Journal Article10.1089/APC.2007.0102
Common Mental Disorders among HIV-Infected Individuals in South Africa: Prevalence, Predictors, and Validation of Brief Psychiatric Rating Scales
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TL;DR: High levels of depression, PTSD and alcohol dependence/abuse among HIV-infected individuals in this setting are demonstrated and HIV care and treatment services represent an important venue to identify and manage individuals with common mental disorders in resource-limited settings.
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Abstract: Despite the high prevalence of both mental disorders and HIV infection in much of sub-Saharan Africa, little is known about the occurrence of mental health disorders among HIV-infected individuals. We conducted a cross-sectional study among individuals enrolled into HIV care and treatment services near Cape Town, South Africa. Psychiatric diagnoses were measured using the Mini-International Neuropsychiatric Interview (MINI) administered by trained research nurses. In addition, all participants were administered brief rating scales for depression (the Center for Epidemiological Studies Depression Scale [CES-D]), posttraumatic stress disorder (PTSD), the Harvard Trauma Questionnaire (HTQ), and alcohol dependence/abuse (the Alcohol Use Disorders Identification Test [AUDIT]). The median age among the 465 participants was 33 years and 75% were female; 48% were receiving antiretroviral therapy. Overall, the prevalence of depression, PTSD and alcohol dependence/abuse was 14% (n = 62), 5% (n = 24), and 7...
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Citations
Validation of the 10-item Centre for Epidemiological Studies Depression Scale (CES-D-10) in Zulu, Xhosa and Afrikaans populations in South Africa.
TL;DR: The CES-D-10 is a valid, reliable screening tool for depression in Zulu, Xhosa and coloured Afrikaans populations, and adequate concurrent validity, when compared to the PHQ-9 and WHODAS.
The mental health of people living with HIV/AIDS in Africa: a systematic review
TL;DR: This paper reviews published quantitative research on the mental health of HIV-infected adults in Africa and finds that being female, experiencing poor health, receiving poor-quality health services, and a lack of material and emotional support from family and friends were associated with greater psychiatric morbidity.
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Prevalence and factors associated with depression in people living with HIV in sub-Saharan Africa: A systematic review and meta-analysis
Charlotte Bernard,Charlotte Bernard,François Dabis,François Dabis,Nathalie de Rekeneire,Nathalie de Rekeneire +5 more
TL;DR: The pooled prevalence estimates of depression ranged between 9% and 32% in PLHIV on antiretroviral treatment (ART) and in untreated or mixed or treated/untreated ones, with a substantial variability according to the measurement scale used and also for a given scale.
Mental health service delivery in South Africa from 2000 to 2010: One step forward, one step back
Inge Petersen,Crick Lund +1 more
TL;DR: There has been some progress in the decentralisation of mental health service provision, but substantial gaps in service delivery remain and intervention research is needed to provide evidence of the organisational and human resource mix requirements and cost-effectiveness of a culturally appropriate, task shifting and stepped care approach for severe and common mental disorders at primary healthcare level.
Maternal mental health in primary care in five low- and middle-income countries: a situational analysis.
Emily Baron,Charlotte Hanlon,Charlotte Hanlon,Sumaya Mall,Simone Honikman,Erica Breuer,Tasneem Kathree,Nagendra P. Luitel,Juliet Nakku,Crick Lund,Crick Lund,Girmay Medhin,Vikram Patel,Vikram Patel,Inge Petersen,Sanjay Shrivastava,Mark Tomlinson,Mark Tomlinson +17 more
TL;DR: It is difficult to anticipate demand for mental health care at district level in the five countries, given the lack of evidence on the prevalence and treatment coverage of women with maternal mental disorders, and limited evidence on effective psychosocial interventions.
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