Temporal Associations Between Social Activity and Mood, Fatigue, and Pain in Older Adults With HIV: An Ecological Momentary Assessment Study

• DOI: 10.2196/mental.9802
• Publication Date: 2018-05-14T10:00:19Z
• Authors: Emily W Paolillo; Bin Tang; Colin A Depp; Alexandra S Rooney; Florin Vaida; Christopher N Kau...; Brent T Mausbach; David J Moore; Raeanne C Moore
• Keywords: Sadness; Social Isolation

Background Social isolation is associated with an increased risk for mental and physical health problems, especially among older persons living HIV (PLWH). Thus, there a need to better understand real-time temporal associations between social activity mood- health-related factors in this population inform possible future interventions. Objective This study aims examine relationships mood, fatigue, pain sample of PLWH. Methods A total 20 PLWH, recruited from the University California, San Diego Neurobehavioral Research Program 2016, completed smartphone-based ecological momentary assessment (EMA) surveys 5 times per day 1 week. Participants reported their current (alone vs not alone number interactions) levels mood (sadness, happiness, stress), pain. Mixed-effects regression models were used analyze concurrent lagged activity, Results (mean age 58.8, SD 4.3 years) being 63% time, on average, (SD 31.5%) during waking hours. Being was related lower happiness (beta=−.300; 95% CI −.525 −.079; P=.008). In analyses, predicted higher fatigue later (beta=−1.089; −1.780 −0.396; P=.002), morning reduced likelihood as progressed (odds ratio 0.945, 0.901-0.992; P=.02). Conclusions The use EMA elucidated high rate time spent Promoting despite presence or may improve psychological well-being population.