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Published in: Journal of NeuroVirology 6/2016

01-12-2016

Suicide risk and prevalence of major depressive disorder (MDD) among individuals infected with HIV-1 subtype C versus B in Southern Brazil

Authors: Sergio Monteiro de Almeida, Francisco Jaime Barbosa, Rujvi Kamat, Ana Paula de Pereira, Sonia Mara Raboni, Indianara Rotta, Clea Elisa Ribeiro, Mariana Cherner, Ronald J. Ellis, Joseph Hampton Atkinson, HNRC Group

Published in: Journal of NeuroVirology | Issue 6/2016

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Abstract

Major depressive disorder (MDD) is among the most prevalent neuropsychiatric disorders associated with HIV infection; however, its risks and neurobiologic correlates in diverse cultures are poorly understood. This study aimed to examine the frequency of MDD among HIV+ participants in southern Brazil. We hypothesized that the frequency and severity of MDD would be higher among individuals with HIV+ compared with HIV− and higher in HIV subtype B compared with C. Individuals with HIV (n = 39) as well as seronegative controls (n = 22) were enrolled in a cross-sectional, prospective, observational study. Current and lifetime history of MDD was diagnosed by MINI-Plus; symptom severity was assessed by Beck Depression Inventory-II (BDI-II). Current and past episodes of MDD were significantly more frequent in the HIV+ versus HIV− group: current MDD, 15 (38.5 %) vs. 0 (0 %), p = 0.0004; past MDD, 24 (61.5 %) vs. 3 (13.6 %), p = 0.0004. The median BDI-II score in the HIV+ group was significantly higher than that in the HIV− (13 (8–27.5) vs. 2.5 (1–5.5); p < 0.0001). Current suicide risk, defined as during the last month, was found in 18 % of participants in the HIV-positive and none in the HIV-negative group. Neither current MDD frequency (8 (57.1 %) vs. 6 (40 %), p = 0.47) nor BDI-II score differed across subtypes B and C. HIV+ group may be more likely to experience current MDD than HIV−. This was the first study to compare the frequency and severity of MDD in HIV subtypes B and C; we found no difference between HIV subtypes B and C.
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Literature
go back to reference Aguilar-Rebolledo F, Cedillo-Rivera R, Llaguno-Violante P, Torres-López J, Muñoz-Hernandez O, Enciso-Moreno JA (2001) Interleukin levels in cerebrospinal fluid from children with neurocysticercosis. Am J Trop Med Hyg 64:35–40PubMed Aguilar-Rebolledo F, Cedillo-Rivera R, Llaguno-Violante P, Torres-López J, Muñoz-Hernandez O, Enciso-Moreno JA (2001) Interleukin levels in cerebrospinal fluid from children with neurocysticercosis. Am J Trop Med Hyg 64:35–40PubMed
go back to reference Almeida SM, Gurjão SA (2010) Frequency of depression among patients with neurocysticercosis. Arq Neuropsiquiatr 68:76–80CrossRefPubMed Almeida SM, Gurjão SA (2010) Frequency of depression among patients with neurocysticercosis. Arq Neuropsiquiatr 68:76–80CrossRefPubMed
go back to reference Amorin P (2000) Mini International Neuropsychiatric Interview (MINI): validação de entrevista breve para diagnóstico de transtornos mentais. Rev Bras Psiquiatr 22:106–115 Amorin P (2000) Mini International Neuropsychiatric Interview (MINI): validação de entrevista breve para diagnóstico de transtornos mentais. Rev Bras Psiquiatr 22:106–115
go back to reference Anastos K, Gange SJ, Lau B, Weiser B, Detels R, Giorgi JV, Melnick S (2000) Association of race and gender with HIV-1 RNA levels and immunologic progression. J AIDS 24:218–226 Anastos K, Gange SJ, Lau B, Weiser B, Detels R, Giorgi JV, Melnick S (2000) Association of race and gender with HIV-1 RNA levels and immunologic progression. J AIDS 24:218–226
go back to reference Ariën KK, Vanham G, Arts EJ (2007) Is HIV-1 evolving to a less virulent form in humans? Nat Rev Microbiol 5:141–151CrossRefPubMed Ariën KK, Vanham G, Arts EJ (2007) Is HIV-1 evolving to a less virulent form in humans? Nat Rev Microbiol 5:141–151CrossRefPubMed
