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Depressive and Bipolar Disorders 

Depressive and Bipolar Disorders
Chapter:
Depressive and Bipolar Disorders
Author(s):

Antoine Douaihy

, Matthew Conlon

, and Maria Ferrara

DOI:
10.1093/med/9780199392742.003.0015
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date: 23 October 2019

Depressive disorders are highly prevalent among persons living with HIV/AIDS. Depressive disorders significantly negatively affects adherence to antiretroviral therapy and HIV viral suppression and is associated with poor quality of life and major impairment in overall functioning. This chapter reviews the prevalence, risk factors, assessment and diagnosis of depressive and bipolar disorders. It also examines the impact of depression on sexual behaviors, adherence to antiretroviral therapy, quality of life, and mortality. This chapter also includes a comprehensive discussion of treatment approaches and considerations for HIV-infected individuals with depressive disorders. Furthermore, it reviews the bipolar disorder spectrum in HIV/AIDS as well as other psychiatric disorders co-occurring with depressive disorders.

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