Depression Among PLHIV On ART, Attending Drop-In Centre Run by Positive People Network: A Cross Sectional Study in Surat, India

Authors

  • Rohan Kosambiya Parul Institute of Medical Science and Research, Waghodia, Vadodara, India
  • Manvendra Singh Rathore Government Medical College, Surat, India
  • Kritagnasinh Vaghela Parul Institute of Medical Science and Research, Waghodia, Vadodara, India
  • Dhaval J Patel Parul Institute of Medical Science and Research, Waghodia, Vadodara, India
  • Shivangi Inamdar Government Medical College, Surat, India

DOI:

https://doi.org/10.55489/njcm.131120222437

Keywords:

Depression, BDI, PLHIV, ART

Abstract

Background: Mental Health Issues are not adequately addressed when it the comes to the burden of non-communicable disorders among PLHIV on ART. PLHIV often suffer from depression and anxiety during their quest to adjust to the diagnosis and face the difficulties of living with a chronic illness, of which permanent cure is yet to be discovered.

Objective: To assess depression among HIV positive beneficiaries registered with Network of Surat People Living with HIV (NSP+) in Surat.

Methods: A cross sectional study was conducted among 30 PLHIV on ART from Network of Surat People Living with HIV (NSP+). Becks Depression Inventory was applied to assess depression.

Results: The mean BDI score among male participants was 25.6 (± 11.39) and that of female participants was 23 (± 12), nine male participants were classified as having moderate depression, three as severe, and 2 as extreme depression. Among females four participants were found to having mild mood disturbance while four were classified as having moderate depression, whereas only one participant was classified as having extreme depression (score of 53). Pearson’s correlation between CD4 count and BDI score was found to be -0.35.

Conclusion: Though majority of the participants are in WHO clinical stage 1, yet all the participants had borderline or extreme depression. Males had lower CD4 count, higher proportion of OI and higher mean score of BDI. Lower the CD4 count higher the severity of depression.

Author Biographies

Dhaval J Patel, Parul Institute of Medical Science and Research, Waghodia, Vadodara, India

Dhaval J. Patel, Assistant Professor, Department of Psychiatry, Parul Institute of Medical Science and Research, Waghodia, Vadodara. Email: dhaval_patelx3@rediffmail.com

Shivangi Inamdar, Government Medical College, Surat, India

Shivangi Inamdar, Department of Community Medicine, Government Medical College, Surat. Email: shivangi20191@gmail.com.

References

Seid S, Abdu O, Mitiku M, Tamirat KS. Prevalence of depression and associated factors among HIV/AIDS patients attending antiretroviral therapy clinic at Dessie referral hospital, South Wollo, Ethiopia. Int J Ment Health Syst [Internet]. 2020;14(1):55. Doi: https://doi.org/10.1186/s13033-020-00389-0 PMid:32742304 PMCid:PMC7391488

Owe-Larsson B, Säll L, Salamon E, Allgulander C. HIV infection and psychiatric illness. Afr J Psychiatry. 2009 May;12(2):115-28. Doi: https://doi.org/10.4314/ajpsy.v12i2.43729

Abas M, Ali G-C, Nakimuli-Mpungu E, Chibanda D. Depression in people living with HIV in sub-Saharan Africa: time to act. Vol. 19, Tropical medicine & international health : TM & IH. England; 2014. p. 1392-6. Doi: https://doi.org/10.1111/tmi.12382 PMid:25319189

Ciesla JA, Roberts JE. Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry. 2001 May;158(5):725-30. Doi: https://doi.org/10.1176/appi.ajp.158.5.725 PMid:11329393

Akena DH, Musisi S, Kinyanda E. A comparison of the clinical features of depression in HIV-positive and HIV-negative patients in Uganda. Afr J Psychiatry. 2010 Mar;13(1):43-51. Doi: https://doi.org/10.4314/ajpsy.v13i1.53429 PMid:20428598

World Health Organization. Updated recommendations on service delivery for the treatment and care of people living with HIV [Internet]. World Health Organisation Guidelines. Geneva, Switzerland; 2021. Available from: https://apps.who.int/iris/rest/bitstreams/1344311/retrieve. Accessed November 10th, 2022.

National AIDS Control Organization, Ministry of Health and Family Welfare. National Guidelines for HIV care and Treatment 2021 [Internet]. New Delhi, India; 2021. p. 33. Available from: http://naco.gov.in/sites/default/files/National_Guidelines_for_HIV_Care_and_Treatment_2021.pdf. Accessed November 10th, 2022.