go back to reference Atkinson JH, Grant I, Kennedy CJ, Richman DD, Spector SA, McCutchan JA (1988) Prevalence of psychiatric disorders among men infected with human immunodeficiency virus: a controlled study. Arch Gen Psych 45:859–864CrossRef Atkinson JH, Grant I, Kennedy CJ, Richman DD, Spector SA, McCutchan JA (1988) Prevalence of psychiatric disorders among men infected with human immunodeficiency virus: a controlled study. Arch Gen Psych 45:859–864CrossRef
go back to reference Beck A, Steer R, Brown G (1996) Manual for Beck Depression Inventory II (BDI-II). Psychology Corporation, San Antonio, TX Beck A, Steer R, Brown G (1996) Manual for Beck Depression Inventory II (BDI-II). Psychology Corporation, San Antonio, TX
go back to reference Bing EG, Burnam MA, Longshore D, Fleishman JA, Sherbourne CD, London AS, Vitiello B (2001) Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Arch Gen Psych 58:721–728CrossRef Bing EG, Burnam MA, Longshore D, Fleishman JA, Sherbourne CD, London AS, Vitiello B (2001) Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Arch Gen Psych 58:721–728CrossRef
go back to reference Brabers NACH, Nottet JSLM (2006) Role of the pro-inflammatory cytokines TNF-alpha and IL-beta in HIV-associated dementia. Eur J Clin Investig 36:447–458CrossRef Brabers NACH, Nottet JSLM (2006) Role of the pro-inflammatory cytokines TNF-alpha and IL-beta in HIV-associated dementia. Eur J Clin Investig 36:447–458CrossRef
go back to reference Brasil. Ministério da Saúde. Departamento de DST, AIDS e Hepatites Virais (2009) Portaria SVS/MS - n° 151/2009 Brasil. Ministério da Saúde. Departamento de DST, AIDS e Hepatites Virais (2009) Portaria SVS/MS - n° 151/2009
go back to reference Castellon SA, Hardy DJ, Hinkin CH, Satz P, Stenquist PK, van Gorp WG, Myers HF, Moore L (2006) Components of depression in HIV-1 infection: their differential relationship to neurocognitive performance. J Clin Exp Neuropsychol 28:420–437CrossRefPubMedPubMedCentral Castellon SA, Hardy DJ, Hinkin CH, Satz P, Stenquist PK, van Gorp WG, Myers HF, Moore L (2006) Components of depression in HIV-1 infection: their differential relationship to neurocognitive performance. J Clin Exp Neuropsychol 28:420–437CrossRefPubMedPubMedCentral
go back to reference Ciesla JA, Roberts JE (2001) Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry 158:725–30CrossRefPubMed Ciesla JA, Roberts JE (2001) Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry 158:725–30CrossRefPubMed
go back to reference de Almeida SM, Ribeiro CE, de Pereira AP, Badiee J, Cherner M, Smith D, Maich I, Raboni SM, Rotta I, Barbosa FJ, Heaton RK, Umlauf A, Ellis RJ (2013) Neurocognitive impairment in HIV-1 subtype C- versus B-infected individuals in Southern Brazil. J Neurovirol 19:550–556CrossRefPubMedPubMedCentral de Almeida SM, Ribeiro CE, de Pereira AP, Badiee J, Cherner M, Smith D, Maich I, Raboni SM, Rotta I, Barbosa FJ, Heaton RK, Umlauf A, Ellis RJ (2013) Neurocognitive impairment in HIV-1 subtype C- versus B-infected individuals in Southern Brazil. J Neurovirol 19:550–556CrossRefPubMedPubMedCentral
go back to reference de Almeida SM, Rotta I, Jiang Y, Li X, Raboni SM, Ribeiro CE, Smith D, Potter M, Vaida F, Letendre S, Ellis RJ (2016) Biomarkers of chemotaxis and inflammation in cerebrospinal fluid and serum in individuals with HIV-1 subtype C versus B. J Neurovirol de Almeida SM, Rotta I, Jiang Y, Li X, Raboni SM, Ribeiro CE, Smith D, Potter M, Vaida F, Letendre S, Ellis RJ (2016) Biomarkers of chemotaxis and inflammation in cerebrospinal fluid and serum in individuals with HIV-1 subtype C versus B. J Neurovirol
