Cognitive and Behavioral Contributions to Depression Severity, Quality of Life, and Functioning Among People Living With HIV in South Africa

Research output: Contribution to journal › Journal article › Research › peer-review

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Cognitive and Behavioral Contributions to Depression Severity, Quality of Life, and Functioning Among People Living With HIV in South Africa. / Andersen, Lena S.; Stanton, Amelia M.; Magidson, Jessica F.; Joska, John A.; O'Cleirigh, Conall; Lee, Jasper S.; Kagee, Ashraf; Witten, Jade A.; Safren, Steven A.

In: Behavior therapy, Vol. 54, No. 1, 2023, p. 91-100.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Andersen, LS, Stanton, AM, Magidson, JF, Joska, JA, O'Cleirigh, C, Lee, JS, Kagee, A, Witten, JA & Safren, SA 2023, 'Cognitive and Behavioral Contributions to Depression Severity, Quality of Life, and Functioning Among People Living With HIV in South Africa', Behavior therapy, vol. 54, no. 1, pp. 91-100. https://doi.org/10.1016/j.beth.2022.07.003

APA

Andersen, L. S., Stanton, A. M., Magidson, J. F., Joska, J. A., O'Cleirigh, C., Lee, J. S., Kagee, A., Witten, J. A., & Safren, S. A. (2023). Cognitive and Behavioral Contributions to Depression Severity, Quality of Life, and Functioning Among People Living With HIV in South Africa. Behavior therapy, 54(1), 91-100. https://doi.org/10.1016/j.beth.2022.07.003

Vancouver

Andersen LS, Stanton AM, Magidson JF, Joska JA, O'Cleirigh C, Lee JS et al. Cognitive and Behavioral Contributions to Depression Severity, Quality of Life, and Functioning Among People Living With HIV in South Africa. Behavior therapy. 2023;54(1):91-100. https://doi.org/10.1016/j.beth.2022.07.003

Author

Andersen, Lena S. ; Stanton, Amelia M. ; Magidson, Jessica F. ; Joska, John A. ; O'Cleirigh, Conall ; Lee, Jasper S. ; Kagee, Ashraf ; Witten, Jade A. ; Safren, Steven A. / Cognitive and Behavioral Contributions to Depression Severity, Quality of Life, and Functioning Among People Living With HIV in South Africa. In: Behavior therapy. 2023 ; Vol. 54, No. 1. pp. 91-100.

Bibtex

@article{df96d93de22148d7a294fa8560264455,
title = "Cognitive and Behavioral Contributions to Depression Severity, Quality of Life, and Functioning Among People Living With HIV in South Africa",
abstract = "Cognitive-behavioral treatments for depression typically address both behavioral (e.g., activation) and cognitive (e.g., rumination) components, and consequently improve quality of life (QOL) and function in high-resource set-tings. However, little is known about the cross-cultural applicability and relative contribution of these components to depression symptom severity, QOL, and functional impairment in South Africa and other resource-limited glo-bal settings with high HIV prevalence rates.Persons with HIV (N = 274) from a peri-urban community outside Cape Town, South Africa, were administered mul-tiple measures of depression (Hamilton Depression Scale, Centre for Epidemiological Studies Depression Scale, South African Depression Scale), cognitive and behavioral com-ponents related to depression (Ruminative Response Scale, Behavioral Activation for Depression Scale), and measures of QOL and functioning (Sheehan Disability Scale, Quality of Life Enjoyment and Satisfaction Scale-Short Form). Multiple linear regression models were fit to assess the rel-ative contribution of behavioral and cognitive components to depression severity, QOL, and functional impairment in this population.Models accounting for age and sex revealed that lower levels of behavioral activation (BA) were significantly asso-ciated with all measures of depression, as well as with QOL and functional impairment (all ps < .01). Rumination was associated with all measures of depression (all ps < .01), but not with QOL or functional impairment.The consistent and unique association of BA with depres-sion, QOL, and functional impairment bolsters its impor-tance as a treatment target for this population.",
keywords = "depression, HIV, behavioral activation, rumination, South Africa, COMMON MENTAL-DISORDERS, ANTIRETROVIRAL THERAPY, INCOME COUNTRIES, THINKING TOO, SCALE, ACTIVATION, PREVALENCE, VALIDATION, HIV/AIDS, CARE",
author = "Andersen, {Lena S.} and Stanton, {Amelia M.} and Magidson, {Jessica F.} and Joska, {John A.} and Conall O'Cleirigh and Lee, {Jasper S.} and Ashraf Kagee and Witten, {Jade A.} and Safren, {Steven A.}",
year = "2023",
doi = "10.1016/j.beth.2022.07.003",
language = "English",
volume = "54",
pages = "91--100",
journal = "Behavior therapy",
issn = "0005-7894",
publisher = "Elsevier Science Inc.",
number = "1",

}

RIS

TY - JOUR

T1 - Cognitive and Behavioral Contributions to Depression Severity, Quality of Life, and Functioning Among People Living With HIV in South Africa

AU - Andersen, Lena S.

