Depression in HIV-infected patients: results of the analysis оf the relationship with socio-demographic indicators

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. Evaluation of the incidence of depressive symptoms and determination of the relationship between depression and socio-demographic factors in groups of HIV-infected patients in 6 countries of Eastern Europe, Caucasus and Central Asia ЕЕССА and 3 regions of the Russian Federation.

Materials and methods. The study was conducted in 2022–2023 in 6 EECCA republics and 3 regions of the Russian Federation. A total of 1,148 patients with HIV infection who were receiving antiretroviral therapy (ART) were interviewed. A direct questionnaire survey was conducted with a continuous sample. A.Beck’s depression questionnaire was used to identify depressive symptoms. The questionnaires included socio-demographic indicators, as well as data on life expectancy with HIV and the duration of ART.

Results. Most respondents in all groups were aged 35 to 44 years. In seven groups, the median total depression score was within 4–5 points. In groups 1 (Republic of Azerbaijan) and 5 (Republic of Tajikistan), this indicator was 13 and 8 points, respectively. The total incidence rate of various depressive symptoms in group 1 was 61.5%, in group 5 – 45%. In the other groups, this indicator ranged from 28.2 to 35.6%. In some groups, it was possible to identify a correlation between socio-demographic factors and the level of depression.

Conclusion. The questionnaire is a convenient tool for screening depressive symptoms and making subsequent decisions on the prevention of adherence disorders risks.

Full Text

Restricted Access

About the authors

Zoya K. Suvorova

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: zksu@inbox.ru
ORCID iD: 0000-0003-4055-289X

Cand. Med. Sci., Senior Researcher, Central Research Institute of Epidemiology

Russian Federation, Moscow

Valentina V. Belyaeva

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: labora-et-ora@yandex.ru
ORCID iD: 0000-0002-4621-7892

MD, Leading Researcher, Department of Epidemiology and Prevention of AIDS, Central Research Institute of Epidemiology

Russian Federation, Moscow

Ekaterina V. Sokolova

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: ekaterinasokolova007@rambler.ru
ORCID iD: 0000-0002-2001-8772

Cand. Med. Sci., Central Research Institute of Epidemiology

Russian Federation, Moscow

Svetlana Yu. Semikova

Center for the Prevention and Control of AIDS and Infectious Diseases

Email: semsvet@list.ru

Deputy Chief Physician

Russian Federation, St. Petersburg

Elena P. Lebedeva

Center for the Prevention and Control of AIDS and Infectious Diseases

Email: lenoblspid@lenoblspid.ru

Medical Psychologist

Russian Federation, St. Petersburg

Marina P. Gorovaya

City Clinical Infectious Diseases Hospital

Email: m.p.gor73@gmail.com

Head, Consultative and Dispensary Department for HIV Infection

Belarus, Minsk

Svetlana V. Sergeenko

Republican Center for Hygiene, Epidemiology and Public Health

Email: svetlana-s.v@mail.ru

Epidemiologist

Belarus, Minsk

Dildora A. Mustafaeva

Republican Center for AIDS Control, Ministry of Health of the Republic of Uzbekistan

Email: mustafaeva_1969@list.ru

Infectiologist, Deputy Director

Uzbekistan, Tashkent

Marina M. Shegay

N.A. Semashko National Research Institute of Public Health

Email: mshegai-rhcf@mail.ru
ORCID iD: 0000-0003-4054-1998

Professor, MD, Advisor to the Director

Russian Federation, Moscow

Gunesh I. Dzhafarova

Republican Center for AIDS Control

Email: dr.cafarova87@mail.ru4

Deputy Director

Azerbaijan, Baku

Ermine M. Ovakimyan

National Center for Infectious Diseases, Ministry of Health of the Republic of Armenia

Email: hovakimyan80@mail.ru
ORCID iD: 0000-0003-3316-9358

Head, Outpatient Clinic

Armenia, Yerevan

Tattygul Ch. Berdalieva

National Center for Hemocontact Hepatitis and HIV Control, Ministry of Health and Social Development of the Kyrgyz Republic

Author for correspondence.
Email: farmang@mail.ru

Physician, Head, Department of Follow-up Care and Treatment

Kyrgyzstan, Bishkek

Rano A. Rakhimova

Ministry of Health and Social Protection of the Republic of Tajikistan

Email: r.anisa@mail.ru
ORCID iD: 0000-0002-7580-5618

Head

Tajikistan, Dushanbe

Tatyana P. Madzhitova

National Center for AIDS Prevention and Control, Ministry of Health and Social Protection of the Republic of Tajikistan

