A Qualitative Description of HIV-Infected African American Women's Experiences of Psychological Distress and Their Coping Strategies

Peltzer, Jill; Ogawa, Lisa M.; Tusher, Susan; Farnan, Rose; Gerkovich, Mary M.

doi:10.1016/j.jana.2016.09.010

Cited by 21 publications

(40 citation statements)

References 3 publications

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“…Specifically, aspects of religion and spirituality are frequently cited as both sources of support and mechanisms for coping. 16,29,75,76 Findings are also consistent with Chaudoir et al's (2012) study of racially diverse men and women living with HIV in Alabama, in which spiritual peace buffered the effects of HIV-related stigma on depression. 77 Though spiritual peace may be considered distinct from religiosity as measured in the current study, the similar trends highlight the therapeutic potential for religion and spirituality-related resilience resources in the context of HIV-related stigma.…”

Section: Discussionsupporting

confidence: 77%

Religiosity, Social Support, and Ethnic Identity: Exploring “Resilience Resources” for African-American Women Experiencing HIV-Related Stigma

Lipira

Williams

Nevin

et al. 2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Introduction: African-American women living with HIV report substantial HIV-related stigma and depression. Resilience resources are strength-based resources that may moderate the effects of HIV-related stigma on poor psychosocial outcomes such as depression. Objective: To evaluate whether religiosity, social support and ethnic identity moderate the effects of HIV-related stigma on depression among African-American women living with HIV. Methods: We used baseline data (5/2013-10/2015) from a randomized controlled trial testing the efficacy of an HIV-related stigma reduction intervention among African-American women living with HIV in Chicago, IL and Birmingham, AL who were >18 years old and currently receiving HIV services. To assess whether religiosity (7-item Religious Beliefs and Behaviors survey, RBB), social support (select subscales from the Medical Outcomes Study Social Support Survey, MOS-SSS), and ethnic identity (Commitment subscale from the Multigroup Ethnic Identity Measure, MEIM-R) modified the relationship between HIV-related stigma (Stigma Scale for Chronic Illness, SSCI) and depression (8-item Patient Health Questionnaire, PHQ-8), we conducted three separate moderation analyses using linear regression with interactions between HIV-related stigma and each moderator of interest, adjusted for study site, age, time since diagnosis, and education. Results: Among 226 African-American women living with HIV, greater levels of HIV-related stigma were associated with greater depression in all three models (p < 0.05). Only religiosity modified this association (p = 0.04), with a weaker association among women reporting higher levels of religiosity. Conclusions: The protective effects of religiosity may be leveraged in interventions for African-American women living with HIV struggling with HIV-related stigma.

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Section: Discussionsupporting

confidence: 77%

Religiosity, Social Support, and Ethnic Identity: Exploring “Resilience Resources” for African-American Women Experiencing HIV-Related Stigma

Lipira

Williams

Nevin

et al. 2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…In the same study, it was argued that understanding the experiences of psychological distress in this fragile population is underscored for informing appropriate intervention programmes for them. Peltzer et al (2016) found that psychological and emotional sufferings, stigmatization, and feelings of loneliness formed the experiences of psychological distress. Kotze (2011) submitted that self-blame and avoidant coping were among the experiences of psychological distress in HIV-positive pregnant women.…”

Section: Experiences Of Psychological Distress In Hiv-positive Pregnamentioning

confidence: 99%

“…The qualitative study collected data using in-depth interviews that had a mean length of 45 min AE 31.3. Based on the literature review (Bastos et al, 2019;Peltzer et al, 2016), the central interview question was 'In what way does being pregnant and living with HIV cause you distress?'. Where necessary, the interviewer prompted respondents to expand their responses.…”

Section: Instrumentsmentioning

confidence: 99%

Experiences and predictors of psychological distress in pregnant women living with HIV

