AIDS and Behavior

, Volume 14, Issue 2, pp 272–279

Depression Symptoms and Treatment Among HIV Infected and Uninfected Veterans

  • Kristen Sueoka
  • Joseph L. Goulet
  • David A. Fiellin
  • David Rimland
  • Adeel A. Butt
  • Cynthia Gibert
  • Maria C. Rodriguez-Barradas
  • Kendall Bryant
  • Stephen Crystal
  • Amy C. Justice
Original Paper

DOI: 10.1007/s10461-008-9428-7

Cite this article as:
Sueoka, K., Goulet, J.L., Fiellin, D.A. et al. AIDS Behav (2010) 14: 272. doi:10.1007/s10461-008-9428-7

Abstract

Depression is one of the most common comorbid conditions affecting persons with HIV. We compared depressive symptoms and depression treatment using data from the Veterans Aging Cohort Study (VACS), a prospective cohort of HIV-infected and uninfected subjects. We identified subjects with a Patient Health Questionnaire score of 10 or greater. Treatment was defined as prescription of a selective serotonin reuptake inhibitor (SSRI) or mental health counseling. Overall, 16% of 4,480 subjects had depressive symptoms, and HIV-infected patients were more likely to have had depressive symptoms (OR = 1.38, 95% CI = 1.18, 1.62). Geographic site of care and having a mental health provider at the clinic was associated with treatment. In multivariable models restricted to 732 patients with depressive symptoms, receipt of depression treatment did not differ by HIV status (Adjusted OR = 1.11, 95% CI = 0.80, 1.54). Non-Hispanic whites were more likely to receive treatment (Adjusted OR = 2.09, 95% CI 1.04, 4.24). Primary care and HIV providers were equally unlikely to treat active depressive symptoms. Treatment variation by race, site, and availability of a mental health provider, suggests targets for intervention.

Keywords

HIV-infectionDepressionPsychiatric status rating scalesAnti-depressive agents

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Kristen Sueoka
    • 1
  • Joseph L. Goulet
    • 1
    • 2
  • David A. Fiellin
    • 1
  • David Rimland
    • 3
  • Adeel A. Butt
    • 4
  • Cynthia Gibert
    • 5
  • Maria C. Rodriguez-Barradas
    • 6
  • Kendall Bryant
    • 7
  • Stephen Crystal
    • 8
  • Amy C. Justice
    • 1
    • 2
  1. 1.Yale University School of MedicineNew HavenUSA
  2. 2.VA Connecticut Healthcare System—11ACSLGWest HavenUSA
  3. 3.VA Medical Center and Emory University School of MedicineAtlantaUSA
  4. 4.VA Pittsburgh Healthcare System and University of PittsburghPittsburghUSA
  5. 5.VA Medical Center and George Washington University Medical CenterWashingtonUSA
  6. 6.Michael E. De Bakey VAMC and Baylor College of MedicineHoustonUSA
  7. 7.National Institute on Alcohol Abuse and AlcoholismNational Institutes of HealthBethesdaUSA
  8. 8.The Institute for Health, Health Care Policy and Aging ResearchRutgers UniversityNew BrunswickUSA