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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Prevalence and correlates of depressive symptoms in HIV-positive patients: A cross-sectional study among newly diagnosed patients in yaoundé, cameroon
BMC Psychiatry, Volume 13, Article 228, Year 2013
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Description
Background: Depression is one of the most common neuropsychiatric complications of HIV disease, and in turn it is associated with worse HIV-related outcomes. Data on depression among HIV-infected patients in Cameroon are scarce. In this study, we report the prevalence and correlates of depressive symptoms among newly diagnosed HIV-infected patients in Yaoundé, Cameroon.Methods: Interviews were conducted with 100 newly diagnosed HIV-infected patients at three referral hospitals of Yaoundé. Depression was assessed using the nine-item Patient Health Questionnaire (PHQ-9). A positive depression screen was defined as PHQ-9 score greater than 9.Results: The overall prevalence of depressive symptoms was 63% (95% CI: 53.2 to 71.8), the majority having symptoms corresponding to moderate depression. Multiple logistic regression analysis showed that probable depressed patients were more likely than those who were not depressed to have had experience of alcohol abuse (OR: 19.03, 95% CI 3.11-375.85; p = 0.0083), and a 100 CD4 cells/mm3 fewer was associated with a 2.9 times increase of the odds of probable depression (95% CI 1.88-4.84; p < 0.0001).Conclusions: Our findings indicate a high prevalence of depressive symptoms in newly diagnosed HIV-infected patients in our setting, and their association with alcohol abuse and severe immunosuppression. This study also highlights the necessity to integrate mental health interventions into routine HIV clinical care in Cameroon. © 2013 L'akoa et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
L'akoa, Rodrigue M.
Cameroon, Yaounde
Université de Yaoundé I
Cameroon
Nguelemendouka District Hospital
Noubiap, Jean Jacques
Cameroon, Yaounde
Université de Yaoundé I
Cameroon
Edéa Regional Hospital
Fang, Yixin
United States, New York
New York School of Medicine
Ntone, Félicien Enyime
Cameroon, Yaounde
Université de Yaoundé I
Cameroon, Yaounde
Yaounde Jamot Hospital
Kuaban, Christopher
Cameroon, Yaounde
Université de Yaoundé I
Cameroon, Yaounde
Yaounde Jamot Hospital
Cameroon, Bamenda
University of Bamenda
Statistics
Citations: 67
Authors: 5
Affiliations: 6
Identifiers
Doi:
10.1186/1471-244X-13-228
e-ISSN:
1471244X
Research Areas
Health System And Policy
Infectious Diseases
Mental Health
Substance Abuse
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Cameroon