https://www.thebodypro.com/article/high-depression-rates-with-hiv--and-its-scathing-c
HIV and Mental Health Care

High Depression Rates With HIV -- and Its Scathing Clinical Impact

    More than 1 in 3 people infected with HIV in the United States has major depressive disorder, according to analysis of a national probability sample of people in care.1
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    One Estimate of HIV Depression Care Cascade
    One Estimate of HIV Depression Care Cascade Figure 1. According to a recent estimate of the major depressive disorder care cascade in people with HIV infection, fewer than half of cases get recognized clinically, only 18% get treated, only 7% get treated adequately, and only 5% achieve remission through treatment.4Teresa B. Southwell/The Center for AIDS Information & Advocacy
    Impact of Depression and SSRIs on ART Outcomes
    Impact of Depression and SSRIs on ART Outcomes Figure 2. Retrospective analysis of 3359 people starting their first antiretroviral regimen showed that depression without SSRI therapy independently predicted (1) a lower chance of at least 90% adherence to antiretroviral therapy (ART) and (2) a lower chance of reaching a viral load below 500 copies/mL after 12 months of ART. Also after 12 months of ART (3) people with depression and better than 80% SSRI adherence had a 38-cell CD4-count advantage over people with depression but not taking an SSRI.32Teresa B. Southwell/The Center for AIDS Information & Advocacy

    Mark Mascolini

    Mark Mascolini writes about HIV infection.

    The Center for AIDS Information & Advocacy

    The Center for AIDS Information & Advocacy