Email: tatyana7707@inbox.ru

Specialist of the Dispensary Department (Pediatrician)

Tajikistan, Dushanbe

Niyaz I. Galiullin

National Center for AIDS and Infectious Diseases Prevention and Control, Ministry of Health of the Republic of Tatarstan

Email: centre_spid@tatar.ru

Cand. Med. Sci., Chief Physician

Russian Federation, Kazan

Airat T. Beshimov

National Center for AIDS and Infectious Diseases Prevention and Control, Ministry of Health of the Republic of Tatarstan

Email: beshimov@rambler.ru

Cand. Med. Sci., Deputy Chief Physician for Outpatient Work

Russian Federation, Kazan

Svetlana V. Demchenko

City Infectious Diseases Clinical Hospital № 1

Email: sveta_demchenko1996@mail.ru

Infectiologist

Russian Federation, Novosibirsk

Olga N. Khokhlova

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: x.olia79@mail.ru
ORCID iD: 0000-0001-9736-4043

Cand. Med. Sci., Senior Researcher

Russian Federation, Moscow

Vadim V. Pokrovsky

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: pokrovsky.vad@yandex.ru
ORCID iD: 0000-0002-9514-7288
Scopus Author ID: 7202457043

Professor, Academician of the Russian Academy of Sciences, MD, Head, Specialized Research Department for the AIDS Prevention and Control

