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Ann Behav Med. 2011 Aug;42(1):120-6. doi: 10.1007/s12160-011-9268-y.

Clinician-assessed depression and HAART adherence in HIV-infected individuals in methadone maintenance treatment.

Author information

  • 1Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, USA. jeffrey.gonzalez@einstein.yu.edu

Abstract

BACKGROUND:

The impact of measurement methods on the relationship between depression and HIV treatment adherence has not been adequately examined.

PURPOSE:

The purpose of this paper is to examine the relationship between clinician- and patient-rated depression and HIV medication adherence.

METHODS:

The participants were 91 HIV-infected individuals in methadone maintenance. Depression was assessed via clinician ratings (Clinical Global Impression Scale and Montgomery Asberg Depression Rating Scale) and self-report (Beck Depression Inventory-Short Form). Clinicians rated substance abuse using the Clinical Global Impression Scale and a structured interview. HIV medication adherence was measured over the following 2 weeks using electronic caps.

RESULTS:

Each unit increase in the Clinical Global Impression Scale was associated with 75% increased odds of nonadherence (OR=1.75, p=0.002, 95% CI=1.23-2.48). Similarly, for each standard deviation Montgomery Asberg Depression Rating Scale increase, there was a 2.6-fold increased odds of nonadherence (OR=2.60, p=0.001, 95% CI=1.45-4.67). Substance abuse and self-reported depression severity were not significantly related to adherence.

CONCLUSIONS:

Clinician-rated depression severity was a strong predictor of nonadherence. Assessment methods may influence the relationship between depression and HIV nonadherence.

PMID:
21503833
[PubMed - indexed for MEDLINE]
PMCID:
PMC3639471
Free PMC Article

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