go back to reference Del Guerra FB, Fonseca JLI, Figueiredo VM, Ziff EB, Konkiewitz EC (2013) Human immunodeficiency virus-associated depression: contributions of immuno-inflammatory, monoaminergic, neurodegenerative, and neurotrophic pathways. J Neurovirol 19:314–27CrossRefPubMed Del Guerra FB, Fonseca JLI, Figueiredo VM, Ziff EB, Konkiewitz EC (2013) Human immunodeficiency virus-associated depression: contributions of immuno-inflammatory, monoaminergic, neurodegenerative, and neurotrophic pathways. J Neurovirol 19:314–27CrossRefPubMed
go back to reference Forlenza OV, Vieira AHG, Nobrega JPS, Machado LR, de Barros NG, de Camargo CH, da Silva MF (1997) Psychiatric manifestations in neurocysticercosis: a study of 38 patients from a neurology clinic in Brazil. J Neurol Neurosurg Psych 62:612–616CrossRef Forlenza OV, Vieira AHG, Nobrega JPS, Machado LR, de Barros NG, de Camargo CH, da Silva MF (1997) Psychiatric manifestations in neurocysticercosis: a study of 38 patients from a neurology clinic in Brazil. J Neurol Neurosurg Psych 62:612–616CrossRef
go back to reference Gorenstein C, Andrade LHSG (1996) Validation of a Portuguese version of the Beck Depression Inventory and the state-trait anxiety inventory in Brazilian subjects. Rev Bras Pesq Med Biol 29:453–57 Gorenstein C, Andrade LHSG (1996) Validation of a Portuguese version of the Beck Depression Inventory and the state-trait anxiety inventory in Brazilian subjects. Rev Bras Pesq Med Biol 29:453–57
go back to reference Hammond ER, Crum RM, Treisman GJ, Mehta SH, Ellis R J, Grant I, Letendre SL, Marra CM, Morgello S, McArthur JC (2014) Persistent CSF, but not plasma HIV RNA is associated with increased risk of new onset depression. 21st Conference on Retrovirus and Opportunistic Infections (CROI 2014). Boston, Abstract 33 Hammond ER, Crum RM, Treisman GJ, Mehta SH, Ellis R J, Grant I, Letendre SL, Marra CM, Morgello S, McArthur JC (2014) Persistent CSF, but not plasma HIV RNA is associated with increased risk of new onset depression. 21st Conference on Retrovirus and Opportunistic Infections (CROI 2014). Boston, Abstract 33
go back to reference Jenkins R, Lewis G, Bebbington P, Brugha T, Farrell M, Gill B, Meltzer H (1997) The national psychiatric morbidity survey of Great Britain—initial findings from the household surveys. Psychol Med 27:775–89CrossRefPubMed Jenkins R, Lewis G, Bebbington P, Brugha T, Farrell M, Gill B, Meltzer H (1997) The national psychiatric morbidity survey of Great Britain—initial findings from the household surveys. Psychol Med 27:775–89CrossRefPubMed
go back to reference Kaleebu P, French N, Mahe C, Yirrell D, Waters C, Lyagoba F, Nakiyingi J, Rutebemberwa A, Morgan D, Weber J, Gilks C, Whitworth J (2002) Effects of human immunodeficiency virus (HIV) type 1 envelope subtypes A and D on disease progression in a large cohort of HIV-1-positive persons in Uganda. J Infect Dis 185:1244–1250CrossRefPubMed Kaleebu P, French N, Mahe C, Yirrell D, Waters C, Lyagoba F, Nakiyingi J, Rutebemberwa A, Morgan D, Weber J, Gilks C, Whitworth J (2002) Effects of human immunodeficiency virus (HIV) type 1 envelope subtypes A and D on disease progression in a large cohort of HIV-1-positive persons in Uganda. J Infect Dis 185:1244–1250CrossRefPubMed
go back to reference Kamat R, Morgan E, Marcotte TD, Badiee J, Maich I, Cherner M, de Almeida S, de Pereira AP, Ribeiro CE, Barbosa F, Atkinson JH, Ellis R (2013) Implications of apathy and depression for everyday functioning in HIV/AIDS in Brazil. J Affect Disord 150:1069–75CrossRefPubMed Kamat R, Morgan E, Marcotte TD, Badiee J, Maich I, Cherner M, de Almeida S, de Pereira AP, Ribeiro CE, Barbosa F, Atkinson JH, Ellis R (2013) Implications of apathy and depression for everyday functioning in HIV/AIDS in Brazil. J Affect Disord 150:1069–75CrossRefPubMed
go back to reference Kanki PJ, Hamel DJ, Sankale JL, Hsieh C, Thior I, Barin F, Woodcock SA, Gueye-Ndiaye A, Zhang E, Montano M, Siby T, Marlink R, Ndoye I, Essex ME, Mboup S (1999) Human immunodeficiency virus type 1 subtypes differ in disease progression. J Infect Dis 179:68–73CrossRefPubMed Kanki PJ, Hamel DJ, Sankale JL, Hsieh C, Thior I, Barin F, Woodcock SA, Gueye-Ndiaye A, Zhang E, Montano M, Siby T, Marlink R, Ndoye I, Essex ME, Mboup S (1999) Human immunodeficiency virus type 1 subtypes differ in disease progression. J Infect Dis 179:68–73CrossRefPubMed
