{"id":16049,"date":"2013-12-16T11:28:53","date_gmt":"2013-12-16T16:28:53","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=16049"},"modified":"2013-12-21T14:21:27","modified_gmt":"2013-12-21T19:21:27","slug":"possible-link-between-cognitive-depressive-symptoms-antiretroviral-therapy-uptake","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2013\/12\/possible-link-between-cognitive-depressive-symptoms-antiretroviral-therapy-uptake\/","title":{"rendered":"Possible Link Between Cognitive Depressive Symptoms, Antiretroviral Therapy Uptake"},"content":{"rendered":"<p>From the Boston University Medical Center media release:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2012\/12\/lab_mouse.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-9533\" alt=\"lab_mouse\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2012\/12\/lab_mouse.jpg\" width=\"300\" height=\"200\" \/><\/a>Researchers from Boston University&#8217;s School of Medicine (BUSM) and College of Arts and Sciences (CAS) found that <strong>among HIV-infected Russian drinkers, depressive symptom severity alone was not significantly associated with lower rates of antiretroviral therapy (ART) initiation<\/strong>.<\/p>\n<p>However, when examining cognitive symptoms of depression, results showed that high levels of depressive symptoms may be associated with delayed ART initiation. The findings are published online in the journal\u00a0<em>AIDS and Behavior.<\/em><\/p>\n<p>While depressive symptoms impact on adherence to ART is widely studied, there are few studies that have investigated the impact of these symptoms on initiating ART. <strong>According to the researchers, understanding factors associated with ART initiation may be particularly useful in locations where it is not as commonly prescribed, such as Russia<\/strong>, which has experienced a dramatic increase in HIV infection rates during the past decade.<\/p>\n<p>Led by Jeffrey Samet, MD, chief and professor of internal medicine at BMC and BUSM and principal investigator of the study, the researchers enrolled participants from the HIV&#8217;s Evolution in Russia &#8212; Mitigating Infection Transmission and Alcoholism in a Growing Epidemic (HERMITAGE) study. The 133 eligible participants had their depressive symptom severity measured at the six- and 12-month marks.<\/p>\n<p>Although the results did not provide evidence that depressive symptom severity alone had a statistically significant effect on ART initiation, findings suggested a potential role of cognitive depressive symptoms in decisions to initiate ART. <strong>According to the researchers, cognitive symptoms of depression are often considered to be an index of depression that is less influenced by HIV symptoms<\/strong>. Further, the study demonstrated findings consistent with existing studies that show participants with co-morbid heavy drinking and injection drug use appeared to have delayed ART initiation.<\/p>\n<p>&#8220;Depressive symptoms have been shown to influence progression of HIV and have been associated with poor virologic response to treatment and increased immunologic failure,&#8221; said Tracie Goodness, a doctoral student in clinical psychology at CAS and corresponding author of the study. &#8220;<strong>Timely ART initiation has been associated with multiple positive health effects, such as lower mortality, increased immune functioning and lower rates of HIV transmission<\/strong>,&#8221; she added.<\/p>\n<p>Although more research is needed, these results provide initial evidence of the role of depressive symptoms and may contribute to the understanding of ART initiation in HIV-infected populations.<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Boston University Medical Center media release: Researchers from Boston University&#8217;s School of Medicine (BUSM) and College of Arts and Sciences (CAS) found that among HIV-infected Russian drinkers, depressive&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2013\/12\/possible-link-between-cognitive-depressive-symptoms-antiretroviral-therapy-uptake\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,339],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16049"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=16049"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16049\/revisions"}],"predecessor-version":[{"id":16053,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16049\/revisions\/16053"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=16049"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=16049"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=16049"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}