Depressive symptoms in older adults living with HIV disease: Application of the chronic illness quality of life model
The current study delineated rates and predictors of depressive symptomatology in 83 persons 50 years of age and older living with HIV/AIDS in two large US cities. The Chronic Illness Quality of Life Model (CIQOL), which posits that emotional distress in HIV-infected persons is a function of AIDS-related stigma, barriers to health care and social services, physical well-being, social support, and engagement coping, served as the investigation's conceptual foundation. Approximately 25% of HIV-infected older adults reported elevated levels of depressive symptoms. Depressive symptomatology was most strongly related to poor physical well-being and less social support. The CIQOL Model accounted for 41% of the variance in depressive symptoms in this group. As improved clinical care enables HIV-infected persons to live longer, mental health interventions that are sensitive to the complex dynamics of HIV/AIDS and aging are urgently needed.
Heckman, TG; Kochman, A; Sikkema, KJ
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