Mental health and HIV/AIDS

Remien, Robert H.; Stirratt, Michael J.; Nguyen, Nadia; Robbins, Reuben N; Pala, Andrea Norcini; Mellins, Claude A.

doi:10.1097/qad.0000000000002227

Cited by 430 publications

(286 citation statements)

References 119 publications

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“…These results suggest the critical importance of being aware of the psychological health consequences among PLWH. Integrating mental health services into HIV primary care medical appointments may be necessary considering the high burden of mental illness experienced by PLWH [41,42].…”

Section: Discussionmentioning

confidence: 99%

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

Huang

Luo

Chen

et al. 2020

IJERPH

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This study explored the HIV-related stressors that people living with HIV (PLWH) commonly experience and express as stressful at the time of diagnosis and 1 year later. The factors associated with stress levels and whether social support would moderate the negative effects of stress on psychological health (depressive and anxiety symptoms) were also investigated. Newly diagnosed PLWH were consecutively recruited in this study. Participants rated their stress with the HIV/AIDS Stress Scale at baseline and 1 year later. Social support, depression, and anxiety were also self-reported at both time points. There were significant decreases in stress levels 1 year after diagnosis. Stressors regarding confidentiality, disclosure, emotional distress, fear of infecting others, and excessive attention to physical functions were the most problematic at baseline and 1-year follow-up. A younger age, married status, not living alone, less income, presence of HIV symptoms, and lack of social support were associated with higher levels of stress. No stress-buffering effect of social support on depressive and anxiety symptoms was found in this study. Interventions to reduce stress among PLWH should take into consideration the following priority stressors: confidentiality, discrimination/stigma, serostatus disclosure, distressing emotions, fear of infecting others, and excessive attention to physical functions. More attention should be paid to PLWH with younger age, not living alone, less income, presence of HIV symptoms, and lack of social support.

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Section: Discussionmentioning

confidence: 99%

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

Huang

Luo

Chen

et al. 2020

IJERPH

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“…HIV induces immune activation in the brain which may lead to tryptophan depletion and a resultant reduction in serotonin, thus exacerbating or maintaining depressive symptoms. 59 In addition, several behavioral consequences of depression can impact HIV health outcomes. International studies have shown that depressive symptomatology impedes the activation required to begin and maintain antiretroviral medication and disease management.…”

Section: Mental Health Conditions Of Women Living With Hivmentioning

confidence: 99%

Mental Health in Women Living With HIV: The Unique and Unmet Needs

Waldron

Burnett-Zeigler

Wee

et al. 2021

J Int Assoc Provid AIDS Care

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Women living with HIV (WLWH) experience depression, anxiety, and posttraumatic stress symptoms at higher rates than their male counterparts and more often than HIV-unaffected women. These mental health issues affect not only the well-being and quality of life of WLWH, but have implications for HIV management and transmission prevention. Despite these ramifications, WLWH are under-treated for mental health concerns and they are underrepresented in the mental health treatment literature. In this review, we illustrate the unique mental health issues faced by WLWH such as a high prevalence of physical and sexual abuse histories, caregiving stress, and elevated internalized stigma as well as myriad barriers to care. We examine the feasibility and outcomes of mental health interventions that have been tested in WLWH including cognitive behavioral therapy, mindfulness-based interventions, and supportive counseling. Future research is required to address individual and systemic barriers to mental health care for WLWH.

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“…The differential power structures that shape social hierarchies are likely instrumental in making certain groups, such as people living with HIV (PLHIV), at higher risk of developing more serious mental health issues [ 4 ]. PLHIV already have a disproportionately higher burden of mental health conditions [ 5 ], yet the impact of the pandemic is presently not well-understood in this potentially vulnerable population.…”

Section: Introductionmentioning

confidence: 99%

The burden of anxiety among people living with HIV during the COVID-19 pandemic in Pune, India

et al. 2020

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Introduction Globally, India has the third largest population of people living with HIV (PLHIV) and the second highest number of COVID-19 cases. Anxiety is associated with antiretroviral therapy (ART) nonadherence. It is crucial to understand the burden of anxiety and its sources among Asian Indian PLHIV during the COVID pandemic, but data are limited. Methods During the first month of government mandated lockdown, we administered an anxiety assessment via telephone among PLHIV registered for care at a publicly funded antiretroviral therapy (ART) center in Pune, India. Generalized anxiety was defined as GAD-7 score ≥ 10. Sociodemographic and clinical variables were compared by anxiety status (GAD-7 score ≥ 10 vs GAD-7 score < 10). Qualitative responses to an open-ended question about causes of concern were evaluated using thematic analysis. Results Among 167 PLHIV, median age was 44 years (IQR 40–50); the majority were cisgender women (60%) and had a monthly family income < 200 USD (81%). Prior history of tuberculosis and other comorbidities were observed in 38 and 27%, respectively. Overall, prevalence of generalized anxiety was 25% (n = 41). PLHIV with GAD-7 score ≥ 10 had fewer remaining doses of ART than those with lower GAD-7 scores (p = 0.05). Thematic analysis indicated that concerns were both health related and unrelated, and stated temporally. Present concerns were often also projected as future concerns. Conclusions The burden of anxiety was high during COVID lockdown in our population of socioeconomically disadvantaged PLHIV in Pune and appeared to be influenced by concerns about ART availability. The burden of anxiety among PLHIV will likely increase with the worsening pandemic in India, as sources of anxiety are expected to persist. We recommend the regular use of short screening tools for anxiety to monitor and triage patients as an extension of current HIV services.

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Mental health and HIV/AIDS

Cited by 430 publications

References 119 publications

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

Mental Health in Women Living With HIV: The Unique and Unmet Needs

The burden of anxiety among people living with HIV during the COVID-19 pandemic in Pune, India

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