Factors affecting psychosocial well-being and quality of life among women living with HIV/AIDS (original) (raw)
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Psychosocial and mental health care needs of People Living with HIV and AIDS: A Review
Known Fact that HIV/AIDS is incurable disease and welcoming of several other opportunistic infections like cancer, tuberculosis etc. And it attach with several physical, psychological, social and financial problems, which creates vulnerability of people with HIV/AIDS. This paper elucidates the psychosocial and mental health care need of people living with HIV/AIDS. The literature included for paper is strongly supporting to the need of integration between psychosocial and mental health care and HIV/AIDS care.
Women Living with HIV/AIDS: Psychosocial Challenges in the Indian Context
The main aim of this review article is to outline the factors linked to vulnerability of women to HIV infection and to understand the challenges and possible management of HIV among women. The review is a theoretical endeavour to understand women's experiences of living with HIV. This review primarily focuses on studies in the Indian setup , but to further substantiate the arguments and describe the relevant concepts it also takes into account literature from other cultures. On the basis of studies included in this article, it can be surmised that women are more susceptible to HIV due to cultural barriers, health vulnerabilities and social structures. They show less awareness about the treatment facilities, prevention strategies and perceived risk of infection. Women have to face numerous challenges after the infection, such as lack of social support, a higher level of stigma and discrimination, decreased quality of life, mental health issues and adverse coping. To prevent the spread of HIV among women as well as men, it is necessary to plan strategies which deal with empowerment of women, education and awareness regarding the vulnerabilities and knowledge and challenges of HIV infection. There is also a need to address the management of HIV among the infected and even those at risk. This article describes the possible interventions based on existing literature. The review also attempts to suggest certain future directions for the research.
Effectiveness of Supportive Psychotherapy on Quality of Life of Women with HIV in Kermanshah
Procedia - Social and Behavioral Sciences, 2011
The present research investigated the effectiveness of supportive psychotherapy on quality of life of women with HIV in Kermanshah. 20 women as sample out of 250 women who afflicted to HIV referred to Health Center of Kermanshah Medical Science University were randomly selected. WHO QOL-HIV Brief questionnaire validity calculated through testretest 0.70 to 0.89 and Chronbach`s Alfa 0.63 to 0.81. A unilateral covariance analysis was employed. Supportive psychotherapy had positive effect on improvement of quality of life of women with HIV (P<0.05).Such therapies recommended for women who afflicted to HIV.
2012 Addressing psychosocial problems among persons living with HIV
The large number of persons living with HIV in Southern Africa has implications for mental health services for this population. Data have emerged in recent years showing that a substantial number of persons living with HIV also have mental health problems. Yet, the practice of routine screening for psychiatric disorders in the context of HIV care is controversial. Moreover, common mental health problems, if left undetected and untreated, may have severe consequences for adherence to antiretroviral therapy (ART), which in turn will likely lead to severe health consequences for patients. There are high costs associated with employing professional psychologists, counsellors, and social workers to provide psychosocial support to ART users. As a result, in many contexts lay counsellors and patient advocates have been employed as a less costly alternative. High standards of training of lay counsellors, as well as on-going supervision and support to patient advocates is necessary to ensure optimal outcomes/ results.
A Model of Quality of Life of Women Living With HIV
Journal of HIV/AIDS & Social Services, 2012
p ¼ .48). Mental health was directly and positively associated with being born outside of Canada, social support, and physical functioning but negatively associated with the proportion of people aware of serostatus and experienced discrimination. Physical functioning was directly and positively associated with being born outside of Canada and social support; however, it was negatively associated with time since diagnosis. The proportion of people aware of serostatus was negatively associated with being born outside of Canada and being a mother. Social work interventions aimed at improving quality of life in women living with HIV should target contexts of serostatus disclosure to minimize HIV discrimination and to improve social support sources without compromising existing ones. KEYWORDS HIV=AIDS, quality of life, Quebec, structural equations model, women 212 M. Beaulieu et al.
Quality of life in women with symptomatic HIV/AIDS
Journal of Advanced Nursing, 1999
Advanced Nursing 30(3), 597±605 Quality of life in women with symptomatic HIV/AIDS Despite the increasing incidence of cases of human immune de®ciency virus (HIV) infection and of acquired immune de®ciency syndrome (AIDS) in women, there is a serious lack of information about those women's quality of life (QoL). The purpose of this exploratory descriptive study was to describe QoL using an HIV-speci®c instrument (the HOPES) every 2 months over a 4-month period in a convenience sample of 44 women with symptomatic HIV/AIDS. Changes in physical, psychological, social, sexual dimensions, and overall QoL were evaluated along with the frequency of the most prevalent distressing items. The mean scores of the global QoL, physical and psycho-social summary scales were signi®cantly different over the 4-month data collection period: quality of life improved. The most prevalent disruptions were in the psycho-social domain, including ®nancial problems, worry about the family, distress about losing others from HIV, and worry about disease progression. The most prevalent physical disruptions included reduction in energy, dif®culties with daily activities and frequent pain. Married women appeared to be more vulnerable to disruptions in QoL over time. In addition to the use of conventional disease-speci®c parameters for the ongoing follow-up of women with HIV/AIDS, the systematic use of a QoL assessment can provide a focused approach to monitoring problems and targeting interventions. Such an approach is especially important for nurses who assist women living with the symptoms of HIV/AIDS.
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.