4.3 Article

A Cross-Sectional Study to Evaluate the Effects of Age and Duration of HIV Infection on Anxiety and Depression in Cisgender Men

Journal

AIDS AND BEHAVIOR
Volume 26, Issue 1, Pages 196-203

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-021-03373-y

Keywords

HIV; Anxiety; Depression; Duration of HIV infection

Funding

  1. Department of Veterans Affairs
  2. James B. Pendleton Charitable Trust
  3. National Institutes of Health [AI131385, AI106039, AI147821, DA051915, AI134295, HD094646, MH099987]

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This observational study of 152 people with HIV found higher levels of anxiety and depression compared to individuals without HIV. Age and duration of HIV infection were found to influence mood disturbance, with younger individuals with early infection showing the highest levels of depression and anxiety. Older individuals with early infection showed attenuated levels of mood disturbance, suggesting some adaptive ability to handle acute psychological stressors associated with recent HIV infection.
This observational cross-sectional study of 152 people with HIV (PWH) examined the effects of age and estimated duration of HIV infection (EDI) on depressive and anxiety symptoms. All participants were cisgender men and completed the Profile of Moods State (POMS), a self-report inventory of current (i.e., past week) mood states. Overall, study results confirmed higher levels of anxiety and depression in PWH compared to individuals without HIV. Age group (< 50 or >= 50 years) moderated the effect of EDI (< 3 or >= 3 years) on mood disturbance. Specifically, younger PWH with early diagnosed infection exhibited the highest levels of depression and anxiety, whereas depression and anxiety were attenuated in older PWH with early infection such that their POMS scores did not significantly differ from the HIV-negative and chronically HIV-infected groups. Despite the small sample size and other important limitations in our study design, our preliminary findings confirm previous observations that older people may have some adaptive ability to better handle the acute psychological stressors associated with recent HIV infection.

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