Charlotte Bernard, Hélène Font, Salaheddine Ziadeh, Judicaël M Tine, Abibatou Diaw, Ibrahima Ndiaye, Oumar Samba, Thierry Bottai, Laurent Jacquesy, Helena Verdeli, Ndeye F Ngom, François Dabis, Moussa Seydi, Nathalie de Rekeneire
{"title":"塞内加尔艾滋病毒/艾滋病患者抑郁症的治疗:团体人际治疗的可接受性、可行性和益处。","authors":"Charlotte Bernard, Hélène Font, Salaheddine Ziadeh, Judicaël M Tine, Abibatou Diaw, Ibrahima Ndiaye, Oumar Samba, Thierry Bottai, Laurent Jacquesy, Helena Verdeli, Ndeye F Ngom, François Dabis, Moussa Seydi, Nathalie de Rekeneire","doi":"10.1017/gmh.2023.31","DOIUrl":null,"url":null,"abstract":"<p><p>Depression is highly prevalent in people living with HIV (PLWH) and has negative consequences for daily life and care. We evaluated for the first time the acceptability, feasibility and benefits of group interpersonal therapy (IPT), combined with a task-shifting approach, to treat depression in PLWH in Senegal. PLWH with depression received group IPT following the World Health Organization protocol. Acceptability and feasibility criteria were defined from the literature data. The PHQ-9, the WHODAS, and the 12-item-stigma scale were used, pre- and post-treatment, including a 3-month follow-up, to assess depressive symptom severity, functioning and stigma, respectively. General linear mixed models were used to describe changes in outcomes over time. Of 69 participants, 60 completed group IPT. Refusal to enroll and dropout rates were 6.6 and 12.7%, respectively. Ninety-seven percent of participants attended at least seven out of eight sessions. Patients and facilitators endorsed group IPT, with willingness to recommend it. Depressive symptoms and disability improved drastically and sustainably. We showed that group IPT is well accepted and feasible in Senegal as treatment for depression in PLWH. Combined with a task-shifting approach, it can narrow the gap in mental health treatment. Implementation may be enhanced by refining patient identification procedures and increasing treatment accessibility.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579691/pdf/","citationCount":"0","resultStr":"{\"title\":\"Management of depression in people living with HIV/AIDS in Senegal: Acceptability, feasibility and benefits of group interpersonal therapy.\",\"authors\":\"Charlotte Bernard, Hélène Font, Salaheddine Ziadeh, Judicaël M Tine, Abibatou Diaw, Ibrahima Ndiaye, Oumar Samba, Thierry Bottai, Laurent Jacquesy, Helena Verdeli, Ndeye F Ngom, François Dabis, Moussa Seydi, Nathalie de Rekeneire\",\"doi\":\"10.1017/gmh.2023.31\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Depression is highly prevalent in people living with HIV (PLWH) and has negative consequences for daily life and care. 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Management of depression in people living with HIV/AIDS in Senegal: Acceptability, feasibility and benefits of group interpersonal therapy.
Depression is highly prevalent in people living with HIV (PLWH) and has negative consequences for daily life and care. We evaluated for the first time the acceptability, feasibility and benefits of group interpersonal therapy (IPT), combined with a task-shifting approach, to treat depression in PLWH in Senegal. PLWH with depression received group IPT following the World Health Organization protocol. Acceptability and feasibility criteria were defined from the literature data. The PHQ-9, the WHODAS, and the 12-item-stigma scale were used, pre- and post-treatment, including a 3-month follow-up, to assess depressive symptom severity, functioning and stigma, respectively. General linear mixed models were used to describe changes in outcomes over time. Of 69 participants, 60 completed group IPT. Refusal to enroll and dropout rates were 6.6 and 12.7%, respectively. Ninety-seven percent of participants attended at least seven out of eight sessions. Patients and facilitators endorsed group IPT, with willingness to recommend it. Depressive symptoms and disability improved drastically and sustainably. We showed that group IPT is well accepted and feasible in Senegal as treatment for depression in PLWH. Combined with a task-shifting approach, it can narrow the gap in mental health treatment. Implementation may be enhanced by refining patient identification procedures and increasing treatment accessibility.
期刊介绍:
lobal Mental Health (GMH) is an Open Access journal that publishes papers that have a broad application of ‘the global point of view’ of mental health issues. The field of ‘global mental health’ is still emerging, reflecting a movement of advocacy and associated research driven by an agenda to remedy longstanding treatment gaps and disparities in care, access, and capacity. But these efforts and goals are also driving a potential reframing of knowledge in powerful ways, and positioning a new disciplinary approach to mental health. GMH seeks to cultivate and grow this emerging distinct discipline of ‘global mental health’, and the new knowledge and paradigms that should come from it.