Religion, spirituality, and depressive symptoms in patients with HIV/AIDS.

Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. Research Abstract Details 

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Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. Abstract Text:

Michael S Yi,Joseph M Mrus,Terrance J Wade,Mona L Ho,Richard W Hornung,Sian Cotton,Amy H Peterman,Christina M Puchalski,Joel Tsevat,

BACKGROUND: Depression has been linked to immune function and mortality in patients with chronic illnesses. Factors such as poorer spiritual well-being has been linked to increased risk for depression and other mood disorders in patients with HIV. OBJECTIVE: We sought to determine how specific dimensions of religion, spirituality, and other factors relate to depressive symptoms in a contemporary, multi-center cohort of patients with HIV/AIDS. DESIGN: Patients were recruited from 4 medical centers in 3 cities in 2002 to 2003, and trained interviewers administered the questionnaires. The level of depressive symptoms was measured with the 10-item Center for Epidemiologic Studies Depression (CESD-10) Scale. Independent variables included socio-demographics, clinical information, 8 dimensions of health status and concerns, symptoms, social support, risk attitudes, self-esteem, spirituality, religious affiliation, religiosity, and religious coping. We examined the bivariate and multivariable associations of religiosity, spirituality, and depressive symptoms. MEASUREMENTS AND MAIN RESULTS: We collected data from 450 subjects. Their mean (SD) age was 43.8 (8.4) years; 387 (86.0%) were male; 204 (45.3%) were white; and their mean CD4 count was 420.5 (301.0). Two hundred forty-one (53.6%) fit the criteria for significant depressive symptoms (CESD-10 score > or = 10). In multivariable analyses, having greater health worries, less comfort with how one contracted HIV, more HIV-related symptoms, less social support, and lower spiritual well-being was associated with significant depressive symptoms (P<.05). CONCLUSION: A majority of patients with HIV reported having significant depressive symptoms. Poorer health status and perceptions, less social support, and lower spiritual well-being were related to significant depressive symptoms, while personal religiosity and having a religious affiliation was not associated when controlling for other factors. Helping to address the spiritual needs of patients in the medical or community setting may be one way to decrease depressive symptoms in patients with HIV/AIDS.

Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. Publishing Authors By Initials

MS Yi,JM Mrus,TJ Wade,ML Ho,RW Hornung,S Cotton,AH Peterman,CM Puchalski,J Tsevat,

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Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Journal of general internal medicine : official jo

VOLUME: 21 Suppl 5

Page Numbers: S21-7

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ISSN: 1525-1497

DAY: 3

MONTH: Dec

YEAR: 2006

Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. Information

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LANGUAGE: eng

NlmUniqueID: 8605834

Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: epidemiology

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Grant and Affiliation Information for Religion, spirituality, and depressive symptoms in patients with HIV/AIDS.

AFFILIATION: Division of General Internal Medicine, Section of Outcomes Research, Department of Internal Medicine, University of Cincinnati Medical Center, Cincinnati, OH 45267-0535, USA. michael.yi@uc.edu

Country: United States

AGENCY: United States NCCAM

GRANT: R01 AT01147

ACRONYM: AT

MEDLINETA: J Gen Intern Med

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