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Erschienen in: AIDS and Behavior 1/2011

01.01.2011 | Original Paper

Lifetime and HIV-Related PTSD Among Persons Recently Diagnosed with HIV

verfasst von: Lindi Martin, Ashraf Kagee

Erschienen in: AIDS and Behavior | Ausgabe 1/2011

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Abstract

This cross-sectional study sought to determine the percentage of individuals who met criteria for lifetime PTSD and HIV-related PTSD among 85 recently diagnosed HIV-positive patients attending public health clinics in the Western Cape, South Africa. The PTSD module of the Composite International Diagnostic Interview (CIDI) was used to determine the percentage of those who met criteria for lifetime PTSD and HIV-related PTSD. The rate of lifetime PTSD and incidence of HIV-related PTSD was 54.1% (95% CI: 43.6–64.3%) and 40% (95% CI: 30.2–50.6%), respectively. Findings suggest that receiving an HIV-positive diagnosis and/or being HIV-positive may be considered a stressor that frequently results in HIV-related PTSD. Given the various barriers to efficient mental health interventions and services in South Africa, there are significant challenges that need to be addressed in order to ensure that the mental health of HIV-positive individuals is appropriately addressed.
Literatur
Zurück zum Zitat American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Zurück zum Zitat Andrykowski, M., Cordova, M., Studts, J., & Miller, T. (1998). Posttraumatic stress disorder after treatment for breast cancer: Prevalence of diagnosis and use of the PTSD checklist-civilian version (PCL-C) as a screening instrument. Journal of Consulting and Clinical Psychology, 66, 586–590. doi:10.1037/0022-006X.66.3.586.CrossRefPubMed Andrykowski, M., Cordova, M., Studts, J., & Miller, T. (1998). Posttraumatic stress disorder after treatment for breast cancer: Prevalence of diagnosis and use of the PTSD checklist-civilian version (PCL-C) as a screening instrument. Journal of Consulting and Clinical Psychology, 66, 586–590. doi:10.​1037/​0022-006X.​66.​3.​586.CrossRefPubMed
Zurück zum Zitat Acierno, R., Resnick, H. S., & Kilpatrick, D. G. (1997). Health impact of interpersonal violence 1: Prevalence rates, case identification, and risk factors for sexual assault, physical assault, and domestic violence in men and women. Behavioral Medicine (Washington, DC), 23, 53–63. Acierno, R., Resnick, H. S., & Kilpatrick, D. G. (1997). Health impact of interpersonal violence 1: Prevalence rates, case identification, and risk factors for sexual assault, physical assault, and domestic violence in men and women. Behavioral Medicine (Washington, DC), 23, 53–63.
Zurück zum Zitat Botha, K. F. H. (1996). Posttraumatic stress disorder and illness behaviour in HIV-positive patients. Psychological Reports, 79, 843–845.PubMed Botha, K. F. H. (1996). Posttraumatic stress disorder and illness behaviour in HIV-positive patients. Psychological Reports, 79, 843–845.PubMed
Zurück zum Zitat Breslau, N. (2001). The epidemiology of posttraumatic stress disorder: What is the extent of the problem? The Journal of Clinical Psychiatry, 62(Suppl. 17), 16–22.PubMed Breslau, N. (2001). The epidemiology of posttraumatic stress disorder: What is the extent of the problem? The Journal of Clinical Psychiatry, 62(Suppl. 17), 16–22.PubMed
Zurück zum Zitat Breslau, N. (2002). Epidemiological studies of trauma, posttraumatic stress disorder, and other psychiatric disorders. Canadian Journal of Psychiatry, 47, 923–930. Breslau, N. (2002). Epidemiological studies of trauma, posttraumatic stress disorder, and other psychiatric disorders. Canadian Journal of Psychiatry, 47, 923–930.
Zurück zum Zitat Brief, D. J., Bollinger, A. R., Vielhauer, M. J., Berger-Greenstein, J. A., Morgan, E. E., Brady, S. M., et al. (2004). Understanding the interface of HIV, trauma, post-traumatic stress disorder, and substance use and its implications for health outcomes. AIDS Care, 16(Suppl. 1), 97–120. doi:10.1080/09540120412301315259.CrossRef Brief, D. J., Bollinger, A. R., Vielhauer, M. J., Berger-Greenstein, J. A., Morgan, E. E., Brady, S. M., et al. (2004). Understanding the interface of HIV, trauma, post-traumatic stress disorder, and substance use and its implications for health outcomes. AIDS Care, 16(Suppl. 1), 97–120. doi:10.​1080/​0954012041230131​5259.CrossRef
Zurück zum Zitat Freeman, M., Nkomo, N., Kafaar, Z., & Kelly, K. (2008). Mental disorder in people living with HIV/AIDS in South Africa. South African Journal of Psychology. Suid-Afrikaanse Tydskrif Vir Sielkunde, 38, 489–500. Freeman, M., Nkomo, N., Kafaar, Z., & Kelly, K. (2008). Mental disorder in people living with HIV/AIDS in South Africa. South African Journal of Psychology. Suid-Afrikaanse Tydskrif Vir Sielkunde, 38, 489–500.
