Evaluation of Depression and Coping Skill among HIV-Positive People in Kolkata, India

Talukdar, Arunansu; Talukdar, Payel; Ghosal, Malay Kumar; Bal, Runa; Ghosh, Puspen; Goswami, Dipendra Narayan

doi:10.1177/1545109710393309

Cited by 9 publications

(10 citation statements)

References 11 publications

(11 reference statements)

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“…A positive coping strategy was associated with a lower expressed need for the support of a CHW or a patient support group at the same point in time. This is in line with previous studies demonstrating that positive coping strategies were related to higher levels of adherence [ 55 ] and better mental health [ 56 ], signifying the fact that these patients are adapting to their situation well and do not necessarily require additional support measures. In addition, the seeking social support coping style was associated with a higher probability of wanting the support of a CHW.…”

Section: Discussionsupporting

confidence: 91%

Who Should We Target? The Impact of Individual and Family Characteristics on the Expressed Need for Community-Based Treatment Support in HIV Patients in South Africa

2016

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Reviews of impact evaluations of community-based health workers and peer support groups highlight the considerable variability in the effectiveness of such support in improving antiretroviral treatment (ART) outcomes. Evidence indicates that community-based support interventions targeting patients known to be at risk will probably display better results than generic interventions aimed at the entire population of people living with HIV. It is however difficult to identify these at-risk populations, rendering knowledge on the characteristics of patients groups who are in need of community-based support a clear research priority. The current study aims to address the knowledge gap by exploring the predictors of the willingness to (1) receive the support from a community-based health worker or (2) to participate in a support group in public sector ART programme of the Free State Province of South Africa. Based on the Individual-Family-Community framework for HIV research, the study employs a comprehensive approach by not only testing classical individual-level but also family-level predictors of the willingness to receive community-based support. In addition to individual-level predictors—such as age, health status and coping styles—our analysis demonstrated the importance of family characteristics. The results indicated that discrepancies in the family’s changeability level were an important predictor of the demand for community-based support services. Conversely, the findings indicated that patients living in a family more flexible than deemed ideal are more likely to require the support of a community health worker. The current study expands theory by indicating the need to acknowledge all social ecological levels in the study of chronic HIV care. The detection of both individual level and family level determinants of the expressed need for community-based support can inform health policy to devise strategies to target scarce resources to those vulnerable patients who report the greatest need for this support. In this way, the study results are a first step in an attempt to move away from generic, broad based community-based interventions towards community support that is tailored to the patient needs at both the individual and family level.

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Section: Discussionsupporting

confidence: 91%

Who Should We Target? The Impact of Individual and Family Characteristics on the Expressed Need for Community-Based Treatment Support in HIV Patients in South Africa

2016

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“…Both types of social support were leveraged by women with moderate to severe depression and anxiety, who reported that both social and financial support from family, friends and colleagues mitigated their mental distress (68). In contrast to the typical Western view of women as more emotion-focussed, Talukdar found that women in India engaged in problem-focused coping more frequently than men (28). Finally, avoidant coping, represented by our avoidant emotions factor, has been consistently observed in Indian populations, including sero-positive women in discordant partnerships in Bangalore (27), depressed patients in Jaipur, Rajasthan (69), and women with high levels of felt stigma and/or AIDS symptoms in rural South India (29).…”

Section: Discussionmentioning

confidence: 80%

Cultural Adaptation of the Brief COPE for Persons Living with HIV/AIDS in Southern India

et al. 2014

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Physical and psychological stressors of HIV infection demand adequate coping responses from persons living with HIV/AIDS (PLHA) and coping strategies may vary by cultural context. The Brief COPE is a well validated scale that has been used extensively to assess coping with cancer, depression, and HIV infection in other settings, but never in India. In this study we translated and validated the 28 item Brief COPE among 299 PLHA in South India, assessing reliability, validity, and cultural appropriateness. Although the original scale demonstrated acceptable internal consistency (alpha=0.70) and good convergent validity with depression, the test-retest reliability was marginal (test-retest=0.6) and the original factor structure demonstrated poor fit in a confirmatory factor analysis (CFA). An exploratory factor analysis (EFA) yielded a 16 item scale with 5 factors (active planning, social support, avoidant emotions, substance use, religion). A second CFA demonstrated good model fit and acceptable reliability (alpha=0.61) of the adapted scale.

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“…Other cross-cultural studies revealed high prevalence rates of depression in HIV population, namely 67 % in China [41], 34 % in Portugal [42], 56 % in India [43], and 53.5 % in Brazil [44].…”

Section: Epidemiology Of Depression In Hiv-infected Patientsmentioning

confidence: 97%

Depression in HIV Infected Patients: a Review

Nanni

Caruso

Mitchell

et al. 2014

Curr Psychiatry Rep

386

281

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Depression is the most common neuropsychiatric complication in HIV-infected patients and may occur in all phases of the infection. Accurately, diagnosing major depressive disorder in the context of HIV is an ongoing challenge to clinicians and researchers, being complicated by the complex biological, psychological, and social factors associated with the HIV illness. Evidences exist to support the importance of improving the identification of depressive symptoms and their adequate treatment. Depression has long been recognized as a predictor of negative clinical outcomes in HIV-infected patients, such as reducing medication adherence, quality of life, and treatment outcome, and possibly worsening the progression of the illness and increasing mortality. By analyzing the most relevant studies (MEDLINE, EMBASE, PsycLit, Cochrane Library), the review discusses the epidemiology and the main clinical features of depression in HIV-infected patients, the causal pathways linking depression and HIV infection, the validity of screening tools, and the efficacy of different treatment approaches, including psychosocial interventions, psychopharmacology as well as HIV-specific health psychology health service models.

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Evaluation of Depression and Coping Skill among HIV-Positive People in Kolkata, India

Cited by 9 publications

References 11 publications

Who Should We Target? The Impact of Individual and Family Characteristics on the Expressed Need for Community-Based Treatment Support in HIV Patients in South Africa

Who Should We Target? The Impact of Individual and Family Characteristics on the Expressed Need for Community-Based Treatment Support in HIV Patients in South Africa

Cultural Adaptation of the Brief COPE for Persons Living with HIV/AIDS in Southern India

Depression in HIV Infected Patients: a Review

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