Post-traumatic stress disorder among recently diagnosed patients with HIV/AIDS in South Africa
- 1 July 2005
- journal article
- Published by Informa UK Limited in AIDS Care
- Vol. 17 (5), 550-557
- https://doi.org/10.1080/09540120412331319741
Abstract
This study examined the prevalence of and factors associated with post-traumatic stress disorder in recently diagnosed HIV/AIDS patients in South Africa. One hundred and forty-nine (44 male, 105 female) recently diagnosed HIV/AIDS patients (mean duration since diagnosis =5.8 months, SD =4.1) were evaluated. Subjects were assessed using the MINI International Neuropsychiatric Interview (MINI), the Carver Brief COPE coping scale and the Sheehan Disability Scale. In addition, previous exposures to trauma and past risk behaviours were assessed. Twenty-two patients (14.8%) met criteria for PTSD. Current psychiatric conditions more likely to be associated with PTSD included major depressive disorder (29% in PTSD patients versus 7% in non-PTSD patients, p=0.004), suicidality (54% versus 11%, p =0.001) and social anxiety disorder (40% versus 13%, P=0.04). Further patients with PTSD reported significantly more work impairment and demonstrated a trend towards higher usage of alcohol as a means of coping. Discriminant function analysis indicated that female gender and a history of sexual violation in the past year were significantly associated with a diagnosis of PTSD. Patients whose PTSD was a direct result of an HIV/AIDS diagnosis (8/22) did not differ from other patients with PTSD on demographic or clinical features. In the South African context, PTSD is not an uncommon disorder in patients with HIV/AIDS. In some cases, PTSD is secondary to the diagnosis of HPV/AIDS but in most cases it is seen after other traumas, with sexual violation and intimate partner violence in women being particularly important. © 2005 Taylor & Francis Group Ltd.ArticlKeywords
This publication has 16 references indexed in Scilit:
- Posttraumatic Stress Disorder and Occupational Disability in South African Security Force MembersThe Journal of Nervous and Mental Disease, 2003
- Trauma and Posttraumatic Stress Disorder in an Urban Xhosa Primary Care Population: Prevalence, Comorbidity, and Service Use PatternsThe Journal of Nervous and Mental Disease, 2003
- Posttraumatic Stress Disorder in Women Attending Human Immunodeficiency Virus Outpatient ClinicsAIDS Patient Care and STDs, 2002
- Victimization experiences and HIV infection in women: Associations with serostatus, psychological symptoms, and health statusJournal of Traumatic Stress, 1999
- Violence and HIV Sexual Risk Behaviors Among Female Sex Partners of Male Drug UsersWomen & Health, 1998
- You want to measure coping but your protocol’ too long: Consider the brief copeInternational Journal of Behavioral Medicine, 1997
- Health Impact of Interpersonal Violence 1: Prevalence Rates, Case Identification, and Risk Factors for Sexual Assault, Physical Assault, and Domestic Violence in Men and WomenBehavioral Medicine, 1997
- Posttraumatic Stress Disorder and Illness Behaviour in HIV+ PatientsPsychological Reports, 1996
- Traumatic Events and Posttraumatic Stress Disorder in an Urban Population of Young AdultsArchives of General Psychiatry, 1991
- Life events in Xhosas in Cape TownJournal of Psychosomatic Research, 1983