Effects of Depression Alleviation on Work Productivity and Income Among HIV Patients in Uganda.
Effects of Depression Alleviation on Work Productivity and Income Among HIV Patients in Uganda.
复制标题
缓解抑郁症对乌干达艾滋病毒患者工作生产力和收入的影响。
DOI：
10.1007/s12529-017-9642-7
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发表时间：
2017
影响因子：
2.7
通讯作者：
Akena,Dickens
中科院分区：
文献类型：
--
作者：
Wagner,GlennJ;Ghosh-Dastidar,Bonnie;Robinson,Eric;Ngo,VictoriaK;Glick,Peter;Musisi,Seggane;Akena,Dickens
抑郁症在艾滋病毒感染者中很常见，并且与工作功能受损有关。然而，很少有研究调查抑郁症的缓解是否会改善这一人群的工作成果，而这正是本分析的重点。方法对乌干达1028名艾滋病患者进行了为期12个月的抑郁治疗模式对比试验。系列回归分析检验了抑郁缓解（由9项患者健康问卷测量）是否与自我报告的每周工作时间和收入的变化有关，以及这些关系是否由工作自我效能的变化所介导。结果在双变量分析中，重度抑郁症患者的抑郁缓解与每周工作时间增加近一倍有关。在控制人口统计学和健康协变量的多变量回归分析中，重度抑郁症患者和轻度抑郁症患者的工作自我效能感变化部分介导了抑郁缓解与工作时间的关系。抑郁症的缓解与周收入的变化没有显著相关。结论：这些研究结果表明，缓解抑郁至少在一定程度上是通过提高参与工作相关活动的信心而有益于工作功能的。将抑郁症护理服务纳入艾滋病毒护理可能对改善艾滋病毒感染者的经济福利很重要。
PurposeDepression is common among people living with HIV, and it is associated with impaired work functioning. However, little research has examined whether depression alleviation improves work-related outcomes in this population, which is the focus of this analysis.MethodA sample of 1028 depressed HIV clients in Uganda enrolled in a comparative trial of depression care models and were surveyed over 12 months. Serial regression analyses examined whether depression alleviation (measured by the nine-item Patient Health Questionnaire) was associated with change in self-reported weekly amount of hours worked and income earned, and whether these relationships were mediated by change in work-related self-efficacy.ResultsAmong those with major depression, depression alleviation was associated with nearly a doubling of weekly hours worked in bivariate analysis. The relationship between depression alleviation and hours worked was partially mediated by change in work self-efficacy among those with major depression, as well as those with minor depression, in multivariate regression analysis that controlled for demographic and health covariates. Depression alleviation was not significantly associated with change in weekly income.ConclusionThese findings suggest that depression alleviation benefits work functioning at least in part through improved confidence to engage in work-related activities. Integration of depression care services into HIV care may be important for improving the economic well-being of people living with HIV.