A multilevel examination of sleep, depression, and quality of life in people living with HIV/AIDS

J Health Psychol. 2020 Sep;25(10-11):1556-1566. doi: 10.1177/1359105318765632. Epub 2018 Mar 27.

Abstract

Sleep problems are prevalent in people living with HIV/AIDS; however, few studies examine how poor sleep affects mental health and quality of life longitudinally. A sample of people living with HIV/AIDS from a randomized trial (N = 240; mean age = 47.18; standard deviation = 8.3; 71.4% male; 61.2% White) completed measures of depression (Montgomery-Åsberg Depression Rating Scale), health-related quality of life (AIDS Clinical Trial Group Quality of Life Measure), and life satisfaction (Quality of Life Inventory) at baseline and 4, 8, and 12 months. Controlling for time, condition, and relevant interactions, sleep problems significantly predicted worse outcomes over time (ps < 0.001). Findings have implications for the importance of identifying and treating sleep problems in people living with HIV/AIDS to improve mental health and quality-of-life outcomes.

Keywords: AIDS; HIV; HIV infection; depression; health behavior; health psychology; insomnia; quality of life; sleep.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Depression / epidemiology*
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / psychology*
  • Humans
  • Male
  • Mental Health / statistics & numerical data
  • Middle Aged
  • Quality of Life*
  • Sleep Initiation and Maintenance Disorders / epidemiology*
  • Sleep*