Religion, spirituality, and depressive symptoms in patients with HIV/AIDS
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Depression has been linked to immune function and mortality in patients with chronic illnesses. Factors such as poorer spiritual well-being has been linked to increased risk for depression and other mood disorders in patients with HIV.
We sought to determine how specific dimensions of religion, spirituality, and other factors relate to depressive symptoms in a contemporary, multi-center cohort of patients with HIV/AIDS.
Patients were recruited from 4 medical centers in 3 cities in 2002 to 2003, and trained interviewers administered the questionnaires. The level of depressive symptoms was measured with the 10-item Center for Epidemiologic Studies Depression (CESD-10) Scale. Independent variables included socio-demographics, clinical information, 8 dimensions of health status and concerns, symptoms, social support, risk attitudes, self-esteem, spirituality, religious affiliation, religiosity, and religious coping. We examined the bivariate and multivariable associations of religiosity, spirituality, and depressive symptoms.
Measurements and main results
We collected data from 450 subjects. Their mean (SD) age was 43.8 (8.4) years; 387 (86.0%) were male; 204 (45.3%) were white; and their mean CD4 count was 420.5 (301.0). Two hundred forty-one (53.6%) fit the criteria for significant depressive symptoms (CESD-10 score >-10). In multivariable analyses, having greater health worries, less comfort with how one contracted HIV, more HIV-related symptoms, less social support, and lower spiritual well-being was assocuated with significant depressive symptoms (P<0.5).
A majority of patients with HIV reported having significant depressive symptoms. Poorer health status and perceptions, less social support, and lower spiritual well-being were related to significant depressive symptoms, while personal regligiosity and having a religious affiliation was not associated when controlling for other factors. Helping to address the spiritual needs of patients in the medical or community setting may be one way to decrease depressive symptoms in patients with HIV/AIDS.
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- Religion, spirituality, and depressive symptoms in patients with HIV/AIDS
Journal of General Internal Medicine
Volume 21, Issue 5 Supplement, pp S21-S27
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- mental health
- health status
- quality of life
- outcome assessment (health care)
- Industry Sectors
- Author Affiliations
- 1. Division of General Internal Medicine, Section of Outcomes Research, Department of Internal Medicine, University of Cincinnati Medical Center, PO Box 670535, 45267-0535, Cincinnati, OH, USA
- 2. Institute for the Study of Health, University of Cincinnati Medical Center, Cincinnati, OH, USA
- 3. Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
- 4. HSR&D Service, Cincinnati Veterans Affairs Medical Center and Veterans Healthcare System of Ohio, Cincinnati, OH, USA
- 5. Department of Community Health Sciences, Brock University, St. Catharines, Ontario, Canada
- 6. Department of Child and Youth Studies, Brock University, St. Catharines, Ontario, Canada
- 7. Center on Outcomes, Research and Education, Evanston Northwestern Healthcare, Evanston, IL, USA
- 8. Department of Medicine, George Washington University Medical Center, Washington DC, USA
- 9. George Washington Institute for Spirituality and Health, Washington DC, USA