Profiles of depressive symptoms and influential factors among people living with HIV in China

BMC Public Health

Research

Xuan Ouyang¹  Zhening Liu¹  Qijian Deng¹  Dongfang Wang²  Huilin Chen³  Min Wang⁴  Honghong Wang⁵ 

[1] Department of Psychiatry, National Clinical Research Center on Mental Disorders, the Second Xiangya Hospital of Central South University, Changsha, China;National Technology Institute On Mental Disorders, the Second Xiangya Hospital of Central South University, Changsha, China;Department of Psychiatry, National Clinical Research Center on Mental Disorders, the Second Xiangya Hospital of Central South University, Changsha, China;National Technology Institute On Mental Disorders, the Second Xiangya Hospital of Central South University, Changsha, China;School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China;Department of Psychiatry, University of Oxford, Oxford, UK;Institute for HIV/AIDS, the First Hospital of Changsha, Changsha, China;Xiangya Nursing School, Central South University, Changsha, China;

关键词: Depressive symptoms;    People living with HIV;    Family function;    Resilience;    Childhood trauma;   

DOI  :  10.1186/s12889-023-15057-4

 received in 2022-08-25, accepted in 2023-01-13,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDepressive symptoms are highly prevalent among people living with HIV (PLWH). We leveraged Latent Profile Analysis (LPA) to identify profiles of depressive symptoms among PLWHs. We also investigated differences in psychological factors of interest, demographic characteristics, and HIV-related factors across patients’ profiles.MethodsA cross-sectional study was conducted at one hospital and two designated prison facilities in Hunan province, China. A total sample of 533 PLWHs (320 recruited from the hospital, 213 recruited from prisons) completed the survey. Depressive symptoms were assessed using the 9-item Patient Health Questionnaire (PHQ-9). Family function, resilience, childhood trauma, demographic characteristics, and HIV-related factors were also evaluated. We conducted LPA and multinomial logistic regression analyses to: 1) identify distinct profiles for depressive symptoms; 2) identify demographic characteristics, and HIV-related, and psychological factors predicting PLWHs’ likelihood to express a specific profile.ResultsWe identified three distinct profiles of depressive symptoms among PLWHs: severe symptoms (11.8%), moderate symptoms (40.5%), and low/no symptoms (47.7%). Moderate/ severe family dysfunction, low resilience, experiencing emotional abuse and neglect were more likely to fall in the “severe symptoms” rather than the “low/no symptoms” profile. In addition, severe family dysfunction, low resilience, and experiencing emotional neglect indicated a higher likelihood of being classified in the “moderate symptoms” profile, compared to the “low/no symptoms” profile.ConclusionIdentifying profiles of depressive symptoms among PLWHs using the PHQ-9 items allows for understanding of the distinct paths of development of depressive symptoms and for developing tailored prevention and intervention programs for PLWHs.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

41116_2022_35_Article_IEq243.gif