Do HIV-positive women receive depression treatment that meets best practice guidelines?

Judith A. Cook, Jane K. Burke-Miller, Dennis D. Grey, Jennifer Cocohoba, Chenlong Liu, Rebecca M. Schwartz, Elizabeth T. Golub, Kathryn Anastos, Pamela J. Steigman, Mardge H. Cohen

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


This study addressed whether psychopharmacologic and psychotherapeutic treatment of depressed HIV? women met standards defined in the best practice literature, and tested hypothesized predictors of standardconcordant care. 1,352 HIV-positive women in the multicenter Women's Interagency HIV Study were queried about depressive symptoms and mental health service utilization using standards published by the American Psychiatric Association and the Agency for Healthcare Research and Quality to define adequate depression treatment. We identified those who: (1) reported clinically significant depressive symptoms (CSDS) using Centers for Epidemiological Studies-Depression Scale scores of C16≤ or (2) had lifetime diagnoses of major depressive disorder (MDD) assessed by World Mental Health Composite International Diagnostic Interviews plus concurrent elevated depressive symptoms in the past 12 months. Adequate treatment prevalence was 46.2 % (n = 84) for MDD and 37.9 % (n = 211) for CSDS. Multivariable logistic regression analysis found that adequate treatment was more likely among women who saw the same primary care provider consistently, who had poorer self-rated role functioning, who paid out-of-pocket for healthcare, and who were not African American or Hispanic/Latina. This suggests that adequate depression treatment may be increased by promoting healthcare provider continuity, outreaching individuals with lower levels of reported role impairment, and addressing the specific needs and concerns of African American and Hispanic/Latina women.X

Original languageEnglish (US)
Pages (from-to)1094-1102
Number of pages9
JournalAIDS and Behavior
Issue number6
StatePublished - Jun 2014


  • Depression treatment
  • Psychopharmacology
  • Psychotherapy
  • Women and HIV

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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