Mental health outcomes in HIV and childhood maltreatment : a systematic review

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dc.contributor.authorSpies, Georgina
dc.contributor.authorAfifi, Tracie O.
dc.contributor.authorArchibald, Sarah L.
dc.contributor.authorFennema-Notestine, Christine
dc.contributor.authorSareen, Jitender
dc.contributor.authorSeedat, Soraya
dc.date.accessioned2012-12-14T06:29:18Z
dc.date.available2012-12-14T06:29:18Z
dc.date.issued2012-06
dc.date.updated2012-09-13T23:05:33Z
dc.descriptionThe original publication is available at http://www.systematicreviewsjournal.com/content/1/1/30en_ZA
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.
dc.description.abstractBackground: High rates of childhood maltreatment have been documented in HIV-positive men and women. In addition, mental disorders are highly prevalent in both HIV-infected individuals and victims of childhood maltreatment. However, there is a paucity of research investigating the mental health outcomes associated with childhood maltreatment in the context of HIV infection. The present systematic review assessed mental health outcomes in HIV-positive individuals who were victims of childhood maltreatment. Methods: A systematic search of all retrospective, prospective, or clinical trial studies assessing mental health outcomes associated with HIV and childhood maltreatment. The following online databases were searched on 25–31 August 2010: PubMed, Social Science Citation Index, and the Cochrane Library (the Cochrane Central Register of Controlled Trials and the Cochrane Developmental, Psychosocial and Learning Problems, HIV/AIDS, and Depression, Anxiety and Neurosis registers). Results: We identified 34 studies suitable for inclusion. A total of 14,935 participants were included in these studies. A variety of mixed mental health outcomes were reported. The most commonly reported psychiatric disorders among HIV-positive individuals with a history of childhood maltreatment included: substance abuse, major depressive disorder, and posttraumatic stress disorder. An association between childhood maltreatment and poor adherence to antiretroviral regimens was also reported in some studies. Conclusion: A broad range of adult psychopathology has been reported in studies of HIV-infected individuals with a history of childhood maltreatment. However, a direct causal link cannot be well established. Longer term assessment will better delineate the nature, severity, and temporal relationship of childhood maltreatment to mental health outcomes.en_ZA
dc.description.versionPublishers' Versionen_ZA
dc.format.extent28 p.
dc.identifier.citationSpies, G. et al. 2012. Mental health outcomes in HIV and childhood maltreatment : a systematic review. Systematic Reviews, 1(1), 30:1-28, doi:10.1186/2046-4053-1-30.en_ZA
dc.identifier.issn2046-4053 (online)
dc.identifier.otherdoi:10.1186/2046-4053-1-30
dc.identifier.urihttp://hdl.handle.net/10019.1/71992
dc.language.isoen_ZAen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.rights.holderGeorgina Spies et al.; licensee BioMed Central Ltd.en_ZA
dc.subjectHIV positive persons -- Psychologyen_ZA
dc.subjectAdult child abuse victimsen_ZA
dc.titleMental health outcomes in HIV and childhood maltreatment : a systematic reviewen_ZA
dc.typeArticleen_ZA
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