Ogueji

2021

British J Health Psychol

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Objectives. To explore the experiences and predictors of psychological distress in pregnant women living with HIV. Design. A mixed-methods research design. Methods. A representative randomly sampled 840 (age range 22-46 years) HIVpositive pregnant women in Akwa Ibom, Benue, and Rivers States of Nigeria enrolled for the study. Data were collected using standardized questionnaires and in-depth interviews for 4 months and 3 weeks in 6 HIV treatment centres. Collected data were analysed using IBM SPSS statistics (v. 22.0) and thematic analysis. Results. The mean score on psychological distress was 17.07 AE 5.86. Multiple regression analysis found a significant joint prediction of meaning in life, self-compassion, and acceptance of illness on psychological distress, R = .64, R 2 = .41; F (3,828) = 186.18; p = .000, with 41% variance explained. Further, there was a significant independent prediction of each predictor at meaning in life (b = À.19, t = À5.08; p = .000), self-compassion (b = À.23, t = À5.59; p = .000), and acceptance of illness (b = À.30, t = À7.23; p = .000), with acceptance of illness exerting the greatest independent predictive impact. Socio-demographic variables (age, length of living with HIV, high-risk state, highest education attained, marital status, and religious affiliation) had no significant contribution to psychological distress. Qualitative analysis found 'anxious concerns', 'depressive reports, loneliness, and regrets', 'self-blame and guilt feelings', as the experiences of psychological distress, and these experiences were determined by respondents' socio-cultural contexts. Conclusion. These findings emphasize the importance of psychosocial care for HIVpositive pregnant women. Statement of Contribution What is already known about this subject? Pregnant women living with HIV are often psychologically distressed from being pregnant and living with HIV at the same time. Understanding the experiences and predictors of psychological distress can contribute to inform targeted interventions for this population. However, the possible experiences of and factors predicting psychological distress in this population remain scant. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…This emotional and social self-imposed isolation and feeling loneliness were perceived by some women to have contributed to the growth of their emotional disturbances. Similar studies have reported that remaining loneliness was signi cantly associated with depression (11,28,29). The reason for these women's choice not to be involved in any social activities was related to their experience of disease burden, feelings of not tting in the social, and fear of being ignored.…”

Section: Discussionmentioning

confidence: 52%

Dual burden: the experience of depression among women living with HIV in Ethiopia- a qualitative study

Yousuf

Musa

Md.

et al. 2020

Preprint

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Background Depression and HIV are common comorbid and their symptoms are inter-related. Depression remains disproportionately more prevalent among women who live in low-income countries and HIV circumstances, it is vastly ignored or not identified. Thus, little is known about the experience of depression by women living with HIV. The purpose of this study is to explore the experience of depression among women living with HIV. Method: A qualitative study was carried out and this research is a part of the larger mixed-method study. A face-to-face interview was conducted among women who attend Antiretroviral Therapy (ART) and who were eligible after depression screening. An interview guide was used for the data collection and the data was analyzed with the application of N-Vivo (version 11.0). Hence, a total of twenty-one women were recruited in this study. Results Women described their experience as stressful life events, lack of participation of social activities, concern over community acceptance, negative self-perception, feelings of hopelessness, including dealing with emotional suffering. However, this finding has revealed, in the course of the multifaceted nature of HIV and depression comorbidity, women’s experience was not constant instead it remained dynamic determined by the different psychosocial and clinical dimensions of the illnesses. Conclusion This study has elaborated that HIV positive women’s experience with depression was merely related to their psychosocial aspects, internalized personal attributes, disease traits regarding their life with comorbid diseases; HIV, and depression. Hence, future interventions should focus on the integration of mental health services in the HIV clinical setup.

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A Qualitative Description of HIV-Infected African American Women's Experiences of Psychological Distress and Their Coping Strategies

Cited by 21 publications

References 3 publications

Religiosity, Social Support, and Ethnic Identity: Exploring “Resilience Resources” for African-American Women Experiencing HIV-Related Stigma

Religiosity, Social Support, and Ethnic Identity: Exploring “Resilience Resources” for African-American Women Experiencing HIV-Related Stigma

Experiences and predictors of psychological distress in pregnant women living with HIV

Dual burden: the experience of depression among women living with HIV in Ethiopia- a qualitative study

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