go back to reference Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchen HU, Kendler KS (1994) Lifetime and 12-month prevalence of DSM-IIIR psychiatric disorders in the United States. Arch Gen Psych 51:8–19CrossRef Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchen HU, Kendler KS (1994) Lifetime and 12-month prevalence of DSM-IIIR psychiatric disorders in the United States. Arch Gen Psych 51:8–19CrossRef
go back to reference Loftis JM, Huckans M, Ruimy S, Hinrichs DJ, Hauser P (2008) Depressive symptoms in patients with chronic hepatitis C are correlated with elevated plasma levels of interleukin-1beta and tumor necrosis factor-alpha. Neurosci Lett 430:264–68CrossRefPubMed Loftis JM, Huckans M, Ruimy S, Hinrichs DJ, Hauser P (2008) Depressive symptoms in patients with chronic hepatitis C are correlated with elevated plasma levels of interleukin-1beta and tumor necrosis factor-alpha. Neurosci Lett 430:264–68CrossRefPubMed
go back to reference Mello VA, Segurado AA, Malbergier A (2010) Depression in women living with HIV, clinical and psychosocial correlates. Arch Women Ment Health 13:193–199CrossRef Mello VA, Segurado AA, Malbergier A (2010) Depression in women living with HIV, clinical and psychosocial correlates. Arch Women Ment Health 13:193–199CrossRef
go back to reference Mollan KR, Smurzynski M, Eron JJ, Daar ES, Campbell TB, Sax PE, Gulick RM, Na L, O’Keefe L, Robertson KR, Tierney C (2014) Association between efavirenz as initial therapy for HIV-1 infection and increased risk for suicidal ideation or attempted or completed suicide: an analysis of trial data. Ann Intern Med 161:1–10 Mollan KR, Smurzynski M, Eron JJ, Daar ES, Campbell TB, Sax PE, Gulick RM, Na L, O’Keefe L, Robertson KR, Tierney C (2014) Association between efavirenz as initial therapy for HIV-1 infection and increased risk for suicidal ideation or attempted or completed suicide: an analysis of trial data. Ann Intern Med 161:1–10
go back to reference O’Donnell S, Meyer IH, Schwartz S (2011) Increased risk of suicide attempts among black and latino lesbians, gay men, and bisexuals. Am J Public Health 101:1055–1059CrossRefPubMedPubMedCentral O’Donnell S, Meyer IH, Schwartz S (2011) Increased risk of suicide attempts among black and latino lesbians, gay men, and bisexuals. Am J Public Health 101:1055–1059CrossRefPubMedPubMedCentral
go back to reference Passos SM, Souza LD, Spessato BC (2014) High prevalence of suicide risk in people living with HIV: who is at higher risk? AIDS Care 26:1379–82CrossRefPubMed Passos SM, Souza LD, Spessato BC (2014) High prevalence of suicide risk in people living with HIV: who is at higher risk? AIDS Care 26:1379–82CrossRefPubMed
go back to reference Pieper AA, Treisman G (2005) Drug treatment of depression in HIV positive patients: safety considerations. Drug Saf 28:753–762CrossRefPubMed Pieper AA, Treisman G (2005) Drug treatment of depression in HIV positive patients: safety considerations. Drug Saf 28:753–762CrossRefPubMed
go back to reference Phillips K (2004) Depression in HIV-infected patients: allopathic, complementary, and alternative treatments. J Psychosom Res 57:339–351PubMed Phillips K (2004) Depression in HIV-infected patients: allopathic, complementary, and alternative treatments. J Psychosom Res 57:339–351PubMed
go back to reference Price RW (2000) The two faces of HIV infection of cerebrospinal fluid. Trends Microbiol 8:387–390CrossRefPubMed Price RW (2000) The two faces of HIV infection of cerebrospinal fluid. Trends Microbiol 8:387–390CrossRefPubMed
