HIV/AIDS and Mental Health (original) (raw)
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Tremendous biomedical advancements in HIV prevention and treatment have led to aspirational efforts to end the HIV epidemic. However, this goal will not be achieved without addressing the significant mental health and substance use problems among people living with HIV (PLWH) and people vulnerable to acquiring HIV. These problems exacerbate the many social and economic barriers to accessing adequate and sustained healthcare, and are among the most challenging barriers to achieving the end of the HIV epidemic. Rates of mental health problems are higher among both people vulnerable to acquiring HIV and PLWH, compared with the general population. Mental health impairments increase risk for HIV acquisition and for negative health outcomes among PLWH at each step in the HIV care continuum. We have the necessary screening tools and efficacious treatments to treat mental health problems among people living with and at risk for HIV. However, we need to prioritize mental health treatment with appropriate resources to address the current mental health screening and treatment gaps. Integration of mental health screening and care into all HIV testing and treatment settings would not only strengthen HIV prevention and care outcomes, but it would additionally improve global access to mental healthcare.
Aids, 2006
The expansion of AIDS treatment initiatives in resource-poor settings provides an opportunity for integrating mental health care into these programs. This systematic review of the literature on HIV and mental illness in developing countries examines the mental health risk factors for HIV, mental health consequences of HIV, psychosocial interventions of relevance for HIV-infected and affected populations, and highlights the relevance of these data for HIV care and treatment programs. We reviewed seven studies that measured the prevalence of HIV infection among clinic and hospitalbased populations of people with mental illness or assessed sexual risk behavior in these populations; 30 studies that described the mental health consequences of HIV infection; and two reports of psychosocial interventions. The review demonstrates the need for methodologically sound studies of mental health throughout the course of HIV, including factors that support good mental health, and interventions that employ identified variables (e.g. coping, family support) for efficacy in reducing symptoms of mental illness. Promising intervention findings should encourage investigators to begin to study the implementation of these interventions in HIV service settings.
Mental Health Needs of People Living with HIV/AIDS: A Thematic Overview
MOJ Public Health, 2018
HIV and Mental illness are among the most stigmatized form of illness in most of the societies around the world. Little is being done by the public health systems of majority of nations to tackle this illness. Though considered as separate entities, the emerging research shows that majority of time, HIV and Mental illness are closely linked with each other reflecting the need to holistically address them. Though ample amounts of funds are being pumped in to HIV component annually both by governments and civil society organizations, most of the time mental health and particularly the mental health needs of persons living with HIV/AIDS go unaddressed. This paper trying to take the inputs from the literature and tries to thematically reflect on the aspect of HIV/ADIS and Mental health, there interrelationship and the mental health needs of persons living with HIV/AIDS. It tries to reflect on the barriers for addressing the mental health needs of persons living with HIV/AIDS, which are to be essentially tackled to provide holistic health services to PLHA.
HIV-depression: A Shadow Over 90-90-90 UNAIDS Program
There are 36.9 million people living with HIV (PLWHIV) according to a 2017 WHO estimation; 70% of the affected population is living in low and middle-income countries (LMIC). Depression, alcohol/ substance abuse and neurocognitive deficit are the three most common psychiatric disorders found in PLWHIV in said countries. Depression is the most prevalent, with a rate over 30%. It is of high interest then, to study the way in which this high prevalence has an impact on initiatives for the prevention and treatment of HIV infection, such as the 90-90-90 program of UN-OMS. The way to do this, is to focus on the current state of the depression treatment cascade observed in PLWHIV, and its link with adherence to antiviral treatment 1 .
Mental distress in the general population in Zambia: Impact of HIV and social factors
BMC Public Health, 2009
Background: Population level data on mental health from Africa are limited, but available data indicate mental problems to represent a substantial public health problem. The negative impact of HIV on mental health suggests that this could particularly be the case in high prevalence populations. We examined the prevalence of mental distress, distribution patterns and the ways HIV might influence mental health among men and women in a general population.
Global Systematic Review of Common Mental Health Disorders in Adults Living with HIV
Current HIV/AIDS Reports
Purpose of the review By reviewing the most recent common mental health disorders (CMHD) studies in people living with HIV (PLWH) (2018-2020), this review discusses the prevalence of CMHD, factors associated with CMHD in PLWH, mental health in PLWH from vulnerable groups, the impact of CMHD on HIV disease progression and adherence to antiretroviral therapy and the efficacy of different treatment approaches. Recent findings After screening for eligibility 142 studies were included in the final systematic review. Only 27% of studies were conducted in Sub-Saharan Africa, which carries the highest burn of HIV disease globally. Despite the well-established increased risk of CMHD in PLWH, the current prevalence remains high, with studies reporting 28%-62% of PLWH having mental health symptoms. Conclusion Despite the significant challenges that CMHDs present to successful HIV treatment, there are many mental health treatments and interventions which can improve outcomes in PLWH and opportunities to task-shift and integrate mental health care with HIV care.