Evidence map›Paper›PMID 21857529›Full record

SynthesisJournal of acquired immune deficiency syndromes (1999)2011

Depression and HIV/AIDS treatment nonadherence: a review and meta-analysis.

Jeffrey S Gonzalez, Abigail W Batchelder, Cristina Psaros, Steven A Safren

3 registry-linked trialsAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of acquired immune deficiency syndromes (1999), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 470 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
470citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03109431 nacompletednot on this mapstarted 2017, after this paper: background citation

Optimizing the HIV Treatment Continuum With a Stepped Care Model for Youth Living With HIV

TypeinterventionalSponsorUniversity of California, Los AngelesRan2017 to 2022Enrolled170ConditionsHIV, Mental Health, Illicit Substance Use, Sexually Transmitted Infections (STI)ArmsLevel 1, Level 2, Level 3
NCT03331978 nacompletednot on this mapstarted 2018, after this paper: background citation

A Randomized Controlled Trial of an Antiretroviral Treatment Adherence Intervention for HIV+ African Americans

TypeinterventionalSponsorRANDRan2018 to 2021Enrolled306ConditionsHIV/AIDSArmsRise - Treatment Education
NCT06295250 narecruitingnot on this mapstarted 2024, after this paper: background citation

ASHA Bangladesh--An Integrated Intervention to Address Depression in Low Income Rural Women

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2024 to 2026Enrolled600ConditionsDepression, Economic Vulnerability, Anxiety, Culture Specific SymptomsArmsManualized Group Based Psychotherapy, Poverty Alleviation
3 · Its place in the literature

Who cites it

470 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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410 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jeffrey S GonzalezFerkauf Graduate School of Psychology, Departments of Medicine and Epidemiology & Population Health, Yeshiva University, Bronx, NY 10461, USA. jeffrey.gonzalez@einstein.yu.edu
Abigail W Batchelder
Cristina Psaros
Steven A Safren

Funding

Stable Isotope and Metabolomics CoreP60DK020541 · NIDDK · YESHIVA UNIVERSITY · PI FLEISCHER, NORMAN S. · 1986 to 2014
$29.8M
Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
Efficacy of CBT for Adherence and Depression in HIV Care SettingsR01MH084757 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI SAFREN, STEVEN A · 2008 to 2012
$4.8M
CBT for depression &adherence in HIV methadone patientsR01DA018603 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI SAFREN, STEVEN A · 2004 to 2008
$2.9M
NIDA NIH HHS DA018603NIDA NIH HHS R01 DA018603NIDDK NIH HHS DK 020541NIDDK NIH HHS P30 DK020541NIDDK NIH HHS P60 DK020541NIMH NIH HHS MH084757NIMH NIH HHS R01 MH084757
6 · The paper itself

Abstract

We meta-analyzed the relationship between depression and HIV medication nonadherence to calculate the overall effect size and examine potential moderators. Overall, across 95 independent samples, depression was significantly (P < 0.0001) associated with nonadherence (r = 0.19; 95% confidence interval = 0.14 to 0.25). Studies evaluating medication adherence via interview found significantly larger effects than those using self-administered questionnaires. Studies measuring adherence along a continuum found significantly stronger effects than studies comparing dichotomies. Effect size was not significantly related to other aspects of adherence or depression measurement, assessment interval (ie, cross-sectional vs. longitudinal), sex, IV drug use, sexual orientation, or study location. The relationship between depression and HIV treatment nonadherence is consistent across samples and over time, is not limited to those with clinical depression, and is not inflated by self-report bias. Our results suggest that interventions aimed at reducing depressive symptom severity, even at subclinical levels, should be a behavioral research priority.

Indexed as

Acquired Immunodeficiency SyndromeDepressionHumansMedication Adherence

Identifiers

PMID21857529
PMCPMC3858003

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.