Mental health and its consequences in people living with HIV: A network approach.


Journal

Brain and behavior
ISSN: 2162-3279
Titre abrégé: Brain Behav
Pays: United States
ID NLM: 101570837

Informations de publication

Date de publication:
Oct 2024
Historique:
revised: 08 08 2024
received: 05 09 2023
accepted: 19 08 2024
medline: 21 10 2024
pubmed: 21 10 2024
entrez: 20 10 2024
Statut: ppublish

Résumé

Psychiatric symptoms occur frequently in people living with human immunodeficiency virus (PLWH), which may affect quality of life, sexual risk behavior, and adherence to antiretroviral therapy (ART). Data from large cohorts are limited, and symptoms are often analyzed in isolation. Therefore, we applied a network analysis to assess the interrelatedness of mental health indicators in a large cohort of PLWH. We included 1615 PLWH on ART. Participants reported on the severity of depression, anxiety, impulsivity, substance use, quality of life, sexual risk behavior, and ART adherence. An Ising network model was constructed to analyze interrelations between mental health indicators and connections with clinical consequences. Our network analysis revealed that symptoms of depression, anxiety, and indicators of impulsivity were interrelated. Substance use was prevalent and strongly connected with sexual risk behavior. Quality of life was most strongly connected with symptoms of depression. Unexpectedly, ART adherence did not display connections with any of the mental health indicators. In PLWH, the interrelatedness between symptoms of depression and anxiety and indicators of impulsivity is high. Mainly, depressive symptoms seem to impact quality of life, which warrants attention for depression in PLWH. We did not observe evidence for the common assumption that patients suffering from psychiatric symptoms are less adherent to HIV treatment.

Identifiants

pubmed: 39428553
doi: 10.1002/brb3.70021
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e70021

Subventions

Organisme : ViiV Healthcare
ID : A18-1052
Organisme : ViiV Healthcare
ID : NOW SPI94-212
Organisme : ERC 
ID : 833247

Informations de copyright

© 2024 The Author(s). Brain and Behavior published by Wiley Periodicals LLC.

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Auteurs

Elise M G Meeder (EMG)

Department of Psychiatry, Radboudumc, Radboud University, Nijmegen, The Netherlands.
Donders Institute for Brain Cognition and Behavior, Radboud University, Nijmegen, The Netherlands.
Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), Radboud University, Nijmegen, The Netherlands.

Louise E van Eekeren (LEV)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.

Marc J T Blaauw (MJT)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.
Department of Internal Medicine and Infectious Diseases, Elizabeth-Tweesteden Ziekenhuis, Tilburg, The Netherlands.

Albert L Groenendijk (AL)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.
Department of Internal Medicine and Department of Medical Microbiology and Infectious diseases, Erasmus Medical Center (MC), Erasmus University, Rotterdam, The Netherlands.

Wilhelm A J W Vos (WAJW)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.
Department of Internal Medicine and Infectious Diseases, OLVG, Amsterdam, The Netherlands.

Jan van Lunzen (JV)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.

Leo A B Joosten (LAB)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.
Department of Medical Genetics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Mihai G Netea (MG)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.
Department of Immunology and Metabolism, Life and Medical Sciences Institute, University of Bonn, Bonn, Germany.

Quirijn de Mast (Q)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.

Willem L Blok (WL)

Department of Internal Medicine and Infectious Diseases, OLVG, Amsterdam, The Netherlands.

Annelies Verbon (A)

Department of Internal Medicine and Department of Medical Microbiology and Infectious diseases, Erasmus Medical Center (MC), Erasmus University, Rotterdam, The Netherlands.

Marvin A H Berrevoets (MAH)

Department of Internal Medicine and Infectious Diseases, Elizabeth-Tweesteden Ziekenhuis, Tilburg, The Netherlands.

Vasiliki Matzaraki (V)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.

Andre J A M van der Ven (AJAMV)

Department of Internal Medicine and Infectious Diseases, Radboudumc, Radboud University, Nijmegen, The Netherlands.

Arnt F A Schellekens (AFA)

Department of Psychiatry, Radboudumc, Radboud University, Nijmegen, The Netherlands.
Donders Institute for Brain Cognition and Behavior, Radboud University, Nijmegen, The Netherlands.
Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), Radboud University, Nijmegen, The Netherlands.

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