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Screening for depression among youth with HIV in an integrated care setting

机译：在综合护理环境中筛选青少年抑郁症

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Youth living with HIV (YLWH) are at risk for depression. Depressive symptoms can impact treatment engagement, health outcomes, and quality of life. Early identification of symptoms can guide treatment planning. This study aimed to identify trends in depressive symptoms for YLWH in a specialty-care clinic and follow-up clinical treatment procedures. An archival review of a clinical database provided depression screening information for a sample of 130 YLWH between 11 and 25 years old in the southeastern United States. Findings indicated that approximately 24% of the sample screened positive for depression-risk. Most commonly endorsed symptoms included fatigue (54.3%) and sleep difficulties (48.5%). Depressive symptoms did not differ significantly by age, gender, race, ethnicity, or sexual orientation. Youth who acquired HIV behaviorally were more likely to endorse the critical item (i.e., self-harm and/or suicidal ideation) than youth who acquired HIV perinatally. Forty-percent of the sample (i.e., 51 youth) had a follow-up treatment plan. YLWH who endorsed the critical item were more likely to receive follow-up action when compared to those who did not endorse the item. Despite limitations of the study, findings have important implications for clinical care and future research.
机译：与艾滋病毒（YLWH）生活的青年有抑郁症的风险。抑郁症状会影响治疗敬意，健康结果和生活质量。早期识别症状可以指导治疗计划。本研究旨在识别特种护理诊所和后续临床治疗程序中YLWH抑郁症状的趋势。临床数据库的档案审查提供了在美国东南部11至25岁之间的130岁之间的样本的抑郁症筛选信息。结果表明，约24％的样品筛选抑郁风险阳性。最常见的症状包括疲劳（54.3％）和睡眠困难（48.5％）。年龄，性别，种族，种族或性取向抑郁症状没有显着差异。获得艾滋病毒的青年人更有可能赞同关键物品（即，自我危害和/或自杀意念），而不是在不列颠遗产均收购艾滋病毒。样本的40％（即51青年）进行了后续治疗计划。与那些没有认可该项目的人相比，赞同关键项的YLWH更有可能接受后续行动。尽管研究局限性，但调查结果对临床护理和未来研究具有重要意义。

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