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Prevalence, correlates, and self-management of HIV-related depressive symptoms.

机译:艾滋病相关的抑郁症状的患病率,相关性和自我管理。

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Depressive symptoms are highly prevalent yet undertreated in people living with HIV/AIDS (PLHAs). As part of a larger study of symptom self-management (N=1217), this study examined the prevalence, correlates, and characteristics (intensity, distress, and impact) of depressive symptoms, and the self-care strategies used to manage those symptoms in PLHAs in five countries. The proportion of respondents from each country in the total sample reporting depressive symptoms in the past week varied and included Colombia (44%), Norway (66%), Puerto Rico (57%), Taiwan (35%), and the USA (56%). Fifty-four percent (n=655) of the total sample reported experiencing depressive symptoms in the past week, with a mean of 4.1 (SD 2.1) days of depression. Mean depression intensity 5.4 (SD 2.7), distressfulness 5.5 (SD 2.86), and impact 5.5 (SD 3.0) were rated on a 1-10 scale. The mean Center for Epidemiologic Studies Depression Scale score for those reporting depressive symptoms was 27 (SD 11; range 3-58), and varied significantly by country. Respondents identified 19 self-care behaviors for depressive symptoms, which fell into six categories: complementary therapies, talking to others, distraction techniques, physical activity, medications, and denial/avoidant coping. The most frequently used strategies varied by country. In the US sample, 33% of the variance in depressive symptoms was predicted by the combination of education, HIV symptoms, psychological and social support, and perceived consequences of HIV disease.
机译:抑郁症状在艾滋病毒/艾滋病(PLHAs)感染者中非常普遍,但并未得到充分治疗。作为更大的症状自我管理研究(N = 1217)的一部分,该研究检查了抑郁症状的患病率,相关性和特征(强度,困扰和影响),以及用于管理这些症状的自我护理策略在五个国家的艾滋病感染者中。在过去一周中,报告抑郁症状的每个国家/地区的受访者比例各不相同,包括哥伦比亚(44%),挪威(66%),波多黎各(57%),台湾(35%)和美国( 56%)。在过去一周中,有54%(n = 655)的人报告有抑郁症状,平均有4.1天(SD 2.1)抑郁。平均抑郁强度5.4(SD 2.7),苦恼5.5(SD 2.86)和撞击5.5(SD 3.0)的等级为1-10。报告抑郁症状的人的流行病学研究中心抑郁量表平均得分为27(SD 11;范围3-58),并且因国家而异。受访者确定了19种抑郁症状的自我护理行为,这些行为分为六类:辅助疗法,与他人交谈,分散注意力的技巧,体育锻炼,药物和拒绝/避免应对。最常用的策略因国家/地区而异。在美国的样本中,抑郁症状变化的33%是通过教育,HIV症状,心理和社会支持以及HIV疾病的可感知后果的综合预测的。

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