Publication Abstract Display |
Type: Published Manuscript |
Title: Apathy is associated with critical psychological determinants of medication adherence in HIV disease. |
Authors: Babicz MA, Woods SP, Fazeli P, Morgan EE |
Year: 2020 |
Publication: Journal of Clinical Psychology in Medical Settings |
Volume: doi: 10.1007/s10880-020-09715-7 Issue: Pages: |
Abstract:Apathy is common in HIV, separable from depression, and has been associated with non-adherence to antiretroviral therapy (ART). We examined the associations between apathy and critical psychological determinants of ART adherence, as per the information-motivation-behavioral model, in 85 persons living with HIV. Apathy was measured using a composite of the apathy subscale of the Frontal Systems Behavioral Scale and the vigor-activation scale of the Profile of Mood States. Independent of major depressive disorder, apathy was related at small-to-medium effect sizes with motivation to adhere and self-efficacy for health-related decision-making and medication management, but not with HIV knowledge or medication management skills. These findings suggest that apathy plays a unique role in several critical health adherence determinants and support the importance of assessment and management of apathy to maximize health outcomes among individuals with HIV disease. |