Antidepressant therapy can improve adherence to antiretroviral regimens among HIV-infected and depressed patients

被引:35
作者
Dalessandro, Margherita
Conti, Chiara M.
Gambi, Francesco
Falasca, Katia
Doyle, Robert
Conti, Pio
Caciagli, Francesco
Fulcheri, Mario
Vecchiet, Jacopo
机构
[1] Univ G dAnnunzio, Clin Infect Dis, Chieti, Italy
[2] Univ G dAnnunzio, Div Immunol, Chieti, Italy
[3] Harvard Univ, Sch Med, Massachusetts Gen Hosp, Boston, MA USA
[4] Univ G dAnnunzio, Div Pharmacol, Chieti, Italy
[5] Univ G dAnnunzio, Clin Psychol, Chieti, Italy
[6] Univ G dAnnunzio, Div Psychiat, Chieti, Italy
关键词
D O I
10.1097/jcp.0b013e31802f0dd1
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Several strategies have been introduced to manage nonadherence to highly active antiretroviral therapy (HAART). Treatment with antidepressants may improve self-reported adherence. In this brief report, a small sample of HIV-depressed patients (n = 9) were treated for a 6-month period with antidepressants improving self-reported adherence based on the HAART scale (poor, good, satisfactory, and optimal). Before the antidepressant treatment, adherence was reported as "good" by 3 patients and "satisfactory" by 6 patients. After antidepressant therapy, adherence to antiretroviral regimes was statistically higher in HIVdepressed on treatment than in HIV-depressed patients not treated with antidepressants (P < 0.0001). We used chi(2) test with a significance level at P < 0.05. Treating depression in HIV-infected patients may serve to improve adherence to HAART.
引用
收藏
页码:58 / 61
页数:4
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