Posttraumatic Stress among women with HIV in Zambia
2017 (Engelska)Ingår i: The Medical Journal of Zambia, ISSN 0047-651X, Vol. 44, nr 2, s. 100-105Artikel i tidskrift (Refereegranskat) Published
Abstract [en]
Objective: To examine whether HIV-positive women in Lusaka District, Zambia, displays a higher degree of PTSD-symptoms than a HIV-negative control group.
Method: The study targeted 50 HIV-positive women from four ART-clinics and 42 HIV-negative women from corresponding VCT-units. All sites were located in Lusaka District, Zambia. The HIV-positive women were compared with the control group in regard for PTSD, PTSD-symptoms, dissociative symptoms and history of traumatic experiences. The instruments used were PCL-C, DES-T and LYLES-A. Prior to the main study, the validity of the instruments were assessed with a pilot-sample.
Results: Three participants in the HIV-positive group fulfilled the criteria for clinical PTSD (10.7 %), as compared to none in the control group. The HIV-positive group also displayed a significantly higher degree of PTSD-symptoms and previous traumatic experiences, with strong effect sizes, but not for dissociative symptoms. The significant difference in PTSD-symptoms remained while trauma-history was controlled for.
Conclusions: The results of this study clearly indicates that women with HIV are vulnerable to PTSD and that contracting HIV in itself can constitute a psychological trauma in itself. Since PTSD among persons with HIV has been associated with transmission risk behaviours, reduced treatment adherence and a faster disease progression, these findings are important to consider in actions against HIV and AIDS.
Ort, förlag, år, upplaga, sidor
Lusaka, Zambia: Zambia Medical Association , 2017. Vol. 44, nr 2, s. 100-105
Nationell ämneskategori
Reproduktionsmedicin och gynekologi
Identifikatorer
URN: urn:nbn:se:liu:diva-141240OAI: oai:DiVA.org:liu-141240DiVA, id: diva2:1145040
2017-09-272017-09-272018-04-03Bibliografiskt granskad