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Insomnia severity and depressive symptoms in people living with HIV and chronic pain: associations with opioid use

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dc.contributor.authorCody, Shameka L.
dc.contributor.authorHobson, Joanna M.
dc.contributor.authorGilstrap, Shannon R.
dc.contributor.authorGloston, Gabrielle F.
dc.contributor.authorRiggs, Kevin R.
dc.contributor.authorJustin Thomas, S.
dc.contributor.authorGoodin, Burel R.
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherUniversity of Alabama Birmingham
dc.date.accessioned2023-09-28T19:30:43Z
dc.date.available2023-09-28T19:30:43Z
dc.date.issued2022
dc.description.abstractChronic pain commonly occurs in people living with HIV (PLWH). Many PLWH in the United States obtain opioids for chronic pain management. Whether insomnia severity and depressive symptoms are exacerbated by chronic pain and opioid use in PLWH remains to be determined. This study examined insomnia severity and depressive symptoms in 85 PLWH with chronic pain and 35 PLWH without chronic pain. Among PLWH with chronic pain, reported opioid use was examined in relation to insomnia severity and depressive symptoms. PLWH with chronic pain reported significantly greater insomnia severity (p = .033) and depressive symptoms (p = .025) than PLWH without chronic pain. Among PLWH with chronic pain who reported opioid use (n = 36), insomnia severity was greater compared to those who denied opioid use (n = 49), even after controlling for pain severity and number of comorbidities (p = .026). Greater pain severity was significantly associated with greater insomnia severity (p < .001) and depressive symptoms (p = .048) among PLWH with chronic pain who reported opioid use. These associations were not significant among those PLWH with chronic pain who denied opioid use. Findings suggest that PLWH with chronic pain are likely to experience poor sleep and depressed mood. Furthermore, poor sleep was associated with opioid use among PLWH with chronic pain.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationCody, S. L., Hobson, J. M., Gilstrap, S. R., Gloston, G. F., Riggs, K. R., Justin Thomas, S., & Goodin, B. R. (2021). Insomnia severity and depressive symptoms in people living with HIV and chronic pain: associations with opioid use. In AIDS Care (Vol. 34, Issue 6, pp. 679–688). Informa UK Limited. https://doi.org/10.1080/09540121.2021.1889953
dc.identifier.doi10.1080/09540121.2021.1889953
dc.identifier.urihttps://ir.ua.edu/handle/123456789/11343
dc.languageEnglish
dc.language.isoen_US
dc.publisherRoutledge
dc.subjectHIV
dc.subjectchronic pain
dc.subjectopioid use
dc.subjectdepression
dc.subjectinsomnia
dc.subjectHealth Policy & Services
dc.subjectPublic, Environmental & Occupational Health
dc.subjectPsychology, Multidisciplinary
dc.subjectRespiratory System
dc.subjectSocial Sciences, Biomedical
dc.titleInsomnia severity and depressive symptoms in people living with HIV and chronic pain: associations with opioid useen_US
dc.typeArticle
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