Religion, spirituality, and depressive symptoms in patients with HIV/AIDS
| العنوان: | Religion, spirituality, and depressive symptoms in patients with HIV/AIDS |
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| المؤلفون: | Michael S. Yi, Sian Cotton, Richard W. Hornung, Joseph M. Mrus, Christina M. Puchalski, Terrance J. Wade, Amy H. Peterman, Mona L. Ho, Joel Tsevat |
| المصدر: | Journal of General Internal Medicine. 21:S21-S27 |
| بيانات النشر: | Springer Science and Business Media LLC, 2006. |
| سنة النشر: | 2006 |
| مصطلحات موضوعية: | Adult, Male, Religion and Psychology, medicine.medical_specialty, Health Status, HIV Infections, Comorbidity, Cohort Studies, Quality of life, Acquired immunodeficiency syndrome (AIDS), Immunopathology, Adaptation, Psychological, Prevalence, Internal Medicine, Humans, Medicine, Psychiatry, Depression (differential diagnoses), Marital Status, Depression, business.industry, Original Articles, medicine.disease, Mental health, United States, Causality, Mood disorders, Multivariate Analysis, Female, business, Cohort study |
| الوصف: | 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.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 scoreor = 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 associated with significant depressive symptoms (P.05).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 religiosity 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. |
| تدمد: | 1525-1497 0884-8734 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::97ae8e585f4d18e775ad854c748bff2c https://doi.org/10.1111/j.1525-1497.2006.00643.x |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....97ae8e585f4d18e775ad854c748bff2c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15251497 08848734 |
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