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- Title
Major depression and generalized anxiety disorder among human T-lymphotropic virus Types I- and II-infected former blood donors.
- Authors
Guiltinan, Anne M.; Kaidarova, Zhanna; Behan, Dee; Marosi, Cheryl; Hutching, Sheila; Kaiser, Mandi; Moore, Elane; DeVita, Deborah; Murphy, Edward L.
- Abstract
BACKGROUND: Other studies have reported high rates of depression and anxiety among human T-lymphotropic virus Type I (HTLV-I)-infected subjects and have even suggested that HTLV-I causes psychiatric disease. STUDY DESIGN AND METHODS: We interviewed HTLV-I, HTLV-II, and demographically similar HTLV-seronegative blood donors with the Mini-International Neuropsychiatric Interview. Prevalences of major depression and generalized anxiety disorder in each group were calculated and compared to published US population data. Adjusted odds ratios (aOR) and 95% confidence intervals (CIs) controlling for educational achievement, alcohol intake, and self-reported health status were calculated with multivariate logistic regression. RESULTS: Major depression was diagnosed in five (5.4%) of 93 HTLV-I-positive subjects (aOR, 2.19; 95% CI, 0.63-7.55) and 17 (6.6%) of 256 HTLV-II-positive subjects (aOR, 1.61; 95% CI, 0.66-3.927), compared to 12 (2.1%) of 585 HTLV-seronegative blood donors. The prevalence of major depression among infected subjects was comparable to the 6.7% prevalence in the US general population. Generalized anxiety disorder was diagnosed in five (5.4%) HTLV-I-positive subjects (OR, 2.32; 95% CI, 0.74-7.26) and 12 (4.7%) HTLV-II-positive subjects (OR, 1.65; 95% CI, 0.68-4.01), compared to 15 (2.6%) seronegative subjects and 3.1% in the US general population. CONCLUSION: Major depression and generalized anxiety disorder were not significantly more prevalent among HTLV-I- and HTLV-II-infected former blood donors after controlling for health status and other confounding variables. HTLV-seronegative blood donors had lower prevalences of these conditions than the US population, probably due to a 'healthy blood donor effect.'
- Subjects
MENTAL depression; GENERALIZED anxiety disorder; HTLV-I; HTLV-II (Virus); BLOOD donors; CONFIDENCE intervals
- Publication
Transfusion, 2013, Vol 53, Issue 1, p60
- ISSN
0041-1132
- Publication type
Article
- DOI
10.1111/j.1537-2995.2012.03677.x