Observational analysis reveals sleep quality impacts depressive symptoms in PLHIV, suggesting enhanced screening is needed.
Moderate-or-worse depressive and anxiety symptoms are frequent among PLHIV in this setting, and sleep quality shows a robust independent association with both outcomes. Integrating routine mental-health and sleep screening with clear referral pathways within ART services is warranted; longitudinal and interventional studies should test whether improving sleep reduces symptoms and enhances ART outcomes.
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Ale et al. (2026) studied this question.
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