Prevalence of depression in PLHA attending ART centre of Assam medical college and hospital, Dibrugarh

Authors

  • Manas Jyoti Kotoky Department of Community Medicine, Assam Medical College and Hospital, Dibrugarh, Assam, India
  • Gourangie Gogoi Department of Community Medicine, Assam Medical College and Hospital, Dibrugarh, Assam, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20175795

Keywords:

Depression, PLHA, Adherence, HIV

Abstract

Background: Depression is a common mental health disorder encountered in people living with HIV/AIDS. Depression has a strong impact on the daily chores in the lives of those suffering from HIV/AIDS and their ability to cope with the disease and has a special role to play in adherence to antiretroviral therapy. This study was undertaken to assess the prevalence of depression in PLHA attending the ART centre of AMCH.

Methods: A cross sectional study was carried out on 54 patients attending the ART centre. They were interviewed using a predesigned and pretested proforma with prior consent. Depression was assessed using the MDI-4 scale and data was analysed using SPSSv16. Chi square test was done to see the association.

Results: Majority (85%) of the respondents were male. Prevalence of depression was found in 55.6% of the respondents. Alcoholic history was found in 54% and smoking in 24% (p<0.05). Most were educated below 10th grade (66.6%) (p<0.05). Most of them (83.3%) disclosed their status to their family members.

Conclusions: The prevalence of depression is very high in PLHA. To diagnose depression and to treat at the earliest will go a long way in improving their quality of life. 

References

Department of AIDS control, National AIDS control Organisation, Ministry of Health and Family Welfare, Government of India, ART guidelines for HIV-Infected Adults and Adolescents; 2013: 1-2.

Bangsberg D, Hecht F, Charlebois E, Zolopa A, Holodniy M, Sheiner L, et al. Adherence to protease inhibitors, HIV-1 viral load, and development of drug resistance in an indigent population. AIDS. 2000;14(4):357-66.

Do A, Rosenberg E, Sullivan P, Beer L, Strine T, Schulden J, et al. Excess Burden of Depression among HIV-Infected Persons Receiving Medical Care in the United States: Data from the Medical Monitoring Project and the Behavioral Risk Factor Surveillance System. PLoS One. 2014;9(3):e92842.

HIV clinical guidelines for the primary care practitioner. Mental Health Care for people with HIV infection. Published by the AIDS Institute, New York State Department of Health; 2000: 2.

Depression. Available at: http://www.euro.who. int/en/health-topics/noncommunicable-diseases/ pages/news/news/2012/10/depression-in-europe/depression-definition. Accessed on 3 August 2017.

Elliot AJ, Roy Byrne PP. Major depressive disorder and HIV-1 infection. Semin Clin Neuropsychiatry. 1998;3:137-50.

Olley BO, Gxamza F, Seedat S, Reuter H, Stein DJ. Psychiatric morbidity in recently diagnosed HIV patients South Africa. S Afr Medical Research Council Publication; AIDS Bulletin. 2003;12(1):12-6.

Boardman J, Petrushkin H, Ovuga E. Psychiatric disorders in HIV positive individuals in urban Uganda. Br J Psychiatry. 2005;29:455-8.

Oslen LR, Jensen DV, Noerholm V, Martiny K, Bech P. The internal and the external validity of the Major Depression Inventory in measuring severity of depressive states. Psychol Med. 2003;33:351-6.

Bhatia M, Munjal S.Prevalence of Depression in people living with HIV/AIDS undergoing ART and factors associated with it. J Clin Diagn Res. 2014;8(10):1-4.

Knowlton AR, Yang C, Bohnert A, Wissow L, Chander G, Arnsten AJ. Informal Care and Reciprocity of Support are Associated with HAART Adherence among Men in Baltimore, MD, USA. AIDS and behavior. 2011;15(7):1429-36.

Vanable P, Carey M, Blair D, Littlewood R. Impact of HIV-Related Stigma on Health Behaviors and Psychological Adjustment Among HIV-Positive Men and Women. AIDS Behav. 2006;10(5):473-82.

Sarna A, Pujari S, Sengar AK, Garg R, Gupta I and Dam J. Adherence to antiretroviral therapy & its determinants amongst HIV patients in India. Indian J Med Res. 2008;127:28-36.

Yi M, Mrus J, Wade T, Ho M, Hornung R, Cotton S et al. Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. J Gen Intern Med. 2006;21(S5):21-7.

Ciesla J, Roberts J. Meta-Analysis of the Relationship Between HIV Infection and Risk for Depressive Disorders. Am J Psychiatry. 2001;158(5):725-30.

Olisah V, Baiyewu O, Sheikh T. Adherence to highly active antiretroviral therapy in depressed patients with HIV/AIDS attending a Nigerian university teaching hospital clinic. Afr J Psych. 2010;13(4):275-9.

Downloads

Published

2017-12-23

How to Cite

Kotoky, M. J., & Gogoi, G. (2017). Prevalence of depression in PLHA attending ART centre of Assam medical college and hospital, Dibrugarh. International Journal Of Community Medicine And Public Health, 5(1), 268–271. https://doi.org/10.18203/2394-6040.ijcmph20175795

Issue

Section

Original Research Articles