Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Relationship Between Depressive Symptoms and Engagement With the Health Care Provider in People Living With HIV

A Two-Wave Cross-Lag Model

Anderson, Ashley N. BSN, RN*; Monda, Alyssa BSN, RN; Haardörfer, Regine PhD; Waldrop-Valverde, Drenna PhD

Journal of the Association of Nurses in AIDS Care: July-August 2019 - Volume 30 - Issue 4 - p 384–391
doi: 10.1097/JNC.0000000000000041
Research Article
Buy

Depressive symptoms in persons living with HIV (PLWH) negatively affect retention in care, antiretroviral therapy adherence, and health outcomes. Patient–provider relationships and depressive symptoms are associated, but less is known regarding their bidirectional relationship. We assessed whether depressive symptoms in PLWH are a risk factor or a consequence of the patient–provider relationship or both. We used a two-wave cross-lag model to test the prospective and reciprocal relationship between depressive symptoms and the patient–provider relationship, from baseline to 28-week follow-up. The findings from our study found no causal association between depressive symptoms and the patient–provider relationship. Specifically, findings revealed that available social support and HIV stigma weaken the effect of the baseline patient–provider relationship on later depressive symptoms. Findings from our study suggest that although the patient–provider relationship is beneficial for mental health outcomes in PLWH, addressing sociodemographic factors may be of greater importance.

Ashley N. Anderson, BSN, RN, is a PhD Candidate, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA. Alyssa Monda, BSN, RN, is a PhD Student, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA. Regine Haardörfer, PhD, is a Research Assistant Professor, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA. Drenna Waldrop-Valverde, PhD, is a Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.

Corresponding author: Ashley N. Anderson, e-mail: ashley.nichole.anderson@emory.edu

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
You currently do not have access to this article

To access this article:

Note: If your society membership provides full-access, you may need to login on your society website