Russian Federation, Moscow

References

  1. Cook J.A., Grey D., Burke J., Cohen V., Gurtman F., Richardson J. et al. Depressive symptoms and AIDS RELATED mortality among a multisite cohort of HIV-positive women. Am. J. Public. Health 2004; 94: 1133–1140. doi: 10.2105/AJPH.94.7.1133
  2. Tate D., Paul R.H., Flanigan T.P., Tashima K., Nash J., Adair C. et al. The impact of apathy and depression on quality of life in patients infected with HIV. AIDS Patient Care STDs 2003; 17(3): 115–120. doi: 10.1089/108729103763807936
  3. Ferrando S.J., Goldman J.D., Charness W.E. Selective serotonin reuptake inhibitor treatment of depression in symptomatic HIV infection and AIDS: Improvements in somatic symptoms. Gen. Hosp. Psychiatry 1997; 19: 89–97. doi: 10.1016/s0163-8343(96)00172-7
  4. Williams P., Narciso L., Browne G., Roberts J., Weir R., Gafni A. The prevalence, correlates, and costs of depression in people living with HIV/AIDS in Ontario: implications for service directions. AIDS Educ. Prev. 2005; 17: 119–130. doi: 10.1521/aeap.17.3.119.62903
  5. Валеева А.М., Мухаметова Р.Н., Синюшина Н.Н. Патопсихологическое исследование и сравнение состояния аффективной сферы в двух гендерных группах ВИЧ-инфицированных больных. ВИЧ-инфекция и иммуносупрессии 2010; 2(3): 82–87. Valeeva A.M., Mukhametova R.N., Sinyushina N.N. [Pathopsychological study and comparison of the state of the affective sphere in two gender groups of HIV-infected patients]. HIV Infection and Immunosuppressive Disorders 2010; 2(3): 82–87. (In Russ.).
  6. Хасанова Г.Р., Биккинина О.И., Анохин В.А. Депрессия у молодых ВИЧ-инфицированных пациентов связана с анемией. Казанский медицинский журнал 2013; 94(4): 445–450. Khasanova G.R., Bikkinina O.I., Anokhin V.A. [Depression in young HIV-infected patients is associated with anemia]. Kazan Medical Journal 2013; 94(4): 445–450. (In Russ.).
  7. Мурыванова Н.Н., Горбунов В.И., Ткаченко Т.Н., Буланьков Ю.И., Улюкин И.М. Психологические особенности ВИЧ-инфицированных больных. Журнал инфектологии 2015; 7(2): 70–74. doi: 10.22625/2072-6732-2015-7-2-70-74. Muryvanova N.N., Gorbunov V.I., Tkachenko T.N., Bulan’kov Yu.I., Ulukin I.M. [Psychological characteristics of HIV-infected patients]. Journal Infectology 2015; 7(2): 70–74. (In Russ.). doi: 10.22625/2072-6732-2015-7-2-70-74
  8. Чумаков Е.М., Петрова Н.Н., Рассохин В.В. Психические расстройства и их влияние на приверженность у ВИЧ-инфицированных пациентов с ранним сифилисом. ВИЧ-инфекция и иммуносупрессии 2018; 10(2): 69–80. doi: 10.22328/2077-9828-2018-10-2-69-80. Chumakov E.M., Petrova N.N., Rassokhin V.V. [Mental disorders and their impact on adherence in HIV-infected patients with early syphilis]. HIV infection and immunosuppression 2018; 10(2): 69–80. (In Russ.). doi: 10.22328/2077-9828-2018-10-2-69-80
  9. Шальнова С.А., Евстифеева С.Е., Деев А.Д., Артамонова Г.В., Гатагонова Т.М., Дуплякова Д.В. и др. Распространенность тревоги и депрессии в различных регионах Российской Федерации и ее ассоциации с социально-демографическими факторами (по данным исследования ЭССЕ-РФ). Терапевтический архив 2014; 86(12): 53–60. doi: 10.17116/terarkh2014861253-60. Shal’nova S.A., Evstifeeva E.S., Deev A.D., Artamonova G.V., Gatagonova T.M., Duplyakova D.V. et al. [The prevalence of anxiety and depression in different regions of the Russian Federation and its association with sociodemographic factors (according to the data of the ESSE-RF study)]. (In Russ.). Тherapeutic Archive 2014; 86(12): 53–60. doi: 10.17116/terarkh2014861253-60
  10. Евстифеева С.Е., Шальнова С.А., Куценко В.А., Баланова Ю.А., Имаева А.Э., Капустина А.В. и др. Тревога и депрессия: десятилетняя динамика распространенности и ее ассоциации с демографическими и социально-экономическими показателями по данным исследования ЭССЕ-РФ. Кардиоваскулярная терапия и профилактика 2023; 22(S8): 68–79. doi: 10.15829/1728-8800-2023-3796. Evstifeeva S.E., Shalnova S.A., Kutsenko V.A., Balanova Yu.A., Imaeva A.E., Kapustina A.V. et al. [Anxiety and depression: ten-year dynamics of prevalence and its associations with demographic and socioeconomic indicators according to the ESSE-RF study]. Cardiovascular Therapy and Prevention 2023; 22(S8): 68–79. (In Russ.). doi: 10.15829/1728-8800-2023-3796
  11. Русинова Н.Л., Сафронов В.В. Социальные риски депрессии в Европе и России: значение демографии, образования и социального капитала. Социологический журнал 2016; 22(3): 8–106. doi: 10.19181/socjour.2016.22.3.4586. Rusinova N.L., Safronov V.V. [Social risks of depression in Europe and Russia: the importance of demography, education and social capital]. Sociological Journal 2016; 22(3): 82–106. (In Russ.). doi: 10.19181/socjour.2016.22.3.4586
  12. Смулевич А.Б., Дробижев М.Ю. Депрессии в общей медицине (определение, распространенность, клиника, лечение). Сердце: журнал для практикующих врачей 2007; 6(5): 272–276. Smulevich A.B., Drobizhev M.Yu. [Depressions in general medicine (definition, prevalence, clinical picture, treatment)]. Heart: a journal for practicing physicians. 2007; 6(5): 272–276. (In Russ.).
  13. Гафаров В.В., Гагулин И.В., Громова Е.А., Панов Д.О., Гафарова А.В. Депрессия, тревога и нарушения сна у населения 45-69 лет в России (Сибирь): эпидемиологическое исследование. Неврология, нейропсихиатрия, психосоматика 2017; 9(4): 31–37. doi: 10.14412/2074-2711-2017-4-31-37. Gafarov V.V., Gagulin I.V., Gromova E.A., Panov D.O., Gafarova A.V. [Depression, anxiety and sleep disorders in the population aged 45-69 years in Russia (Siberia): an epidemiological study]. Neurology, neuropsychiatry, psychosomatics 2017; 9(4): 31–37. (In Russ.). doi: 10.14412/2074-2711-2017-4-31-37

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Figure. Medians of the total depression score according to the A. Beck questionnaire in the analyzed groups

Download (47KB)
Indexing metadata

Copyright (c) 2025 Bionika Media