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Published on: January 7, 2019
Review of treatment studies of depression in HIV
Bunmi O Olatunji1, Matthew J Mimiaga, Conall O'Cleirigh
1Vanderbilt University, Nashville, TN, USA.
Insights
Treatments for depression in people with HIV/AIDS show promise. Both psychosocial and psychopharmacologic interventions may improve quality of life and health outcomes, but more research is needed.
Area of Science:
- Medical research
- Psychiatry
- Infectious disease
Background:
- Depression is common in individuals with HIV/AIDS.
- Depression in HIV is linked to poor medication adherence and faster disease progression.
Purpose of the Study:
- To review current literature on treating depression in the context of HIV/AIDS.
- To evaluate the efficacy of psychosocial and psychopharmacologic interventions.
Main Methods:
- Review of existing literature on depression treatment in HIV.
- Inclusion of studies on psychosocial, behavioral, and psychopharmacologic treatments.
- Focus on interventions for unipolar depressive disorders.
Main Results:
- Psychosocial and psychopharmacologic treatments appear effective for depression in HIV patients.
- Evidence suggests these treatments can improve adherence and potentially slow disease progression.
Conclusions:
- Effective treatments for depression in HIV/AIDS can enhance quality of life.
- Further rigorous trials are necessary to confirm treatment efficacy and guide clinical practice.
Abstract:
Depression is a prevalent and interfering, yet potentially treatable illness commonly comorbid with HIV/AIDS. In HIV, symptoms and diagnoses of depression have been associated with poor adherence to antiretroviral medication regimens and to accelerated disease progression. This article is a review of the existing literature on the treatment of depression in the context of HIV, including: (1) psychosocial and behavioral health interventions that directly target Diagnostic and Statistical Manual of Mental Disorders (DSM) unipolar depressive disorders, (2) psychosocial interventions that indirectly target depressive symptoms, and (3) psychopharmacologic treatment studies for DSM-IV unipolar depressive disorders. Psychosocial and psychopharmacologic treatments of depression appear to be effective for individuals with HIV. However, additional methodologically rigorous trials are needed for definitive inferences regarding treatment efficacy. Because of the high frequency of depression comorbid with HIV, and the association of depression with important self-care behaviors in this population, identification of efficacious treatments for depression has the potential to improve both overall quality of life and, potentially, health outcomes.
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