Benefits of Adherence to Psychotropic Medications on Depressive Symptoms and Antiretroviral Medication Adherence Among Men and Women Living with HIV/AIDS
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Background: Psychotropic medications are commonly used for depressive symptoms among people living with HIV/AIDS.
Purpose: We examined the relationships between adherence to psychotropic medications, depressive symptoms, and antiretroviral adherence.
Methods: We assessed depressive symptoms among 324 people living with HIV/AIDS across a 3-month period (70% men; mean age 45 years; 90% African-American). Psychotropic and antiretroviral adherence was assessed using monthly, unannounced telephone pill counts. Multiple-regression and mediation analyses were utilized to examine associations under investigation.
Results: Greater depressive symptoms were associated with lower antiretroviral and psychotropic medication adherence. Greater adherence to psychotropic medications regardless of medication class was positively related to higher antiretroviral adherence. Greater adherence to psychotropic medications also significantly mediated the association between depressive symptoms and antiretroviral adherence.
Conclusions: This study demonstrates the benefits of adherence to psychotropic medications on both depressive symptoms and antiretroviral adherence. Future work examining psychotropic medication adherence on disease outcomes in people living with HIV/AIDS is warranted.
Ouner J, Thompson R, Dey N, Alhassan R, Gyamerah A BMC Public Health. 2025; 25(1):342.
PMID: 39871213 PMC: 11773945. DOI: 10.1186/s12889-025-21500-5.
Global trends in depression among patients living with HIV: A bibliometric analysis.
Du X, Zhang Q, Hao J, Gong X, Liu J, Chen J Front Psychol. 2023; 14:1125300.
PMID: 36968702 PMC: 10036061. DOI: 10.3389/fpsyg.2023.1125300.
Foley L, Larkin J, Lombard-Vance R, Murphy A, Hynes L, Galvin E BMJ Open. 2021; 11(9):e044987.
PMID: 34475141 PMC: 8413882. DOI: 10.1136/bmjopen-2020-044987.
Chronic distress and the vulnerable host: a new target for HIV treatment and prevention?.
Contoreggi C, Chrousos G, Di Mascio M Neurobehav HIV Med. 2021; 7:53-75.
PMID: 34295195 PMC: 8293862. DOI: 10.2147/nbhiv.s86309.
Mental Health in Women Living With HIV: The Unique and Unmet Needs.
Waldron E, Burnett-Zeigler I, Wee V, Ng Y, Koenig L, Pederson A J Int Assoc Provid AIDS Care. 2021; 20:2325958220985665.
PMID: 33472517 PMC: 7829520. DOI: 10.1177/2325958220985665.