AIDS and Behavior

, Volume 15, Issue 8, pp 1819–1828

Antidepressant Treatment and Adherence to Antiretroviral Medications Among Privately Insured Persons with HIV/AIDS

  • Ayse Akincigil
  • Ira B. Wilson
  • James T. Walkup
  • Michele J. Siegel
  • Cecilia Huang
  • Stephen Crystal
Original Paper

DOI: 10.1007/s10461-011-9938-6

Cite this article as:
Akincigil, A., Wilson, I.B., Walkup, J.T. et al. AIDS Behav (2011) 15: 1819. doi:10.1007/s10461-011-9938-6

Abstract

In order to examine relationships between depression treatments (antidepressant and/or psychotherapy utilization) and adherence to antiretroviral therapy (ART), we conducted a retrospective analysis of medical and pharmacy insurance claims for privately insured persons living with HIV/AIDS (PLWHA) diagnosed with depression (n = 1,150). Participants were enrolled in 80 insurance plans from all 50 states. Adherence was suboptimal. Depression treatment initiators were significantly more likely to be adherent to ART than the untreated. We did not observe an association between psychotherapy utilization and ART adherence, yet given the limitations of the data (e.g., there is no information on types of psychological treatment and its targets), the lack of association should not be interpreted as lack of efficacy.

Keywords

AdherenceDepressionAntidepressantPsychotherapyPrivate insurance

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Ayse Akincigil
    • 1
    • 2
  • Ira B. Wilson
    • 3
  • James T. Walkup
    • 2
    • 4
  • Michele J. Siegel
    • 2
  • Cecilia Huang
    • 2
  • Stephen Crystal
    • 1
    • 2
  1. 1.School of Social WorkRutgers, The State University of New JerseyNew BrunswickUSA
  2. 2.Center for Health Services Research on Pharmacotherapy, Chronic Disease Management, and Outcomes, Institute for Health, Health Care Policy and Aging ResearchRutgers, The State University of New JerseyNew BrunswickUSA
  3. 3.Health Services, Policy & Practice Section, Department of Community HealthBrown UniversityProvidenceUSA
  4. 4.Graduate School of Applied and Professional PsychologyRutgers, The State University of New JerseyNew BrunswickUSA