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Improving mental health among people living with HIV: a review of intervention trials in low- and middle-income countries.

dc.contributor.author Sikkema, KJ
dc.contributor.author Dennis, AC
dc.contributor.author Watt, MH
dc.contributor.author Choi, KW
dc.contributor.author Yemeke, TT
dc.contributor.author Joska, JA
dc.coverage.spatial England
dc.date.accessioned 2015-10-13T05:39:35Z
dc.date.issued 2015-01
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/26435843
dc.identifier.uri https://hdl.handle.net/10161/10741
dc.description.abstract People living with HIV (PLWH) experience greater psychological distress than the general population. Evidence from high-incomes countries suggests that psychological interventions for PLWH can improve mental health symptoms, quality of life, and HIV care engagement. However, little is known about the effectiveness of mental health interventions for PLWH in low and middle-income countries (LMICs), where the large majority of PLWH reside. This systematized review aims to synthesize findings from mental health intervention trials with PLWH in LMICs to inform the delivery of mental health services in these settings. A systematic search strategy was undertaken to identify peer-reviewed published papers of intervention trials addressing negative psychological states or disorders (e.g., depression, anxiety) among PLWH in LMIC settings. Search results were assessed against pre-established inclusion and exclusion criteria. Data from papers meeting criteria were extracted for synthesis. Twenty-six papers, published between 2000 and 2014, describing 22 unique interventions were identified. Trials were implemented in sub-Saharan Africa (n=13), Asia (n=7), and the Middle East (n=2), and addressed mental health using a variety of approaches, including cognitive-behavioral (n=18), family-level (n=2), and pharmacological (n=2) treatments. Four randomized controlled trials reported significant intervention effects in mental health outcomes, and eleven preliminary studies demonstrated promising findings. Among the limited mental health intervention trials with PLWH in LMICs, few demonstrated efficacy. Mental health interventions for PLWH in LMICs must be further developed and adapted for resource-limited settings to improve effectiveness.
dc.language eng
dc.relation.ispartof Glob Ment Health (Camb)
dc.relation.isversionof 10.1017/gmh.2015.17
dc.subject HIV
dc.subject intervention
dc.subject low middle income countries
dc.subject mental health
dc.subject review
dc.subject trials
dc.title Improving mental health among people living with HIV: a review of intervention trials in low- and middle-income countries.
dc.type Journal article
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/26435843
pubs.organisational-group Center for Child and Family Policy
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Duke Population Research Center
pubs.organisational-group Duke Population Research Institute
pubs.organisational-group Global Health Institute
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group Psychiatry & Behavioral Sciences, Medical Psychology
pubs.organisational-group Psychology and Neuroscience
pubs.organisational-group Sanford School of Public Policy
pubs.organisational-group School of Medicine
pubs.organisational-group Trinity College of Arts & Sciences
pubs.organisational-group University Institutes and Centers
pubs.publication-status Published
pubs.volume 2


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