Evidence map›Paper›PMID 35306390›Full record

Trial reportDrug and alcohol dependence2022

Relationship between depressive symptoms and adherence to direct-acting antivirals: Implications for Hepatitis C treatment among people who inject drugs on medications for opioid use disorder.

Irene Pericot-Valverde, Moonseong Heo, Jiajing Niu, Lior Rennert, Brianna L Norton, Matthew J Akiyama, Julia Arnsten, Alain H Litwin

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Review
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

8 authors at 4 institutions in 1 country.

Irene Pericot-ValverdePrisma Health Addiction Research Center, Greenville, SC, USA; Clemson University School of Health Research, Clemson University, Clemson, SC, USA. Electronic address: iperico@clemson.edu.
Moonseong HeoPrisma Health Addiction Research Center, Greenville, SC, USA; Clemson University School of Health Research, Clemson University, Clemson, SC, USA; Department of Public Health Sciences, Clemson, SC, USA.
Jiajing NiuSchool of Mathematical and Statistical Sciences, Clemson University, Clemson, SC, USA.
Lior RennertClemson University School of Health Research, Clemson University, Clemson, SC, USA.
Brianna L NortonDepartment of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Matthew J AkiyamaDepartment of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Julia ArnstenDepartment of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Alain H LitwinPrisma Health Addiction Research Center, Greenville, SC, USA; Clemson University School of Health Research, Clemson University, Clemson, SC, USA; University of South Carolina School of Medicine, Department of Medicine, Greenville, SC, USA. Electronic address: Alain.Litwin@prismahealth.org.
Albert Einstein College of Medicine · USClemson University · USPrisma Health · USUniversity of South Carolina · US

Funding

Intensive Models of HCV Care for Injection Drug UsersR01DA034086 · NIDA · CLEMSON UNIVERSITY · PI LITWIN, ALAIN HARRIS · 2012 to 2016
$3.7M
NIDA NIH HHS R01 DA034086
6 · The paper itself

Abstract

backgroundInterferon-based regimens exacerbated depressive symptoms, which interfered with treating hepatitis C virus (HCV) among people who inject drugs (PWID). Direct-acting antivirals (DAA) are not associated with worsening depressive symptoms; however, the impact of depressive symptoms on adherence remains little known. We examined the association between depressive symptoms and adherence to DAA among HCV-infected PWID. A secondary aim was to identify the optimal cut-off for major depressive disorder for this population.

methodsParticipants were 150 HCV-infected PWID on maintenance treatment enrolled in a randomized clinical trial testing three HCV care models. Severity of depressive symptoms were assessed using the Beck Depression Inventory-II (BDI-II) at baseline and every 4 weeks during treatment. Current major depressive disorder at baseline was diagnosed by the Mini-International Neuropsychiatric Interview. Adherence was measured during treatment (weeks 1-12) using electronic blister packs

resultsBDI-II scores ≥ 18 were identified as the optimal threshold for diagnosing major depressive disorder. Participants with BDI scores ≥ 18 at baseline had significantly lower adherence rates at weeks 1-4 of treatment compared to those with BDI scores < 18 (b = -0.23, 95% CI: 0.45-0.01, p = 0.044), but not in any other time intervals (weeks 5-8, b = -0.03, 95% CI: -0.32, 0.26, p = 0.825; weeks 9-12, b = -0.33, 95% CI -0.70, 0.02, p = 0.066).

conclusionsElevated depressive symptoms were associated with lower adherence to DAA only during the first 4 weeks of HCV treatment. Neither severe depressive symptoms nor major depressive disorder appears to be a barrier to DAA adherence among PWID.

Indexed as

Drug UsersHepatitis CHepatitis C, ChronicMajor Depressive DisorderOpioid-Related DisordersSubstance Abuse, IntravenousAntiviral AgentsDepressionHepacivirusHumansAntiviral AgentsAdherenceDepressionHCVInjecting drug useMental HealthPeople who inject drugs

Identifiers

PMID35306390
PMCPMC9278790
OpenAlexW4220761458

What OpenQuestion holds

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Registered trials

None linked

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.