Evidence map›Paper›PMID 40742399›Full record

ArticleAnnals of medicine2025

Tracking symptom dynamics in people living with HIV on different treatment: a longitudinal cross-lagged panel network analysis.

Meilian Xie, Xiaoyu Liu, Yanping Yu, Zhiyun Zhang, Li Zhang, Jieli Zhang, Dongxia Wu

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Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Meilian XieNursing Management Department, Beijing Ditan Hospital Capital Medical University, Beijing, China.ORCID 0000-0002-1531-7698
Xiaoyu LiuSchool of Statistics, Capital University of Economics and Business, Beijing, China.
Yanping YuBeijing Home of Red Ribbon, Beijing Ditan Hospital Capital Medical University, Beijing, China.
Zhiyun ZhangNursing Management Department, Beijing Ditan Hospital Capital Medical University, Beijing, China.
Li ZhangInfection and Immunization Clinic, Beijing Ditan Hospital Capital Medical University, Beijing, China.
Jieli ZhangDepartment of Infectious Disease Medicine, Fifth Medical Center of Chinese, PLA General Hospital, Beijing, China.
Dongxia WuDepartment of Infection and Immunology, Beijing Youan Hospital Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo characterize dynamic interrelationships among physical, cognitive, and psychological symptoms in people living with HIV and identify bridge symptoms between subgroups receiving distinct antiretroviral therapy regimens.

methodsA longitudinal design was employed in this study. A total of 676 individuals diagnosed with HIV filled out the Self-Report Symptom Checklist (HIV-SRSC) at baseline, 3-month, and 6-month follow-ups in the clinic. We evaluated bridge symptoms-those that connect various communities-within longitudinal networks utilizing cross-lagged panel network analyses (CLPN).

resultsThe longitudinal networks presented differences and similarities between the Traditional Medication Regimen Group (TMR group) and the Novel Medication Regimen Group (NMR group). The expected influence of bridging symptoms in the CLPN predominantly centers on the cognitive symptom clusters, both in the TMR andNMR groups. However, the TMR group has stronger directional connections compared to the NMR group. 'Memory loss' (COGS3) demonstrates a bridging influence 1.62 (T1→T2) versus 1.51 (T2→T3) in the NMR group, and 'Having difficulty in concentrating' (COGS1) demonstrates a bridging influence 1.65 (T1→T2) versus 1.47 (T2→T3) in the TMR group. Nevertheless, physical symptoms, such as clusters related to gastrointestinal issues (PHYS12, PHYS13 and PHYS14), showed stable connections across both T1→T2 and T2→T3.

conclusionWhile TMR amplified cognitive-to-psychological symptom cascades, NMR fragmented cross-domain connectivity. These findings necessitate regimen-personalized interventions that preemptively target cognitive symptoms in TMR recipients while stabilizing bridge symptoms in NMR patients. Furthermore, cognitive dysfunction is a high-priority therapeutic target across all ART classes, which provides mechanistic evidence for ART-specific symptom management frameworks.

Indexed as

Anti-HIV AgentsHIV InfectionsAdultFemaleHumansLongitudinal StudiesMaleMiddle AgedSelf ReportAnti-HIV AgentsHIV/AIDSlongitudinal cohortnetwork analysissymptoms

Identifiers

PMID40742399
PMCPMC12315151

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