Zurück zum Zitat Human Sciences Research Council. (2005). South African national HIV prevalence, HIV incidence, behaviour and communication survey, 2005. Cape Town: HSRC Press. Human Sciences Research Council. (2005). South African national HIV prevalence, HIV incidence, behaviour and communication survey, 2005. Cape Town: HSRC Press.
Zurück zum Zitat Israelski, D. M., Prentiss, D. E., Lubega, S., Balmas, G., Garcia, P., Muhammad, M., et al. (2007). Psychiatric co-morbidity in vulnerable populations receiving primary care for HIV/AIDS. AIDS Care, 19, 220–225. doi:10.1080/09540120600774230.CrossRefPubMed Israelski, D. M., Prentiss, D. E., Lubega, S., Balmas, G., Garcia, P., Muhammad, M., et al. (2007). Psychiatric co-morbidity in vulnerable populations receiving primary care for HIV/AIDS. AIDS Care, 19, 220–225. doi:10.​1080/​0954012060077423​0.CrossRefPubMed
Zurück zum Zitat Kagee, A. (2008). Application of the DSM-IV criteria to the experience of living with AIDS. Some concerns. Journal of Health Psychology, 13, 34–37. Kagee, A. (2008). Application of the DSM-IV criteria to the experience of living with AIDS. Some concerns. Journal of Health Psychology, 13, 34–37.
Zurück zum Zitat Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.PubMed Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.PubMed
Zurück zum Zitat Kimerling, R., Calhoun, K. S., Forehand, R., Armistead, L., Morse, E., Morse, P., et al. (1999). Traumatic stress in HIV-infected women. AIDS Education and Prevention, 11, 321–330.PubMed Kimerling, R., Calhoun, K. S., Forehand, R., Armistead, L., Morse, E., Morse, P., et al. (1999). Traumatic stress in HIV-infected women. AIDS Education and Prevention, 11, 321–330.PubMed
Zurück zum Zitat Poindexter, C. C. (1997). In the aftermath: Serial crisis intervention for people with HIV. Health and Social Work, 22, 125–132.PubMed Poindexter, C. C. (1997). In the aftermath: Serial crisis intervention for people with HIV. Health and Social Work, 22, 125–132.PubMed
Zurück zum Zitat Safren, S. A., Gershuny, B. S., & Hendriksen, E. (2003). Symptoms of posttraumatic stress and death anxiety in persons with HIV and medication adherence difficulties. AIDS Patient Care and STDs, 17, 657–664. doi:10.1089/108729103771928717.CrossRefPubMed Safren, S. A., Gershuny, B. S., & Hendriksen, E. (2003). Symptoms of posttraumatic stress and death anxiety in persons with HIV and medication adherence difficulties. AIDS Patient Care and STDs, 17, 657–664. doi:10.​1089/​1087291037719287​17.CrossRefPubMed
Zurück zum Zitat Simbayi, L. C., Kalichman, S., Strebel, A., Cloete, A., Henda, N., & Mqeketo, A. (2007). Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa. Social Science and Medicine, 64, 1823–1831. doi:10.1016/j.socscimed.2007.01.006.CrossRefPubMed Simbayi, L. C., Kalichman, S., Strebel, A., Cloete, A., Henda, N., & Mqeketo, A. (2007). Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa. Social Science and Medicine, 64, 1823–1831. doi:10.​1016/​j.​socscimed.​2007.​01.​006.CrossRefPubMed
Zurück zum Zitat Williams, D. R., Herman, A., Stein, D. J., Heeringa, S. G., Jackson, P. B., Moomal, H., et al. (2008). Twelve-month mental disorders in South Africa: Prevalence, service use and demographic correlates in the population-based South African Stress and Health Study. Psychological Medicine, 38, 211–220. doi:10.1017/S0033291707001420.CrossRefPubMed Williams, D. R., Herman, A., Stein, D. J., Heeringa, S. G., Jackson, P. B., Moomal, H., et al. (2008). Twelve-month mental disorders in South Africa: Prevalence, service use and demographic correlates in the population-based South African Stress and Health Study. Psychological Medicine, 38, 211–220. doi:10.​1017/​S003329170700142​0.CrossRefPubMed
Zurück zum Zitat Withell, B. (2000). A study of the experiences of women living with HIV/AIDS in Uganda. International Journal of Palliative Nursing, 6, 234–244.PubMed Withell, B. (2000). A study of the experiences of women living with HIV/AIDS in Uganda. International Journal of Palliative Nursing, 6, 234–244.PubMed
Zurück zum Zitat World Health Organization. (1997). Composite international diagnostic interview, version 2.1. Geneva: WHO. World Health Organization. (1997). Composite international diagnostic interview, version 2.1. Geneva: WHO.
Metadaten
Titel
Lifetime and HIV-Related PTSD Among Persons Recently Diagnosed with HIV
verfasst von
Lindi Martin
Ashraf Kagee
Publikationsdatum
01.01.2011
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2011
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-008-9498-6

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