go back to reference Ranga U, Shankarappa R, Siddapa NB, Ramakrishna L, Nagendran R, Mahalingam M, Mahadevan A, Jayasuryan N, Satishchandra P, Shankar SK, Prasad VR (2004) Tat protein of human immunodeficiency virus type 1 subtype C strains is a defective chemokine. J Virol 78:2586–90CrossRefPubMedPubMedCentral Ranga U, Shankarappa R, Siddapa NB, Ramakrishna L, Nagendran R, Mahalingam M, Mahadevan A, Jayasuryan N, Satishchandra P, Shankar SK, Prasad VR (2004) Tat protein of human immunodeficiency virus type 1 subtype C strains is a defective chemokine. J Virol 78:2586–90CrossRefPubMedPubMedCentral
go back to reference Rodrigues MES, da Silveira TB, Jansen K, Cruzeiro ALS, Ores L, Pinheiro RT, da Silva RA, Tomasi E, Souza LDM (2012) Suicide risk in young adults with anxiety disorders: population-based study. Psico-USF 17:53–62CrossRef Rodrigues MES, da Silveira TB, Jansen K, Cruzeiro ALS, Ores L, Pinheiro RT, da Silva RA, Tomasi E, Souza LDM (2012) Suicide risk in young adults with anxiety disorders: population-based study. Psico-USF 17:53–62CrossRef
go back to reference Sacktor N, Nakasujja N, Skolasky RL, Rezapour M, Robertson K, Musisi S, Katabira E, Ronald A, Clifford DB, Laeyendecker O, Quinn TC (2009) HIV subtype D is associated with dementia, compared with subtype A, in immunosuppressed individuals at risk of cognitive impairment in Kampala, Uganda. Clin Infect Dis 49:780–786CrossRefPubMedPubMedCentral Sacktor N, Nakasujja N, Skolasky RL, Rezapour M, Robertson K, Musisi S, Katabira E, Ronald A, Clifford DB, Laeyendecker O, Quinn TC (2009) HIV subtype D is associated with dementia, compared with subtype A, in immunosuppressed individuals at risk of cognitive impairment in Kampala, Uganda. Clin Infect Dis 49:780–786CrossRefPubMedPubMedCentral
go back to reference Sacktor N, Nakasujja N, Redd AD, Manucci J, Laeyendecker O, Wendel SK, Porcella SF, Martens C, Bruno D, Skolasky RL, Okonkwo OC, Robertson K, Musisi S, Katabira E, Quinn TC (2014) HIV subtype is not associated with dementia among individuals with moderate and advanced immunosuppression in Kampala, Uganda. Metab Brain Dis 29:261–268CrossRefPubMedPubMedCentral Sacktor N, Nakasujja N, Redd AD, Manucci J, Laeyendecker O, Wendel SK, Porcella SF, Martens C, Bruno D, Skolasky RL, Okonkwo OC, Robertson K, Musisi S, Katabira E, Quinn TC (2014) HIV subtype is not associated with dementia among individuals with moderate and advanced immunosuppression in Kampala, Uganda. Metab Brain Dis 29:261–268CrossRefPubMedPubMedCentral
go back to reference Satishchandra P, Nalini A, Gourie-Devi M, Khanna N, Santosh V, Rasvi V, Desai A, Chandramuki A, Jayakumar PN, Shankar SK (2000) Profile of neurologic disorders associated with HIV/AIDS from Bangalore, South India (1989–96). Indian J Med Res 111:14–23PubMed Satishchandra P, Nalini A, Gourie-Devi M, Khanna N, Santosh V, Rasvi V, Desai A, Chandramuki A, Jayakumar PN, Shankar SK (2000) Profile of neurologic disorders associated with HIV/AIDS from Bangalore, South India (1989–96). Indian J Med Res 111:14–23PubMed
go back to reference Serafini G, Montebovi F, Lamis DA, Erbuto D, Girardi P, Amore M, Pompili M (2015) Associations among depression, suicidal behavior, and quality of life in patients with human immunodeficiency virus. World J Virol 12(4):303–312CrossRef Serafini G, Montebovi F, Lamis DA, Erbuto D, Girardi P, Amore M, Pompili M (2015) Associations among depression, suicidal behavior, and quality of life in patients with human immunodeficiency virus. World J Virol 12(4):303–312CrossRef
go back to reference Schuster R, Bornovalova M, Hunt E (2012) The influence of depression on the progression of HIV: direct and indirect effects. Behav Modif 36:123–145CrossRefPubMed Schuster R, Bornovalova M, Hunt E (2012) The influence of depression on the progression of HIV: direct and indirect effects. Behav Modif 36:123–145CrossRefPubMed
