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Sleep Disturbance and Depression as Barriers to Adherence

Author

Listed:
  • 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)

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.

Suggested Citation

  • Kenneth D. Phillips & Linda Moneyham & Carolyn Murdaugh & Mary R. Boyd & Abbas Tavakoli & Kirby Jackson & Medha Vyavaharkar, 2005. "Sleep Disturbance and Depression as Barriers to Adherence," Clinical Nursing Research, , vol. 14(3), pages 273-293, August.
    • Handle: RePEc:sae:clnure:v:14:y:2005:i:3:p:273-293
    DOI: 10.1177/1054773805275122
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