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DOI Prefix 10.20431 |
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Assessment of Depression in People Living with HIV in Albania; the influence of Demographic Data, Adherence and Sexual Desire in Depression
Redona Dudushi1*, Silva Bino1, Arjan Harxhi2, Marjeta Dervishi1, Adem Tamo3
2.University Hospital Centre "Mother Teresa", Tirana, Albania.
3.University of Social Sciences, Tirana, Albania.
Citation : Redona Dudushi, Silva Bino, Arjan Harxhi, Marjeta Dervishi, Adem Tamo, Assessment of Depression in People Living with HIV in Albania; the influence of Demographic Data, Adherence and Sexual Desire in Depression International Journal of Humanities Social Sciences and Education 2018, 5(10) : 57-66
Background: Depression is one of the most frequent mental health problems reported in persons living with HIV. HIV illness and depressive symptoms have very similar characteristic these make that depressive symptoms in people living with HIV perhaps are more or less reported as a result of somatic features of HIV. There are no date are regarding the prevalence of depression in people living with HIV.
Objectives: This study was undertaken to provide comprehensive understating about depression in people living with HIV in Albania and factors that influence depression.
Material and Methods: A descriptive cross sectional study was conducted in outpatient clinic of people living with HIV in Albania. Two hundred sixty four patients were interviewed about depression, adherence, sexual activity and sexual desire. Patient Health Questionnaire is used as depression assessment tools, Case Index of Adherence is used to measure adherence, Sexual Desire Inventory to measure the sexual desire and AMIS questionnaire (Emory University Instrument) to measure sexual behaviors. The data collected was analyzed using SPSS software and Medcalc software.
Results: The prevalence of depression according to the Patient Health Questionnaire-9 rating scale reported that "depressive symptoms" prevail 35.6% of participants, followed by "mild depression" 32.2%. In the group with" low adherence in therapy" is reported higher percents of "moderate depression" 52.5% and "severe depression" 45.8% compare to group with "good adherence in therapy" respectively 23% and 8.3%. The study found that "residence in urban area"; "perceived HIV as disability"; "monthly income"] 500.000- 500.000]";" having sex in the last 12 months"; "good adherence in therapy"; and "sexual desire" are protective factors from depression.
Conclusion: In light of the high prevalence of depressive symptoms in people living with HIV and 85.2% involved in the sexual activities over the last 12 months, these findings underscore the need for assessment for depression should be integral part of the routine HIV care in outpatient clinic.