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Revista de Neuro-Psiquiatría

Print version ISSN 0034-8597

Abstract

GRADOS-CASTRO, Diana  and  HUARCAYA-VICTORIA, Jeff. Relationship between anxiety, depression and CD4+ T lymphocytes in patients with Human Immunodeficiency Virus (HIV) in a general hospital in Lima. Rev Neuropsiquiatr [online]. 2023, vol.86, n.3, pp.171-180.  Epub Nov 03, 2023. ISSN 0034-8597.  http://dx.doi.org/10.20453/rnp.v86i3-1.4972.

Objective:

To determine the relationship between anxiety, depression and CD4+ T lymphocyte count in a sample of people carrying the human immunodeficiency virus (HIV).

Methodology:

Observational and analytical study. A total of 144 HIV-positive patients were evaluated. The Hospital Anxiety and Depression Scale (HADS) was used.

Results:

The sample’s mean age was 41 years. Most of the probands were male (71.5%), single (86.1%) and with secondary education (57.6%). The average length of the disease was 7.7 years, 11.1% presented some comorbidity, and 95.1% used tenofovir as treatment. Thirty-four and 16.7% presented some level of anxiety and depression, respectively. Patients at the AIDS stage presented higher levels of anxiety (p < 0.001) and depression (p < 0.001). Patients with HIV and medical comorbidities had higher levels of depression (p = 0.044). Anxiety (ρ = -0.516, p = 0.01) and depression (ρ = -0.509; p = 0.01) levels were related to CD4+ T lymphocyte count.

Conclusion:

Higher levels of depression were found in patients with comorbidities and AIDS stage, and higher levels of anxiety were found in patients at the AIDS stage. In addition, a significant indirect relationship was found between anxiety and depression levels and the CD4+ T cell count. Training healthcare professionals to screen for anxiety and depression in order to improve the mental health of HIV patients, is highly recommended.

Keywords : Anxiety; depression; CD4+ T lymphocyte; HIV infections; Peru.

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