Association of long-term patterns of depressive symptoms and attention/executive function among older men with and without human immunodeficiency virus View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-08

AUTHORS

Nicole M. Armstrong, Pamela J. Surkan, Glenn J. Treisman, Ned C. Sacktor, Michael R. Irwin, Linda A. Teplin, Ron Stall, Eileen M. Martin, James T. Becker, Cynthia Munro, Andrew J. Levine, Lisa P. Jacobson, Alison G. Abraham

ABSTRACT

Older HIV-infected men are at higher risk for both depression and cognitive impairments, compared to HIV-uninfected men. We evaluated the association between longitudinal patterns of depressive symptoms and attention/executive function in HIV-infected and HIV-uninfected men aged 50+ years to understand whether HIV infection influenced the long-term effect of depression on attention/executive function. Responses to the Center for Epidemiologic Studies-Depression scale and attention/executive function tests (Trail Making Test Part B and Symbol Digit Modalities Test) were collected semiannually from May 1986 to April 2015 in 1611 men. Group-based trajectory models, stratified by HIV status, were used to identify latent patterns of depressive symptoms and attention/executive function across 12 years of follow-up. We identified three depression patterns for HIV-infected and HIV-uninfected men (rare/never 50.0 vs. 60.6%, periodically depressed 29.6 vs. 24.5%, chronic high 20.5 vs.15.0%, respectively) and three patterns of attention/executive function for HIV-infected and HIV-uninfected men (worst-performing 47.4 vs. 45.1%; average 41.9 vs. 47.0%; best-performing 10.7 vs. 8.0%, respectively). Multivariable logistic regression models were used to assess associations between depression patterns and worst-performing attention/executive function. Among HIV-uninfected men, those in the periodically depressed and chronic high depressed groups had higher odds of membership in the worst-performing attention/executive function group (adjusted odds ratio [AOR] = 1.45, 95% CI 1.04, 2.03; AOR = 2.25, 95% CI 1.49, 3.39, respectively). Among HIV-infected men, patterns of depression symptoms were not associated with patterns of attention/executive function. Results suggest that HIV-uninfected, but not HIV-infected, men with chronic high depression are more likely to experience a long-term pattern of attention/executive dysfunction. More... »

PAGES

558-567

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s13365-017-0527-y

DOI

http://dx.doi.org/10.1007/s13365-017-0527-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1085033177

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28429290


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416 schema:name Department of Ophthalmology, Johns Hopkins School of Medicine, Baltimore, MD, USA
417 Departments of Epidemiology, Johns Hopkins University Center on Aging and Health, Johns Hopkins Bloomberg School of Public Health, 2024 E. Monument Street, 21205, Baltimore, MD, USA
418 Departments of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA
419 International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
420 Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
421 rdf:type schema:Organization
422 https://www.grid.ac/institutes/grid.240684.c schema:alternateName Rush University Medical Center
423 schema:name Department of Psychiatry, Rush University Medical Center, Chicago, IL, USA
424 rdf:type schema:Organization
425 https://www.grid.ac/institutes/grid.412689.0 schema:alternateName University of Pittsburgh Medical Center
426 schema:name Departments of Behavioral and Community Health, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
427 Psychiatry, Psychology, and Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
428 rdf:type schema:Organization
 




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