确定在约翰内斯堡接受艾滋病毒治疗的艾滋病毒阳性青少年的心理健康问题风险。

IF 0.3 Q4 PSYCHOLOGY, CLINICAL
Nataly Woollett, Lucie Cluver, Monica Bandeira, Heena Brahmbhatt
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引用次数: 71

摘要

背景:在低收入和中等收入国家,青少年心理健康问题得不到充分的服务,在疾病负担中占很大比例。围产期感染艾滋病毒阳性的青少年患精神健康障碍的比例很高;然而,对于那些在南非被收容的人却知之甚少。方法:采用标准化的抑郁、焦虑、创伤后应激障碍(PTSD)和自杀行为指标,对约翰内斯堡5家儿科抗逆转录病毒诊所就诊的13-19岁艾滋病毒阳性青少年(n = 343)进行评估。使用Statistica v13对所有变量进行描述性和双变量分析。结果:27%的人有抑郁、焦虑或PTSD的症状;24%的人有自杀倾向。同伴暴力与所有的心理健康问题都有显著的相关性,饥饿、被不恰当地触摸、被殴打和女性也是如此。过去一年报告患病的人更有症状。很明显,他经常接触暴力。此外,在家里或社区没有安全感会增加所有精神健康障碍的风险。知道自己的艾滋病毒状况是有保护作用的,就像对未来有梦想一样。结论:获得护理的艾滋病毒阳性青少年表现出高度的精神卫生问题,这些问题在很大程度上未被认识到,并且有可能在卫生系统内得到解决。心理健康问题是由需要关注的社会挑战造成的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying risks for mental health problems in HIV positive adolescents accessing HIV treatment in Johannesburg.

Background: Mental health problems of adolescents are underserved in low and middle-income countries where they account for a significant proportion of disease burden. Perinatally infected HIV-positive adolescents have a high prevalence of mental health disorders; however, little is known about those retained in care in South Africa.

Methods: HIV-positive adolescents aged 13-19 years (n = 343) accessing five paediatric antiretroviral clinics in Johannesburg were assessed using standardized measures for depression, anxiety, post-traumatic stress disorder (PTSD), and suicidality. Descriptive and bivariate analyses were conducted on all variables using Statistica v13.

Results: Twenty-seven percent were symptomatic for depression, anxiety, or PTSD; 24% reported suicidality. Peer violence was significantly correlated to all mental health problems, as was hunger, being inappropriately touched, being hit, and being female. Those reporting sickness in the past year were more symptomatic. High exposure to violence was evident. Additionally, not feeling safe at home or in the community increased risk for all mental health disorders. Knowing one's HIV status was protective as was having dreams for the future.

Conclusion: HIV-positive adolescents accessing care demonstrated high levels of mental health problems that are largely unrecognized and could potentially be addressed within health systems. Mental health difficulties are driven by social challenges that require attention.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
2
期刊介绍: The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).
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