Does Reducing Alcohol Use Among People with HIV Alleviate Psychological Distress and Symptoms of Depression? A Randomized Controlled Trial in Tshwane, South Africa.

Journal: AIDS and behavior

Volume: 28

Issue: 3

Year of Publication: 2024

Affiliated Institutions:  Mental health, Alcohol, Substance use and Tobacco (MAST) Research Unit, South African Medical Research Council, Cape Town, South Africa. Jason.Bantjes@mrc.ac.za. Mental health, Alcohol, Substance use and Tobacco (MAST) Research Unit, South African Medical Research Council, Cape Town, South Africa. Biostatistics Unit, South African Medical Research Council, Cape Town, South Africa.

Abstract summary 

Although alcohol use is associated with depression, it is unclear if brief alcohol reduction interventions can ameliorate depression and psychological distress among people with HIV (PWH). We use data from a two-arm randomised controlled trial to examine this question. PWH on antiretroviral treatment (ART) were randomly assigned to receive a brief intervention or treatment as usual (n = 622). Screening was done with the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-C, Centre for Epidemiological Studies Depression inventory and Kessler Psychological Distress Scale, at baseline and at 3- and 6-months post-baseline. Changes in depression and psychological distress was assessed using analysis of covariance models with baseline measures of alcohol consumption, sex and age included as covariates and adjusting for baseline symptom severity. Changes in alcohol consumption between baseline and follow-up were included in the analysis to establish if this affected outcomes. For both the intervention and control groups, there were significant reductions in symptom severity at 3-months and 6-months for depression and psychological distress, but no significant between group differences were observed. Reductions in alcohol consumption were significantly associated with reductions in depression and psychological distress, supporting the hypothesis that alcohol use is linked to depression among PWH.Trial Registration Pan African Clinical Trials Register, PACTR201405000815100.nh.

Authors & Co-authors:  Bantjes Jason J Morojele Neo K NK Myers Bronwyn B Swanevelder Sonja S Parry Charles C

Study Outcome 

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Statistics
Citations :  Brandt R. The mental health of people living with HIV/AIDS in Africa: a systematic review. Afr J AIDS Res. 2009;8:123–33. doi: 10.2989/AJAR.2009.8.2.1.853.
Authors :  5
Identifiers
Doi : 10.1007/s10461-023-04205-x
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Alcohol use;Depression;HIV;Randomised controlled trial;South Africa
Study Design
Randomized Control Trial,Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States