Sleep Disturbance and Depression as Barriers to Adherence

Kenneth D. Phillips, Linda Moneyham, Carolyn Murdaugh, Mary R. Boyd, Abbas Tavakoli, Kirby Jackson and Medha Vyavaharkar
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Kenneth D. Phillips: University of South Carolina
Linda Moneyham: University of South Carolina
Carolyn Murdaugh: University of Arizona
Mary R. Boyd: University of South Carolina
Abbas Tavakoli: University of South Carolina
Kirby Jackson: University of South Carolina
Medha Vyavaharkar: University of South Carolina

Clinical Nursing Research, 2005, vol. 14, issue 3, 273-293

Abstract: This study examined the relationships among subjective sleep disturbance, depressive symptoms, and adherence to medications among HIV-infected women. HIV-infected women ( N = 173) were recruited through community AIDS service organizations throughout South Carolina. Participants completed the Pittsburgh Sleep Quality Index (PSQI), the Centers for Epidemiological Studies Depression Scale (CES-D), and a modified version of the Adults AIDS Clinical Trials Group Adherence Baseline Questionnaire. Women who reported greater sleep disturbance also reported a higher level of depressive symptoms and reported poor adherence to their medication regimen. Depression helped to explain the relationship between sleep quality and adherence. Results indicate that assessment and management of sleep disturbance and depressive symptoms in women with HIV disease is important to promote medication adherence.

Keywords: sleep quality; HIV disease; women; depressive symptoms; medication adherence (search for similar items in EconPapers)
Date: 2005
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:14:y:2005:i:3:p:273-293

DOI: 10.1177/1054773805275122

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