Association of quality of life with major depressive disorder among people with HIV in South India

Vijairam Selvaraj, Michael W. Ross, Bhaskaran Unnikrishnan, Supriya Hegde

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Depression in people with HIV has wide-spread implications related to faster progression to AIDS, poor drug compliance, and lower quality of life (QOL). Although there have been studies that have examined the role of sociodemographic variables in people with HIV, there have only been a few on the assessment of QOL and its association with depression among people with HIV in South India. The objectives of this study were to diagnose major depressive disorder (MDD) and examine the association of depression with health-related quality of life (HRQOL) among people with HIV in coastal South India. Structured questionnaires detailing sociodemographic and HIV related variables were filled out by 103 patients with HIV attending a tertiary care center. Interviews were carried out by a psychiatrist to diagnose ICD-10 MDD and a clinical psychologist to rate the severity of depression using the Hamilton Depression Scale (HAMD). Subjective HRQOL was assessed using HIV/AIDS targeted quality of life questionnaire in these patients. Fifty patients were diagnosed with MDD. Among them, 23 (46%) were mildly depressed, 19 (38%) were moderately depressed, 7 (14%) were severely depressed, and 1 (2%) was very severely depressed. Mean QOL scores for all dimensions except sexual function were significantly and inversely correlated (p<0.05) with HAMD implying that patients with greater severity of depressive symptoms had poorer HRQOL. Individuals with ICD-10 diagnosis of MDD presented significantly lower scores of QOL compared to individuals without MDD. The implication is that early diagnosis and referral of depressed patients needs to be incorporated into intervention programs to improve patient outcomes and QOL. More research is needed to investigate the impact of antidepressant therapy on QOL using this study as a comparison group in a similar population.

Original languageEnglish
Pages (from-to)169-172
Number of pages4
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume25
Issue number2
DOIs
Publication statusPublished - 01-02-2013

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Major Depressive Disorder
India
quality of life
Quality of Life
HIV
Depression
International Classification of Diseases
AIDS
health
Anti-HIV Agents
early diagnosis
Diagnostic Self Evaluation
questionnaire
psychiatrist
Tertiary Care Centers
psychologist
Antidepressive Agents
Compliance
Psychiatry
Early Diagnosis

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

Cite this

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abstract = "Depression in people with HIV has wide-spread implications related to faster progression to AIDS, poor drug compliance, and lower quality of life (QOL). Although there have been studies that have examined the role of sociodemographic variables in people with HIV, there have only been a few on the assessment of QOL and its association with depression among people with HIV in South India. The objectives of this study were to diagnose major depressive disorder (MDD) and examine the association of depression with health-related quality of life (HRQOL) among people with HIV in coastal South India. Structured questionnaires detailing sociodemographic and HIV related variables were filled out by 103 patients with HIV attending a tertiary care center. Interviews were carried out by a psychiatrist to diagnose ICD-10 MDD and a clinical psychologist to rate the severity of depression using the Hamilton Depression Scale (HAMD). Subjective HRQOL was assessed using HIV/AIDS targeted quality of life questionnaire in these patients. Fifty patients were diagnosed with MDD. Among them, 23 (46{\%}) were mildly depressed, 19 (38{\%}) were moderately depressed, 7 (14{\%}) were severely depressed, and 1 (2{\%}) was very severely depressed. Mean QOL scores for all dimensions except sexual function were significantly and inversely correlated (p<0.05) with HAMD implying that patients with greater severity of depressive symptoms had poorer HRQOL. Individuals with ICD-10 diagnosis of MDD presented significantly lower scores of QOL compared to individuals without MDD. The implication is that early diagnosis and referral of depressed patients needs to be incorporated into intervention programs to improve patient outcomes and QOL. More research is needed to investigate the impact of antidepressant therapy on QOL using this study as a comparison group in a similar population.",
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Association of quality of life with major depressive disorder among people with HIV in South India. / Selvaraj, Vijairam; Ross, Michael W.; Unnikrishnan, Bhaskaran; Hegde, Supriya.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 25, No. 2, 01.02.2013, p. 169-172.

Research output: Contribution to journalArticle

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