AU - Stanton, Amelia M.

AU - Magidson, Jessica F.

AU - Joska, John A.

AU - O'Cleirigh, Conall

AU - Lee, Jasper S.

AU - Kagee, Ashraf

AU - Witten, Jade A.

AU - Safren, Steven A.

PY - 2023

Y1 - 2023

N2 - Cognitive-behavioral treatments for depression typically address both behavioral (e.g., activation) and cognitive (e.g., rumination) components, and consequently improve quality of life (QOL) and function in high-resource set-tings. However, little is known about the cross-cultural applicability and relative contribution of these components to depression symptom severity, QOL, and functional impairment in South Africa and other resource-limited glo-bal settings with high HIV prevalence rates.Persons with HIV (N = 274) from a peri-urban community outside Cape Town, South Africa, were administered mul-tiple measures of depression (Hamilton Depression Scale, Centre for Epidemiological Studies Depression Scale, South African Depression Scale), cognitive and behavioral com-ponents related to depression (Ruminative Response Scale, Behavioral Activation for Depression Scale), and measures of QOL and functioning (Sheehan Disability Scale, Quality of Life Enjoyment and Satisfaction Scale-Short Form). Multiple linear regression models were fit to assess the rel-ative contribution of behavioral and cognitive components to depression severity, QOL, and functional impairment in this population.Models accounting for age and sex revealed that lower levels of behavioral activation (BA) were significantly asso-ciated with all measures of depression, as well as with QOL and functional impairment (all ps < .01). Rumination was associated with all measures of depression (all ps < .01), but not with QOL or functional impairment.The consistent and unique association of BA with depres-sion, QOL, and functional impairment bolsters its impor-tance as a treatment target for this population.

AB - Cognitive-behavioral treatments for depression typically address both behavioral (e.g., activation) and cognitive (e.g., rumination) components, and consequently improve quality of life (QOL) and function in high-resource set-tings. However, little is known about the cross-cultural applicability and relative contribution of these components to depression symptom severity, QOL, and functional impairment in South Africa and other resource-limited glo-bal settings with high HIV prevalence rates.Persons with HIV (N = 274) from a peri-urban community outside Cape Town, South Africa, were administered mul-tiple measures of depression (Hamilton Depression Scale, Centre for Epidemiological Studies Depression Scale, South African Depression Scale), cognitive and behavioral com-ponents related to depression (Ruminative Response Scale, Behavioral Activation for Depression Scale), and measures of QOL and functioning (Sheehan Disability Scale, Quality of Life Enjoyment and Satisfaction Scale-Short Form). Multiple linear regression models were fit to assess the rel-ative contribution of behavioral and cognitive components to depression severity, QOL, and functional impairment in this population.Models accounting for age and sex revealed that lower levels of behavioral activation (BA) were significantly asso-ciated with all measures of depression, as well as with QOL and functional impairment (all ps < .01). Rumination was associated with all measures of depression (all ps < .01), but not with QOL or functional impairment.The consistent and unique association of BA with depres-sion, QOL, and functional impairment bolsters its impor-tance as a treatment target for this population.

KW - depression

KW - HIV

KW - behavioral activation

KW - rumination

KW - South Africa

KW - COMMON MENTAL-DISORDERS

KW - ANTIRETROVIRAL THERAPY

KW - INCOME COUNTRIES

KW - THINKING TOO

KW - SCALE

KW - ACTIVATION

KW - PREVALENCE

KW - VALIDATION

KW - HIV/AIDS

KW - CARE

U2 - 10.1016/j.beth.2022.07.003

DO - 10.1016/j.beth.2022.07.003

M3 - Journal article

C2 - 36608980

VL - 54

SP - 91

EP - 100

JO - Behavior therapy

JF - Behavior therapy

SN - 0005-7894

IS - 1

ER -

ID: 343285540