A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Behera, Usha kiran
- Assessment and Evaluation of Depression and Loneliness among People Living with HIV in Selected Places of Coastal Andhra Pradesh
Authors
1 Dept. of Community Medicine, G.S.L. Medical College, Rajahmundry, A.P., IN
2 G.S.L Medical College, Rajahmundry, AP, IN
3 Dept. of Community Medicine at GSL Medical College, Rajahmundry, AP, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 261-266Abstract
Back Ground: The AIDS pandemic continues to be an escalating health problem throughout the world. Mental health of PLHIVs is one of the neglected aspects in the Continuum care and most often it is under diagnosed as well as under treated. This study was proposed to assess the prevalence of depression and loneliness among PLHIV so that adequate measures could be taken to address their needs, and if required treatment of mental illness could be prioritized, which would rather be a more holistic approach.
Objectives: To review key mental health issues such as loneliness and depression in the continuum of care for people living with HIV (PLHIV) & to provide a framework for integrating mental health services into HIV/AIDS interventions.
Method: 380 PLHIV from the districts of East Godavari & Vishakhapatnam were interviewed using the SRQ-10 depression scale and R-UCLA loneliness scale for assessing the depression and loneliness respectively the responses were graded according to the standard guidelines and the mean scores for each scale were obtained. Statistical analysis was done using the student t-test and Chi square for categorical variables number and percentages were calculated.
Results: An overall 71.84% of subjects were depressed and 66.57% were found to be lonely. Loneliness & depression was significantly higher in female population. Depression as well as loneliness was found to be significantly associated with their educational status, financial status and the presence of opportunistic infections.
Conclusion: The mental health indicators depression and loneliness need more stress in the continuum of care of PLHIV.
Keywords
People living with HIV, Depression, Loneliness
References
- Vosvick M et al. “Relationship of functional quality of life to strategies for coping with the stress of living with HIV/AIDS”. Psychosomatics, 2003, 44(1):51–8.
- Barua A, Kar N et al. “Screening for depression in elderly Indian population. Indian journal of Psychiatry 2010: 52, 150-3.
- Geetanjali , C., Seth, H., and Richmond D. Substance Abuse and Psychiatric Disorders in HIV –Positive Patients: Epidemiology and Impact on Antiretroviral Therapy. Drugs 2006;66 (6):769-789
- HIV sentinel surveillance and HIV estimation in India, 2007-2008
- Aceijas C, Stimson, GV., Hickman, M. Global Overview of Injection Drug Use and HIV infection among injection drug users. AIDS 2004, 19;18 (17):2295-3303
- Adewuya, A.O. Afolabi, B.A, Ogundele, A O. Ajibare, and B.F Oladipo, “Psychiatric Disorders among the HIV-Positive Population in Nigeria: A control Study.” J, Psychosom Res 63, no (2007): 203-6.
- WHO. World Health Organization Psychosocial Support, 2005. [Accessed on 5 May 2005].http:/ /www.who.int/hiv/topics/psychosocial/ support/en/print.html
- Green G, Smith R. The psychosocial and healthcare needs of HIV positive people in the United Kingdom: a review. HIV Med. 2004;5:5– 46.(Pubmed)
- Anon. Practice guideline for the treatment of patients with HIV/AIDS. Work group on HIV/ AIDS. Am J Psychiatry. 2000;157:1–62.
- Madhav SM. Indian Journal of Community Medicine. 2001 Oct-Dec; 26(4): 198-200
- Mary Elizabeth Hughes et al. – “A Short Scale for Measuring Loneliness in Large Surveys Results from two Population-Based Studies” DOI: 10.1177/0164027504268574 © 2004 Sage Publications
- A User’s guide to the self reporting questionnaire (SRQ); WHO/Mental health division/PSF/94.8- 1994
- “Diagnostic & Statistical Manual of Mental Disorder”; American Psychiatric Association publication 1994 - Fourth Edition
- I.A. Kabbash,1 M. El-Gueneidy,2 A.Y. Sharaf,2 N.M. Hassan1 and A.N. Al-Nawawy 3 - La Revue de Santé de la Méditerranée orientale, Vol. 14, No 6, 2008, - 1308
- Stone V, et al. Curr HIV/AIDS Rep. 2005;2: 189-193
- Byakika-Tusiime J, Oyugi JH, Tumwikirize WA, Katabira ET, Mugyenyi PN, Bangsberg DR. Adherence to HIV antiretroviral therapy in HIV+ Ugandan patients purchasing therapy. Int J STD AIDS. 2005;16:38–41.(Pubmed)
- Jelsma J, Maclean E, Hughes J, Tinise X, Darder M. An investigation into the health-related quality of life of individuals living with HIV who are receiving HAART. AIDS Care. 2005;17:579– 588(Pubmed)
- Pinheiro CA, de-Carvalho-Leite JC, Drachler ML, Silveira VL. Factors associated with adherence to antiretroviral therapy in HIV/AIDS patients: a cross-sectional study in Southern Brazil. Brazil J Med Biol Res. 2002;35:1173–1181.
- Stout BD, Leon MP, Niccolai LM. Nonadherence to antiretroviral therapy in HIV-positive patients in Costa Rica. AIDS Patient Care STDS. 2004;18:297–304(Pubmed)
- Williams P, Narciso L, Browne G, Roberts J, Weir R, Gafni A. The prevalence, correlates, and costs of depression in people living with HIV/AIDS in Ontario: Implications for service directions. AIDS Educ Prev. 2005;17:119–130 (Pubmed)