Valdés C, Morales-Reyes I, Pérez JC, Medellín A, Rojas G, Krause M. Psychometric properties of the Beck IA depression inventory for the Chilean population. Vol. 145, Rev. med. Chile. scielocl; 2017. p. 1005-12. Doi: https://doi.org/10.4067/s0034-98872017000801005 PMid:29189858

Beck A.T., Steer R.A., Brown G.K. (1996) Beck Depression Inventory II. Manual. The Psychological Corporation, San Antonio, TX. Doi: https://doi.org/10.1037/t00742-000

Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev [Internet]. 1988;8(1):77-100. Available from: https://www.sciencedirect.com/science/article/pii/0272735888900505. Accessed November 10th, 2022. Doi: https://doi.org/10.1016/0272-7358(88)90050-5

Rupani MP, Pawar AB, Bansal RK, Patel PB, Shah PS, Parikh KD. Cross-sectional study on socio-demographic and clinical correlates of depression among human immunodeficiency virus-positive patients in Surat City, Western India. Asia-Pacific psychiatry Off J Pacific Rim Coll Psychiatr. 2015 Dec;7(4):406-18. Doi: https://doi.org/10.1111/appy.12197 PMid:26108192

Víctor Rodríguez-Pérez, Alicia Piñeirua Menéndez, Claudia Ramírez-Rentería JAMM. Beck Depression Inventory (BDI-IA) adapted for HIV: Psychometric properties, sensitivity & specificity in depressive episodes, adjustment disorder & without symptomatology. Salud Ment [Internet]. 2021;44(6). Available from: http://www.revistasaludmental.mx/index.php/salud_mental/article/view/SM.0185-3325.2021.037/4040. Accessed November 10th, 2022. Doi: https://doi.org/10.17711/SM.0185-3325.2021.037

IBM Corporation. Statistical Package for Social Sciences (SPSS), version 24.0. Armonk, NY: IBM Corp; 2016.

Chen W-T, Shiu C-S, Yang JP, Simoni JM, Fredriksen-Goldsen KI, Lee TS-H, et al. Antiretroviral Therapy (ART) Side Effect Impacted on Quality of Life, and Depressive Symptomatology: A Mixed-Method Study. J AIDS Clin Res. 2013 Jun;4:218. Doi: https://doi.org/10.4172/2155-6113.1000218 PMid:24083060 PMCid:PMC3786003

Buscher A, Hartman C, Kallen MA, Giordano TP. Impact of antiretroviral dosing frequency and pill burden on adherence among newly diagnosed, antiretroviral-naive HIV patients. Int J STD AIDS. 2012 May;23(5):351-5. Doi: https://doi.org/10.1258/ijsa.2011.011292 PMid:22648890 PMCid:PMC3642979

Unnikrishnan B, Jagannath V, Ramapuram JT, Achappa B, Madi D. Study of Depression and Its Associated Factors among Women Living with HIV/AIDS in Coastal South India. Patel M, Poudrier J, Machado RLD, editors. ISRN AIDS [Internet]. 2012;2012:684972. Available from: https://doi.org/10.5402/2012/684972. Accessed November 10th, 2022. Doi: https://doi.org/10.5402/2012/684972 PMid:24052882 PMCid:PMC3767188

GE Lipps, GA Lowe, W De La Haye, S Longman Mills, TR Clarke, EN Bartton BB. Validation of Beck Depression Inventory II in HIV positive patients. West Indian Med J [Internet]. 2010;59(4):374-9. Available from: https://www.researchgate.net/publication/50224672_Validation_of_the_Beck_Depression_Inventory_II_in_HIV-positive_patients. Accessed November 10th, 2022.

Amanor-Boadu S, Hipolito MS, Rai N, McLean CK, Flanagan K, Hamilton FT, et al. Poor CD4 count is a predictor of untreated depression in human immunodeficiency virus-positive African-Americans. World J psychiatry. 2016 Mar;6(1):128-35. Doi: https://doi.org/10.5498/wjp.v6.i1.128 PMid:27014603 PMCid:PMC4804261

Agus DF, Effendy E, Camellia V. Screening of Anxiety and Depression Related CD4 Count of People Living with HIV/AIDS with Anti-Retroviral in Medan, Indonesia. Open access Maced J Med Sci. 2019 Aug;7(16):2590-4. Doi: https://doi.org/10.3889/oamjms.2019.396 PMid:31777611 PMCid:PMC6876798

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Published

2022-11-30

How to Cite

1.
Kosambiya R, Rathore MS, Vaghela K, Patel DJ, Inamdar S. Depression Among PLHIV On ART, Attending Drop-In Centre Run by Positive People Network: A Cross Sectional Study in Surat, India. Natl J Community Med [Internet]. 2022 Nov. 30 [cited 2024 Dec. 22];13(11):835-9. Available from: https://njcmindia.com/index.php/file/article/view/2437

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Original Research Articles