Understanding the experience and manifestation of depression in adolescents living with HIV in Harare, Zimbabwe

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dc.contributor.authorWillis, Nicolaen_ZA
dc.contributor.authorMavhu, Websteren_ZA
dc.contributor.authorWogrin, Carolen_ZA
dc.contributor.authorMutsinze, Abigailen_ZA
dc.contributor.authorKagee, Ashrafen_ZA
dc.date.accessioned2020-05-19T08:59:59Z
dc.date.available2020-05-19T08:59:59Z
dc.date.issued2018-01-03
dc.descriptionCITATION: Willis, N., et al. 2018. Understanding the experience and manifestation of depression in adolescents living with HIV in Harare, Zimbabwe. PLoS ONE, 13(1):e0190423, doi:10.1371/journal.pone.0190423.
dc.descriptionThe original publication is available at https://journals.plos.org/plosone/
dc.description.abstractBackground Studies have found that adolescents living with HIV are at risk of depression, which in turn affects adherence to medication. This study explored the experience and manifestation of depression in adolescents living with HIV in Zimbabwe in order to inform intervention development. Methods We conducted a body mapping exercise with 21 HIV positive 15–19 years olds who had been diagnosed with major depressive disorder. Participants created a painted map of their body to assist them in expressing their somatic and emotional experiences in qualitative interviews. The interviews were transcribed and thematically coded using NVivo 10. Results Participants attributed their experiences of depression to their relationships and interactions with significant people in their lives, primarily family members and peers. A sense of being different from others was common among participants, both due to their HIV status and the impact HIV has had on their life circumstances. Participants described a longing to be important or to matter to the people in their lives. A sense of isolation and rejection was common, as well as grief and loss, including ambiguous and anticipated loss. Participants’ idioms of distress included ‘thinking deeply’ (‘kufungisisa’), ‘pain’, darkness, ‘stress’ or a lack of hope and ambiguity for the future. Suicidal ideation was described, including slow suicide through poor adherence. Supportive factors were also relational, including the importance of supportive relatives and peers, clinic staff and psychosocial support programmes. Conclusions An understanding of HIV positive adolescents’ own narratives around depression can inform the development and integration of appropriate mental health interventions within HIV care and treatment programmes. Study findings suggest that family and peer-led interventions are potentially useful in the prevention and management of depression in adolescents living with HIV.en_ZA
dc.description.urihttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0190423
dc.description.versionPublisher's version
dc.format.extent11 pagesen_ ZA
dc.identifier.citationWillis, N., et al. 2018. Understanding the experience and manifestation of depression in adolescents living with HIV in Harare, Zimbabwe. PLoS ONE, 13(1):e0190423, doi:10.1371/journal.pone.0190423
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0190423
dc.identifier.urihttp://hdl.handle.net/10019.1/108576
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectDepressionen_ZA
dc.subjectAdolescent — Mental healthen_ZA
dc.subjectHIV positive people — Adolescentsen_ZA
dc.subjectHarare, Zimbabween_ZA
dc.titleUnderstanding the experience and manifestation of depression in adolescents living with HIV in Harare, Zimbabween_ZA
dc.typeArticleen_ZA
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