Antidepressant treatment and adherence to antiretroviral medications among privately insured persons with HIV/AIDS

Ayse Akincigil; Ira B. Wilson; James T. Walkup; Michele J. Siegel; Cecilia Huang; Stephen Crystal

doi:10.1007/s10461-011-9938-6

Antidepressant treatment and adherence to antiretroviral medications among privately insured persons with HIV/AIDS

Ayse Akincigil, Ira B. Wilson, James T. Walkup, Michele J. Siegel, Cecilia Huang, Stephen Crystal

Research output: Contribution to journal › Article › peer-review

16 Scopus citations

Abstract

In order to examine relationships between depression treatments (antidepressant and/or psychotherapy utilization) and adherence to antiretroviral therapy (ART), we conducted a retrospective analysis of medical and pharmacy insurance claims for privately insured persons living with HIV/AIDS (PLWHA) diagnosed with depression (n = 1,150). Participants were enrolled in 80 insurance plans from all 50 states. Adherence was suboptimal. Depression treatment initiators were significantly more likely to be adherent to ART than the untreated. We did not observe an association between psychotherapy utilization and ART adherence, yet given the limitations of the data (e.g., there is no information on types of psychological treatment and its targets), the lack of association should not be interpreted as lack of efficacy.

Original language	English (US)
Pages (from-to)	1819-1828
Number of pages	10
Journal	AIDS and behavior
Volume	15
Issue number	8
DOIs	https://doi.org/10.1007/s10461-011-9938-6
State	Published - Nov 2011

All Science Journal Classification (ASJC) codes

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

Keywords

Adherence
Antidepressant
Depression
Private insurance
Psychotherapy

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10.1007/s10461-011-9938-6

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abstract = "In order to examine relationships between depression treatments (antidepressant and/or psychotherapy utilization) and adherence to antiretroviral therapy (ART), we conducted a retrospective analysis of medical and pharmacy insurance claims for privately insured persons living with HIV/AIDS (PLWHA) diagnosed with depression (n = 1,150). Participants were enrolled in 80 insurance plans from all 50 states. Adherence was suboptimal. Depression treatment initiators were significantly more likely to be adherent to ART than the untreated. We did not observe an association between psychotherapy utilization and ART adherence, yet given the limitations of the data (e.g., there is no information on types of psychological treatment and its targets), the lack of association should not be interpreted as lack of efficacy.",

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note = "Funding Information: Acknowledgments This work was supported by the National Institute of Mental Health (R01 MH076206 and/or R01 MH058984) with additional support from the Agency for Healthcare Research and Quality (AHRQ) through a cooperative agreement for the Center for Research and Education on Mental Health Therapeutics at Rutgers (U18HS016097), as part of AHRQ{\textquoteright}s Centers for Education and Research on Therapeutics Program. The content is solely the responsibility of the authors and does not necessarily reflect the official views of NIMH or AHRQ.",

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AU - Huang, Cecilia

AU - Crystal, Stephen

N1 - Funding Information: Acknowledgments This work was supported by the National Institute of Mental Health (R01 MH076206 and/or R01 MH058984) with additional support from the Agency for Healthcare Research and Quality (AHRQ) through a cooperative agreement for the Center for Research and Education on Mental Health Therapeutics at Rutgers (U18HS016097), as part of AHRQ’s Centers for Education and Research on Therapeutics Program. The content is solely the responsibility of the authors and does not necessarily reflect the official views of NIMH or AHRQ.

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Antidepressant treatment and adherence to antiretroviral medications among privately insured persons with HIV/AIDS

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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