Post-traumatic stress disorder among recently diagnosed patients with HIV/AIDS in South Africa

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dc.contributor.authorOlley B.O.
dc.contributor.authorZeier M.D.
dc.contributor.authorSeedat S.
dc.contributor.authorStein D.J.
dc.date.accessioned2011-05-15T16:15:16Z
dc.date.available2011-05-15T16:15:16Z
dc.date.issued2005
dc.description.abstractThis 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.
dc.description.versionArticle
dc.identifier.citationAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
dc.identifier.citation17
dc.identifier.citation5
dc.identifier.issn09540121
dc.identifier.other10.1080/09540120412331319741
dc.identifier.urihttp://hdl.handle.net/10019.1/13260
dc.subjectacquired immune deficiency syndrome
dc.subjectadult
dc.subjectalcohol abuse
dc.subjectarticle
dc.subjectclinical feature
dc.subjectcoping behavior
dc.subjectdemography
dc.subjectdiscriminant analysis
dc.subjectdisease duration
dc.subjectevaluation
dc.subjectfemale
dc.subjectgender
dc.subjecthuman
dc.subjectHuman immunodeficiency virus infection
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmental disease
dc.subjectpartner violence
dc.subjectphysical disability
dc.subjectposttraumatic stress disorder
dc.subjectprevalence
dc.subjectpriority journal
dc.subjectrisk factor
dc.subjectsexual abuse
dc.subjectsocial phobia
dc.subjectSouth Africa
dc.subjectstatistical significance
dc.subjectsuicidal behavior
dc.subjectAdaptation, Psychological
dc.subjectAdolescent
dc.subjectAdult
dc.subjectDepressive Disorder, Major
dc.subjectFemale
dc.subjectHIV Infections
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPredictive Value of Tests
dc.subjectPrevalence
dc.subjectPsychiatric Status Rating Scales
dc.subjectQuestionnaires
dc.subjectSexual Behavior
dc.subjectSouth Africa
dc.subjectStress Disorders, Post-Traumatic
dc.titlePost-traumatic stress disorder among recently diagnosed patients with HIV/AIDS in South Africa
dc.typeArticle
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