Shrestha Sadhana, Poudel Krishna C, Poudel-Tandukar Kalpana, Kobayashi Jun, Pandey Basu Dev, Yasuoka Junko, Otsuka Keiko, Jimba Masamine
Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi, Japan.
J Int Assoc Provid AIDS Care. 2014 May-Jun;13(3):214-22. doi: 10.1177/1545109712456741. Epub 2012 Sep 19.
Depression is emerging as a highly prevalent psychiatric condition among people living with HIV/AIDS (PLWHA). Perceived family support (PFS) buffers depression among chronic disease patients. However, a similar relationship among PLWHA is unexplored.
To examine the relationship between PFS and depression among PLWHA in the Kathmandu Valley, Nepal.
In this cross-sectional study, depression was measured by Beck Depression Inventory Ia. Perceived family support was measured by Nepali Family Support and Difficulties Scale. The status of depression was compared between 208 PLWHA and 208 HIV-negative participants. The relationship between PFS and depression was examined only among PLWHA.
Among each of the 208 participants, the number of depressed PLWHA (n = 61,29.3%) was higher than that of HIV-negative participants (n = 13,6.2%; P < .001). Perceived family support had a negative association with depression in PLWHA (adjusted odds ratio [AOR] = 0.20, 95% confidence interval [CI] = 0.08-0.53).
In Nepal, PLWHA display a higher level of depression than HIV-negative people, and a lower level of PFS is associated with depression among PLWHA. Improved family support might be helpful in reducing depression among Nepalese PLWHA.
抑郁症正成为艾滋病毒/艾滋病感染者（PLWHA）中一种高度普遍的精神疾病。感知到的家庭支持（PFS）可缓解慢性病患者的抑郁情绪。然而，PLWHA中类似的关系尚未得到探索。
研究尼泊尔加德满都谷地PLWHA中PFS与抑郁症之间的关系。
在这项横断面研究中，使用贝克抑郁量表Ia测量抑郁症。用尼泊尔家庭支持与困难量表测量感知到的家庭支持。比较了208名PLWHA和208名艾滋病毒阴性参与者的抑郁状况。仅在PLWHA中研究PFS与抑郁症之间的关系。
在208名参与者中，抑郁的PLWHA人数（n = 61，29.3%）高于艾滋病毒阴性参与者（n = 13，6.2%；P <.001）。感知到的家庭支持与PLWHA的抑郁呈负相关（调整优势比[AOR] = 0.20，95%置信区间[CI] = 0.08 - 0.53）。
在尼泊尔，PLWHA的抑郁水平高于艾滋病毒阴性者，较低水平的PFS与PLWHA的抑郁有关。改善家庭支持可能有助于减少尼泊尔PLWHA的抑郁。
