Intervention targets for people living with HIV and depressive symptoms in Botswana
| Autor: | Nadia Garnefski, Vivian Kraaij, Kennedy Amone-P'Olak, Philip Spinhoven, Boitumelo Vavani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Coping (psychology) media_common.quotation_subject Emotions Health Behavior Prevalence Psychological intervention HIV Infections 03 medical and health sciences 0302 clinical medicine Virology Intervention (counseling) Surveys and Questionnaires Adaptation Psychological medicine Humans 030212 general & internal medicine Depression (differential diagnoses) media_common Depressive Disorder Motivation 030505 public health Botswana coping skills business.industry Public Health Environmental and Occupational Health Cognition General Medicine Middle Aged Infectious Diseases Cross-Sectional Studies Feeling Rumination Africa depression goal finding Female medicine.symptom 0305 other medical science business Stress Psychological Clinical psychology |
| Zdroj: | African Journal of Aids Research, 19(1), 80-88 AJAR-AFRICAN JOURNAL OF AIDS RESEARCH African Journal of AIDS Research, 19(1), 80-88. NATL INQUIRY SERVICES CENTRE PTY LTD |
| Popis: | Background: The prevalence of HIV in Botswana is high. Many people living with HIV (PLWH) suffer from depressive symptoms and have inadequate coping skills. Most PLWH do not receive adequate psychological treatment. Empirically based interventions for PLWH with depressive symptoms in Botswana should be developed, with a focus on improving coping skills. The present study was a first step towards this goal, by trying to identify targets for intervention. The study aimed to provide prevalence rates of depression among PLWH in Botswana, to assess their mental health treatment needs and wishes as expressed by themselves, and to study the relationships between cognitive and behavioural coping strategies and depressive symptoms.Method: A cross-sectional study was conducted. The sample consisted of 291 participants (73% female) from 8 HIV treatment centres from Botswana. Participants completed standardized questionnaires on depressive symptoms (CES-D) and coping skills (CERQ, BERQ). They also answered questions regarding their mental health care needs and wishes.Results: In total 43.4% of participants reported clinically significant depressive symptoms. The majority of participants indicated that they needed help with the following topics: feelings of depression, physical tension, finding new goals and coping with HIV. In addition, they indicated preferring a self-help programme in booklet format. Multiple regression analyses showed that the following coping strategies had significant relationships with depressive symptoms: rumination, catastrophising, withdrawal, positive refocusing and refocus on planning (the latter two negatively).Conclusion: Almost half of the PLWH reported depressive symptoms that were clinically significant. The findings suggested that an intervention for PLWH with depressive symptoms in Botswana should preferably be a self-help programme presented in booklet format. With regard to content, the results confirmed that the intervention should focus on specific coping skills. In addition, elements like goal finding and strategies to reduce physical tension should be added. |
| Databáze: | OpenAIRE |
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