Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2020 Sep;25(10-11):1556-1566.
doi: 10.1177/1359105318765632. Epub 2018 Mar 27.

A multilevel examination of sleep, depression, and quality of life in people living with HIV/AIDS

Brooke G Rogers  1 , Jasper S Lee  1 , Sierra A Bainter  1 , C Andres Bedoya  2   3 , Megan Pinkston  4   5 , Steven A Safren  1
Affiliations
Randomized Controlled Trial

A multilevel examination of sleep, depression, and quality of life in people living with HIV/AIDS

Brooke G Rogers et al. J Health Psychol. 2020 Sep.

Abstract

Sleep problems are prevalent in people living with HIV/AIDS; however, few studies examine how poor sleep affects mental health and quality of life longitudinally. A sample of people living with HIV/AIDS from a randomized trial (N = 240; mean age = 47.18; standard deviation = 8.3; 71.4% male; 61.2% White) completed measures of depression (Montgomery-Åsberg Depression Rating Scale), health-related quality of life (AIDS Clinical Trial Group Quality of Life Measure), and life satisfaction (Quality of Life Inventory) at baseline and 4, 8, and 12 months. Controlling for time, condition, and relevant interactions, sleep problems significantly predicted worse outcomes over time (ps < 0.001). Findings have implications for the importance of identifying and treating sleep problems in people living with HIV/AIDS to improve mental health and quality-of-life outcomes.

Keywords: AIDS; HIV; HIV infection; depression; health behavior; health psychology; insomnia; quality of life; sleep.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interests

B.G.R., J.S.L., S.A.B., C.A.B., and M.P. declare that they have no conflicts of interest. S.A.S. receives royalties for authorship on books from Oxford University Press, Guilford Publications, and Springer/Humana Press.

References

    1. Bates D, Maechler M, Bolker B, et al. lme4: Linear mixed-effects models using Eigen and S4. 2013 Available at: http://cran.r-project.org/package=lme4.
    1. Bing EG, Hays RD, Jacobson LP, et al. Health-related quality of life among people with HIV disease: Results from the multicenter AIDS cohort study. Quality of Life Research. 2000;9(1):55–63. - PubMed
    1. Bozzette SA, Hays RD, Berry SH, et al. Derivation and properties of a brief health status assessment instrument for use in HIV disease. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1995;8:253–265. - PubMed
    1. Carney CE, Edinger JD, Kuchibhatla M, et al. Cognitive behavioral insomnia therapy for those with insomnia and depression: A randomized controlled clinical trial. [accessed 19 September 2017];Sleep. 2017 40(4) Available at: https://academic.oup.com/sleep/article-lookup/doi/10.1093/sleep/zsx019. - DOI - PMC - PubMed
    1. Ciesla JA, Roberts JE. Meta-analysis of the relationship between HIV infection and risk for depressive disorders. American Journal of Psychiatry. 2001;158:725–730. - PubMed

Publication types