TY - JOUR
T1 - Evidence-Based Clinical Practice Guidelines for Managing Depression in Persons Living With HIV
AU - Relf, Michael V.
AU - Eisbach, Shelly
AU - Okine, Kayj Nash
AU - Ward, Terry
PY - 2013/1/1
Y1 - 2013/1/1
N2 - Depressive symptoms and depression are prevalent among persons living with HIV (PLWH). Depression among PLWH is associated with a lower quality of life, reduced adherence to antiretroviral treatment, poorer self-care, worsened treatment outcomes, greater impairment in social and vocational functioning, and increased social isolation. Assessment of depression in PLWH is critical to facilitate referral and management. Fortunately, two simple screening questions can be used to assess for depression, and evidence supports the effective management of depression for PLWH. First-line treatment regimens for depression include selective serotonin reuptake inhibitors (SSRIs), cognitive behavioral therapy (CBT), or a combination of SSRI and CBT. This paper examines the contemporary evidence related to depression in the context of HIV infection. A case study has been included to illustrate an application of evidence-based treatment interventions recommended for clinical practice.
AB - Depressive symptoms and depression are prevalent among persons living with HIV (PLWH). Depression among PLWH is associated with a lower quality of life, reduced adherence to antiretroviral treatment, poorer self-care, worsened treatment outcomes, greater impairment in social and vocational functioning, and increased social isolation. Assessment of depression in PLWH is critical to facilitate referral and management. Fortunately, two simple screening questions can be used to assess for depression, and evidence supports the effective management of depression for PLWH. First-line treatment regimens for depression include selective serotonin reuptake inhibitors (SSRIs), cognitive behavioral therapy (CBT), or a combination of SSRI and CBT. This paper examines the contemporary evidence related to depression in the context of HIV infection. A case study has been included to illustrate an application of evidence-based treatment interventions recommended for clinical practice.
KW - AIDS
KW - Cognitive behavioral therapy
KW - Depression
KW - HIV
KW - Nursing
KW - Serotonin reuptake inhibitors
UR - http://www.scopus.com/inward/record.url?scp=84871728702&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84871728702&partnerID=8YFLogxK
U2 - 10.1016/j.jana.2012.05.007
DO - 10.1016/j.jana.2012.05.007
M3 - Article
C2 - 23290374
AN - SCOPUS:84871728702
SN - 1055-3290
VL - 24
SP - S15-S28
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - SUPPL. 1
ER -