go back to reference Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Dunbar GC (1998) The mini-international neuropsychiatric interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59:22–33PubMed Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Dunbar GC (1998) The mini-international neuropsychiatric interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59:22–33PubMed
go back to reference Silva MT, Galvão TF, Martins SS, Pereira MG (2014) Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis. Rev Bras Psiq 36:262–270CrossRef Silva MT, Galvão TF, Martins SS, Pereira MG (2014) Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis. Rev Bras Psiq 36:262–270CrossRef
go back to reference Silveira MPT, Guttier MC, Pinheiro CAT, Pereira TVS, Cruzeiro ALS, Moreira LB (2012) Depressive symptoms in HIV-infected patients treated with highly active anti-retroviral therapy. Rev Bras Psiq 34:162–167CrossRef Silveira MPT, Guttier MC, Pinheiro CAT, Pereira TVS, Cruzeiro ALS, Moreira LB (2012) Depressive symptoms in HIV-infected patients treated with highly active anti-retroviral therapy. Rev Bras Psiq 34:162–167CrossRef
go back to reference Slot M, Sodemann M, Gabel C, Holmskov J, Laursen T, Rodkjaer L (2015) Factors associated with risk of depression and relevant predictors of screening for depression in clinical practice: a cross-sectional study among HIV-infected individuals in Denmark. HIV Med 16:393–402CrossRefPubMed Slot M, Sodemann M, Gabel C, Holmskov J, Laursen T, Rodkjaer L (2015) Factors associated with risk of depression and relevant predictors of screening for depression in clinical practice: a cross-sectional study among HIV-infected individuals in Denmark. HIV Med 16:393–402CrossRefPubMed
go back to reference Srivastava S, Chadda RK, Bala K, Majumdar P (2013) A study of neuropsychiatric manifestations in patients of neurocysticercosis. Indian J Psych 55:264–267CrossRef Srivastava S, Chadda RK, Bala K, Majumdar P (2013) A study of neuropsychiatric manifestations in patients of neurocysticercosis. Indian J Psych 55:264–267CrossRef
go back to reference Tyler KL, McArthur JC (2002) Through a glass, darkly: cerebrospinal fluid viral load measurements and the pathogenesis of human immunodeficiency virus infection of the central nervous system. Arch Neurol 59:909–912CrossRefPubMed Tyler KL, McArthur JC (2002) Through a glass, darkly: cerebrospinal fluid viral load measurements and the pathogenesis of human immunodeficiency virus infection of the central nervous system. Arch Neurol 59:909–912CrossRefPubMed
go back to reference Ustun TB, Sartorius N (eds) (1995) Mental illness in primary care: international study. John Wiley & Sons, New York Ustun TB, Sartorius N (eds) (1995) Mental illness in primary care: international study. John Wiley & Sons, New York
go back to reference Wolff LC, Alvarado MR, Wolff RM (2010) Prevalencia, factores de riesgo y manejo de la depresión en pacientes con infección por VIH: revisión de la literatura. Rev Chi Infectol 27:65–74 Wolff LC, Alvarado MR, Wolff RM (2010) Prevalencia, factores de riesgo y manejo de la depresión en pacientes con infección por VIH: revisión de la literatura. Rev Chi Infectol 27:65–74
go back to reference World Psychiatric Association (1997) Educational program on depressive disorders. Overview and fundamental aspects. New York: NC World Psychiatric Association (1997) Educational program on depressive disorders. Overview and fundamental aspects. New York: NC
Metadata
Title
Suicide risk and prevalence of major depressive disorder (MDD) among individuals infected with HIV-1 subtype C versus B in Southern Brazil
Authors
Sergio Monteiro de Almeida
Francisco Jaime Barbosa
Rujvi Kamat
Ana Paula de Pereira
Sonia Mara Raboni
Indianara Rotta
Clea Elisa Ribeiro
Mariana Cherner
Ronald J. Ellis
Joseph Hampton Atkinson
HNRC Group
Publication date
01-12-2016
Publisher
Springer International Publishing
Published in
Journal of NeuroVirology / Issue 6/2016
Print ISSN: 1355-0284
Electronic ISSN: 1538-2443
DOI
https://doi.org/10.1007/s13365-016-0454-3

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