The association of depression and anxiety symptoms to three different types of activities of daily living in persons with and without HIV

The association of depression and anxiety symptoms to three different types of activities of daily living in persons with and without HIV

Mood disorders are highly prevalent in people living with HIV (PLWH) and represent a potential contributor to functional impairment in activities of daily living. We aimed to determine if (1) Anxiety and depression symptoms were independently associated with impairments in basic self-care, role func...

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Bibliographic Details
Published in:AIDS care Vol. 36; no. 2; pp. 165 - 172
Main Authors: Bryant, Vaughn E., Shortell, Destin D., DeFelice, Jason S., Huxhold, Ashley, Cook, Robert L., Porges, Eric C., Cohen, Ronald A.
Format: Journal Article
Language:English
Published: England Taylor & Francis 01-02-2024
Taylor & Francis Ltd
Subjects:
Activities of Daily Living
Anxiety
Cross-Sectional Studies
Depression
Emotional disorders
Epidemiology
Female
Functional impairment
HIV
HIV Infections - complications
Human immunodeficiency virus
Humans
Impairment
Male
Mental depression
Mood
Self care
Signs and symptoms
Social functioning
anxiety
depression
HIV
activities of daily living
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Summary:Mood disorders are highly prevalent in people living with HIV (PLWH) and represent a potential contributor to functional impairment in activities of daily living. We aimed to determine if (1) Anxiety and depression symptoms were independently associated with impairments in basic self-care, role functioning, and social functioning and (2) PLWH differentially experienced impairments due to mood symptoms compared to those without HIV. Data for this study were obtained from 150 individuals (87 PLWH, 61% male, mean age   = 44) via a cross-sectional study on alcohol and HIV-associated brain dysfunction. The Beck Anxiety Inventory (BAI) and the Center for Epidemiologic Studies Depression Scale (CES-D) were used to assess anxiety and depressive symptoms. Higher anxiety symptoms were associated with role functioning impairment, while higher depressive and anxiety symptoms were each associated with social functioning impairment. As depressive symptoms increased, PLWH were 3x more likely to have impairments in role functioning compared to those without HIV. HIV status did not interact with mood symptoms to affect basic self-care or social functioning. Overall, mood symptoms are associated with different types of functional impairment, and improved management of mood symptoms could lead to improved role and social functioning.
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ISSN:0954-0121
1360-0451
1360-0451
DOI:10.1080/09540121.2023.2251458