Prevalence and correlates of depressive symptoms in HIV-positive patients: a cross-sectional study among newly diagnosed patients in Yaoundé, Cameroon.

Journal: BMC psychiatry

Volume: 13

Issue: 

Year of Publication: 2014

Affiliated Institutions:  Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon. noubiapjj@yahoo.fr.

Abstract summary 

Depression is one of the most common neuropsychiatric complications of HIV disease, and in turn it is associated with worse HIV-related outcomes. Data on depression among HIV-infected patients in Cameroon are scarce. In this study, we report the prevalence and correlates of depressive symptoms among newly diagnosed HIV-infected patients in Yaoundé, Cameroon.Interviews were conducted with 100 newly diagnosed HIV-infected patients at three referral hospitals of Yaoundé. Depression was assessed using the nine-item Patient Health Questionnaire (PHQ-9). A positive depression screen was defined as PHQ-9 score greater than 9.The overall prevalence of depressive symptoms was 63% (95% CI: 53.2 to 71.8), the majority having symptoms corresponding to moderate depression. Multiple logistic regression analysis showed that probable depressed patients were more likely than those who were not depressed to have had experience of alcohol abuse (OR: 19.03, 95% CI 3.11-375.85; p = 0.0083), and a 100 CD4 cells/mm3 fewer was associated with a 2.9 times increase of the odds of probable depression (95% CI 1.88-4.84; p < 0.0001).Our findings indicate a high prevalence of depressive symptoms in newly diagnosed HIV-infected patients in our setting, and their association with alcohol abuse and severe immunosuppression. This study also highlights the necessity to integrate mental health interventions into routine HIV clinical care in Cameroon.

Authors & Co-authors:  L'akoa Rodrigue Minya RM Noubiap Jean Jacques N JJ Fang Yixin Y Ntone Félicien Enyime FE Kuaban Christopher C

Study Outcome 

Source Link: Visit source

Statistics
Citations :  UNAIDS. UNAIDS world AIDS Day report, 2011. Joint United Nations programme on HIV/AIDS (UNAIDS) 2011. http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/jc2216_worldaidsday_report_2011_en.pdf.
Authors :  5
Identifiers
Doi : 10.1186/1471-244X-13-228
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Cameroon
Publication Country
England