Gathering Trauma Narratives: A Qualitative Study on the Impact of Self-Identified Traumas on People Living with HIV (PLWH)
| Autor: | Shannon L. Golden, Brittany Briceño, Katherine R Schafer, Amanda E. Tanner, Elaina Cummer, Vaidehi Mujumdar, Kshipra Hemal, Doris Pierson |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Selection bias
Coping (psychology) Narration media_common.quotation_subject MEDLINE HIV Infections General Medicine Psychological Trauma medicine.disease Article Southeastern United States Social support Sexual abuse medicine Humans Psychological abuse Psychology Qualitative Research Clinical psychology Qualitative research media_common Psychological trauma |
| Zdroj: | N C Med J |
| Popis: | BACKGROUND: Trauma—emotional, physical, and psychological—is common and associated with increased risk behaviors, low rates of care engagement and viral suppression, and overall poor health outcomes for people living with HIV (PLWH). This article presents the results of 15 in-depth, semi-structured interviews with PLWH in the southeastern United States in which participants identified a trauma and described its long-lasting impact on their lives. Participants’ trauma narratives described a wide range of traumas, including childhood sexual abuse, the loss of a loved one, and their HIV diagnosis. METHODS: Systematic qualitative analysis was used to delineate beliefs about causes, symptoms, treatments, quality-of-life, and health implications of trauma. RESULTS: Fifteen participants completed the semi-structured interviews that lasted on average 32 minutes. Participants described a wide spectru of personal trauma that occurred both prior and subsequent to their HIV diagnoses. The types of trauma identified included physical, sexual, and psychological abuse inflicted by intimate partners, family members, and/or strangers. LIMITATIONS: A chief limitation of this study is selection bias. Additionally, the participant selection and content of the trauma narratives might have been affected by the surrounding context of the parent study centered on HIV, aging, and psychosocial stress. It is also difficult to interpret the distinction between discrete trauma experiences and the diagnosis of HIV, leading to potential information bias. CONCLUSION: This study highlights the importance of social support in coping with trauma and the effect of trauma on health-related behaviors. It also illustrates the need for additional research on the topic of trauma and trauma-informed care for PLWH. Understanding how different types of trauma affect individuals’ lives is necessary to inform recommendations to provide better care for PLWH. |
| Databáze: | OpenAIRE |
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