Featured Research

from universities, journals, and other organizations

Depression Linked To Insomnia In HIV Patients

Date:
April 22, 2005
Source:
Center For The Advancement Of Health
Summary:
Depression appears to be a major cause of insomnia in people with HIV, according to a new systematic review of 29 studies on the topic.

Depression appears to be a major cause of insomnia in people with HIV, according to a new systematic review of 29 studies on the topic.

Steven Reid, Ph.D., of Imperial College in London, lead author of the review, says that “given the prevalence of anxiety and depression reported in HIV infection, it is not surprising that psychiatric disorders should be associated with sleep disturbance in this group.”

Patients in the last stages of HIV infection with full-blown AIDS and those who have suffered some kind of brain impairment as a result of the disease are also more likely to suffer from insomnia, the reviewers conclude in the current issue of Psychosomatic Medicine.

“The studies reviewed here illustrate that although insomnia is a frequent complaint in people living with HIV, there is considerable uncertainty about its cause and significance,” Reid says.

Earlier studies suggested that patients with HIV had changes in periods of REM (rapid eye movement) and non-REM sleep, along with other sleep rhythm changes, that may have led to insomnia.

When Reid and colleague reviewed those studies, however, they found that very small numbers of participants and inconsistent findings.

More recent studies rely on patients’ reports about their own sleep habits and disturbances, including whether they had difficulty falling asleep or staying asleep, their frequency of nightmares, whether they were tired in the day or whether they used sleeping pills to help them rest.

Those studies revealed a “consistent and strong relationship” between psychological problems, particularly depression, and insomnia in HIV patients, say the reviewers.

Health care workers should pay more attention to diagnosing and treating anxiety and depression in people with HIV as a way to prevent insomnia, “given that psychiatric disorders are often missed in general medical settings,” Reid says.

Reid and colleagues found little evidence suggesting that a patient’s viral count or other signs of infection were important risk factors for insomnia until the very last stage of the disease, when AIDS-related illnesses may have been a contributing factor to sleep disturbances.

Although HIV patients taking antiretroviral therapy often describe insomnia as a side effect of the medication, the reviewers found few published studies that examined this side effect. With the exception of one medication called efavirenz (Sustiva), Reid says there is not enough evidence to suggest that antiretroviral drugs contribute to insomnia.

Reid and colleagues identified only two studies of treatments for insomnia in HIV patients, including one study of acupuncture therapy and one study of the effects of caffeine withdrawal. The studies were small and had mixed results, the researchers say.

“There is a range of pharmacologic and behavioral treatments available for insomnia,” Reid says. Behavioral treatments, he adds, “are as effective as drug treatments in persistent primary insomnia, but they have yet to be evaluated in people with HIV.”

Reid and colleagues says further research is needed to learn whether insomnia adds to the disabling burden of HIV, especially in patients who have not yet developed symptoms of AIDS. Reid also says researchers should study how a patient’s living conditions, along with his or her alcohol, drug and caffeine use, could affect insomnia risks.


Story Source:

The above story is based on materials provided by Center For The Advancement Of Health. Note: Materials may be edited for content and length.


Cite This Page:

Center For The Advancement Of Health. "Depression Linked To Insomnia In HIV Patients." ScienceDaily. ScienceDaily, 22 April 2005. <www.sciencedaily.com/releases/2005/04/050420090759.htm>.
Center For The Advancement Of Health. (2005, April 22). Depression Linked To Insomnia In HIV Patients. ScienceDaily. Retrieved August 20, 2014 from www.sciencedaily.com/releases/2005/04/050420090759.htm
Center For The Advancement Of Health. "Depression Linked To Insomnia In HIV Patients." ScienceDaily. www.sciencedaily.com/releases/2005/04/050420090759.htm (accessed August 20, 2014).

Share This




More Health & Medicine News

Wednesday, August 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Possible Ebola Patient in Isolation at California Hospital

Possible Ebola Patient in Isolation at California Hospital

Reuters - US Online Video (Aug. 20, 2014) A patient who may have been exposed to the Ebola virus is in isolation at the Kaiser Permanente South Sacramento Medical Center. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Raw: World's Oldest Man Lives in Japan

Raw: World's Oldest Man Lives in Japan

AP (Aug. 20, 2014) A 111-year-old Japanese was certified as the world's oldest man by Guinness World Records on Wednesday. Sakari Momoi, a native of Fukushima in northern Japan, was given a certificate at a hospital in Tokyo. (Aug. 20) Video provided by AP
Powered by NewsLook.com
Do More Wedding Guests Make A Happier Marriage?

Do More Wedding Guests Make A Happier Marriage?

Newsy (Aug. 20, 2014) A new study found couples who had at least 150 guests at their weddings were more likely to report being happy in their marriages. Video provided by Newsy
Powered by NewsLook.com
Ebola-Hit Sierra Leone's Freetown a City on Edge

Ebola-Hit Sierra Leone's Freetown a City on Edge

AFP (Aug. 19, 2014) Residents of Sierra Leone's capital voice their fears as the Ebola virus sweeps through west Africa. Duration: 00:56 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins