transients and Migrants/*psychology; Adult ; Africa/ethnology ; Anti-HIV Agents/therapeutic use ; Anti-Retroviral Agents/therapeutic use ; Anxiety/epidemiology ; Anxiety/psychology ; Anxiety Disorders/epidemiology ; Anxiety Disorders/psychology ; Depression/epidemiology ; Depression/psychology ; Female ; HIV Infections/epidemiology ; HIV Infections/psychology ; Humans ; Latin America/ethnology ; Male ; Mass Screening ; Middle Aged ; Netherlands/epidemiology ; Psychiatric Status Rating Scales ; Self Report ; Stress, Psychological/psychology

Diagnosing symptoms of psychological distress can be challenging in migrants living with HIV (MLWH) living in Western Europe. We evaluated the Hospital Anxiety and Depression Scale (HADS) as a screening tool for psychological distress. Additionally, the association between psychological distress and adherence to combination Antiretroviral Therapy (cART) was determined. Socio-demographic and clinical characteristics, psychosocial variables, and self-reported adherence to cART data were collected. 306/352 participants completed the HADS. A HADS+ (≥15, at risk for psychological distress) was found in 106/306. The Composite International Diagnostic Interview (CIDI) was completed by 60/106. The HADS was repeated in 58 participants as the time between the first HADS and the CIDI was more than three months. In 21/37 participants with a HADS+ (57%) within three months before the CIDI a diagnosis of depression or anxiety disorder based on the CIDI was found. Participants with a HADS+ were more likely to be non-adherent (71.3% vs. 43.6%). In a large group of MLWH in the Netherlands, 35% were at risk for symptoms of psychological distress. The HADS seems to be a suitable screening tool for MLWH.

Keywords: HIV; adherence; anxiety; depression; migrants

0 (Anti-HIV Agents)
0 (Anti-Retroviral Agents)

Date Created: 20190409 Date Completed: 20200403 Latest Revision: 20200403

20221213

10.1080/09540121.2019.1601676

30957530