Post-test adverse psychological effects and coping mechanisms amongst HIV self-tested individuals living in couples in urban Blantyre, Malawi

Autor: Kumwenda, Moses Kelly, Corbett, Elizabeth Lucy, Choko, Augustine Talumba, Chikovore, Jeremiah, Kaswaswa, Kruger, Mwapasa, Mphatso, Sambakunsi, Rodrick, Gutteberg, Tore Jarl, Gordon, Stephen, Munthali, Alister, Desmond, Nicola
Jazyk: angličtina
Rok vydání: 2019
Předmět:
RNA viruses
Psychological Defense Mechanisms
Counseling
Male
Malawi
Emotions
Social Sciences
HIV Infections
Pathology and Laboratory Medicine
Families
Learning and Memory
Immunodeficiency Viruses
Adaptation
Psychological
Medicine and Health Sciences
Psychology
Mass Screening
Children
Family Characteristics
VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin
sosialmedisin: 801
HIV diagnosis and management
Middle Aged
Sexual Partners
Medical Microbiology
Viral Pathogens
Viruses
Medicine
Infectious diseases
Female
Pathogens
Research Article
Adult
Science
Viral diseases
Microbiology
Young Adult
Retroviruses
Learning
Humans
Heterosexuals
Microbial Pathogens
Aged
Lentivirus
Organisms
Cognitive Psychology
Biology and Life Sciences
HIV
Diagnostic medicine
Age Groups
People and Places
Cognitive Science
Population Groupings
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine
Social medicine: 801
Neuroscience
Sexuality Groupings
Zdroj: PLoS ONE
PloS one
PLoS ONE, Vol 14, Iss 6, p e0217534 (2019)
ISSN: 1932-6203
Popis: Source at https://doi.org/10.1371/journal.pone.0217534. Introduction - Mandatory face-to-face counselling is necessary during HIV testing but difficult to implement within the context of HIV self-testing. We investigated adverse psychological effects and coping mechanisms following HIV-positive and HIV-discordant test results amongst self-tested individuals living in couples in urban Blantyre, Malawi. Methods - Qualitative data from 35 in-depth interviews with self-tested individuals living in couples for more than 3 months were collected and analysed using thematic content analysis. Results - Adverse psychological effects seemed to mostly occur among individuals learning for the first-time that they were HIV-positive or living in HIV-discordant relationship. Irrespective of test outcomes, women living in couples expressed difficulty making important decisions about the future of their relationships while men seemed to shoulder the emotional burden associated with feeling or being seen as responsible for introducing HIV into the relationship. Post-test psychosocial support and ascertained positive behaviour change of the perceived index partner allowed some couples to overcome adverse psychological effects linked to test results. Conclusion - Self-tested individuals living in couples may lack collective coping capability to collaboratively manage post-test adverse events after new HIV-positive or HIV-discordant results. Psychosocial support seemed to enable couples to foster both an individual and a collective ability to manage adverse psychological effects within the context of a couple. More research is needed to ascertain the magnitude of the deficiency of collective coping competency in couples following an HIV test.
Databáze: OpenAIRE
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