Common mental health problems and antiretroviral therapy adherence

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dc.contributor.authorNel A.
dc.contributor.authorKagee A.
dc.date.accessioned2012-02-15T08:18:36Z
dc.date.available2012-02-15T08:18:36Z
dc.date.issued2011
dc.description.abstractThis paper reviews the literature on various mental health problems and their impact on adherence to antiretroviral therapy (ART). Depression,anxiety disorders, and disorders related to substance abuse were identified as key role-players influencing adherence. The severity of symptoms related to these disorders was found to be inversely related to ART adherence,with the possible exception of post-traumatic stress disorder (PTSD). PTSD was found to have both positive and negative implications for adherence,with severity of symptoms ranging from health-protective concern to disabling distress. Possible solutions aimed at addressing the adverse effects of mental health problems on adherence are discussed. Routine screening in ART settings is suggested in settings where follow-up of positive screen scores are possible,along with the necessary interventions to resolve the disorder of concern. Suggested interventions include utilising psychotherapeutic treatment,both in isolation and in conjunction with medication,to address mental health problems. Furthermore,finding effective ways of marshalling social support is recommended for ensuring optimal adherence,and possibly mitigating the adverse effects of mental health problems. Further research is needed to find feasible ways of identifying, assessing and treating patients with mental health problems in resource-constrained settings where HIV prevalence is highest. © 2011 Taylor & Francis.
dc.identifier.citationAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
dc.identifier.citation23
dc.identifier.citation11
dc.identifier.citation1360
dc.identifier.citation1365
dc.identifier.issn9540121
dc.identifier.other10.1080/09540121.2011.565025
dc.identifier.urihttp://hdl.handle.net/10019.1/19781
dc.subjectantiretrovirus agent
dc.subjectAfrica
dc.subjectanxiety disorder
dc.subjectdepression
dc.subjecthealth care utilization
dc.subjecthuman
dc.subjectHuman immunodeficiency virus infection
dc.subjectHuman immunodeficiency virus prevalence
dc.subjectmental disease
dc.subjectpatient compliance
dc.subjectposttraumatic stress disorder
dc.subjectpriority journal
dc.subjectpsychotherapy
dc.subjectreview
dc.subjectscreening
dc.subjectsocial support
dc.subjectsubstance abuse
dc.subjectAnti-Retroviral Agents
dc.subjectAnxiety Disorders
dc.subjectDepressive Disorder
dc.subjectDrug Therapy, