Relationships over time between mental health symptoms and transmission risk among persons living with HIV.

TitleRelationships over time between mental health symptoms and transmission risk among persons living with HIV.
Publication TypeJournal Article
Year of Publication2010
AuthorsComulada, SW, Rotheram-Borus MJ, Pequegnat W, Weiss RE, Desmond KA, Arnold EM, Remien RH, Morin SF, Weinhardt LS, Johnson MO, Chesney MA
JournalPsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
Volume24
Issue1
Pagination109-18
Date Published2010 Mar
ISSN1939-1501
KeywordsAdult, Cognitive Therapy, Disease Progression, Female, HIV Infections, Humans, Male, Mental Disorders, Questionnaires, Sexual Behavior, Time Factors, Unsafe Sex
Abstract

Relationships between mental health symptoms (anxiety and depression) or a positive state of mind and behavior associated with HIV transmission (substance use and risky sexual behavior) were explored in a longitudinal study of persons living with HIV (PLH; N = 936) who were participants in a transmission-prevention trial. Bivariate longitudinal regressions were used to estimate the correlations between mental health symptoms and HIV-related transmission acts for 3 time frames: at the baseline interview, over 25 months, and from assessment to assessment. At baseline, mental health symptoms were associated with transmission acts. Elevated levels of mental health symptoms at baseline were associated with decreasing alcohol or marijuana use over 25 months. Over 25 months, an increasingly positive state of mind was associated with decreasing alcohol or marijuana use; an increasingly positive state of mind in the immediate intervention condition and increasing depressive symptoms in the lagged condition were related to increasing risky sexual behavior. Our findings suggest that mental health symptoms precede a decrease in substance use and challenge self-medication theories. Changes in mental health symptoms and sexual behavior occur more in tandem.

Alternate JournalPsychol Addict Behav