The Effects of Traumatic Stressors and HIV-Related Trauma Symptoms on Health and Health Related Quality of Life

Nightingale, Vienna; Sher, Tamara Goldman; Mattson, Melissa; Thilges, Sarah; Hansen, Nathan B.

doi:10.1007/s10461-011-9980-4

Cited by 40 publications

(27 citation statements)

References 49 publications

(80 reference statements)

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“…PLWH with PTSD have been found to be at increased risk of somatisation and physical disorders 16. The illness experience of PTSD, such as persistent avoidance and re-experiencing the traumatic event, may also compromise quality of life and cause significant distress in PLWH 7 17. Subsequently, prolonged and untreated PTSD may lead to exacerbation of PTSD as well as HIV progression 18.…”

Section: Introductionmentioning

confidence: 99%

Global estimate of the prevalence of post-traumatic stress disorder among adults living with HIV: a systematic review and meta-analysis

et al. 2020

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ObjectivesAlthough people living with HIV (PLWH) have been disproportionately affected by post-traumatic stress disorder (PTSD), the global prevalence of PTSD among PLWH is unknown. This study aimed to systematically review the prevalence of PTSD among PLWH worldwide and explore variation in prevalence across sociodemographic and methodological factors.DesignA meta-analysis using a random-effects model was conducted to pool the prevalence estimated from individual studies, and subgroup analyses were used to analyse heterogeneities.Setting, participants and measuresObservational studies providing PTSD prevalence data in an adult HIV population were searched from January 2000 to November 2019. Measurements were not restricted, although the definition of PTSD had to align with the Diagnostic and Statistical Manual of Mental Disorders or the International Classification of Diseases diagnostic criteria.ResultsA total of 38 articles were included among 2406 records identified initially. The estimated global prevalence of PTSD in PLWH was 28% (95% CI 24% to 33%). Significant heterogeneity was detected in the proportion of PLWH who reported PTSD across studies, which was partially explained by geographic area, population group, measurement and sampling method (p<0.05).ConclusionPTSD among PLWH is common worldwide. This review highlights that PTSD should be routinely screened for and that more effective prevention strategies and treatment packages targeting PTSD are needed in PLWH.

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Section: Introductionmentioning

confidence: 99%

Global estimate of the prevalence of post-traumatic stress disorder among adults living with HIV: a systematic review and meta-analysis

et al. 2020

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“…No study, however, has attributed PTSD exclusively to HIV diagnosis; development of PTSD is rather believed to occur among those with a trauma history (Sherr et al, 2011). From this perspective, prior trauma or history of PTSD may increase vulnerability to a posttraumatic response to an HIV diagnosis (Nightingale, Sher, Mattson, Thilges, & Hansen, 2011; O’Cleirigh, Ironson, & Smits, 2007). …”

mentioning

confidence: 99%

Future Directions for Interventions Targeting PTSD in HIV-infected Adults

Applebaum¹,

Bedoya

Hendriksen³

et al. 2015

Journal of the Association of Nurses in AIDS Care

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Although studies consistently report high rates of comorbid Post Traumatic Stress Disorder (PTSD) and HIV infection, development and testing of PTSD treatment interventions in HIV-infected adults is limited. As such, the purpose of this review was twofold. First, this review augments the 3 existing reviews of research for PTSD in HIV-infected adults conducted within the past 10 years. We found 2 empirically supported cognitive-behavioral therapy (CBT)-based interventions for the treatment of trauma-related symptoms in HIV-infected adults. Due to the continued limited number of effective interventions for this population, a second aim of our review was to draw from the expansive field of effective PTSD interventions for the general population to propose ways that future clinical intervention research may be tailored for HIV-infected adults. Therefore, in addition to a review, we conceptualized this paper as an opportunity to generate an ideal preview of the field of intervention research in this population.

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“…It also needs to be taken into account that an HIV diagnosis may be traumatic for vulnerable groups given the history of the HIV/AIDS epidemic, and the disproportionate loss of life in the LGBTQ community and in communities of color [ 51 , 52 ]. Trauma, a stressful life event marked by a sense of horror, helplessness, serious injury, or threat of serious injury or death, can lead to poorer HIV health-related outcomes [ 52 , 53 ]. Thus, it is important to explore the trauma that patients who are newly diagnosed or returning to clinical care need addressed in the context of the iART intervention.…”

Section: Future Directionsmentioning

confidence: 99%

Immediate Antiretroviral Therapy: The Need for a Health Equity Approach

Mgbako

Sobieszczyk

Olender

et al. 2020

IJERPH

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Immediate antiretroviral therapy (iART), defined as same-day initiation of ART or as soon as possible after diagnosis, has recently been recommended by global and national clinical care guidelines for patients newly diagnosed with human immunodeficiency virus (HIV). Based on San Francisco’s Rapid ART Program Initiative for HIV Diagnoses (RAPID) model, most iART programs in the US condense ART initiation, insurance acquisition, housing assessment, and mental health and substance use evaluation into an initial visit. However, the RAPID model does not explicitly address structural racism and homophobia, HIV-related stigma, medical mistrust, and other important factors at the time of diagnosis experienced more poignantly by African American, Latinx, men who have sex with men (MSM), and transgender patient populations. These factors negatively impact initial and subsequent HIV care engagement and exacerbate significant health disparities along the HIV care continuum. While iART has improved time to viral suppression and linkage to care rates, its association with retention in care and viral suppression, particularly in vulnerable populations, remains controversial. Considering that in the US the HIV epidemic is sharply defined by healthcare disparities, we argue that incorporating an explicit health equity approach into the RAPID model is vital to ensure those who disproportionately bear the burden of HIV are not left behind.

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The Effects of Traumatic Stressors and HIV-Related Trauma Symptoms on Health and Health Related Quality of Life

Cited by 40 publications

References 49 publications

Global estimate of the prevalence of post-traumatic stress disorder among adults living with HIV: a systematic review and meta-analysis

Global estimate of the prevalence of post-traumatic stress disorder among adults living with HIV: a systematic review and meta-analysis

Future Directions for Interventions Targeting PTSD in HIV-infected Adults

Immediate Antiretroviral Therapy: The Need for a Health Equity Approach

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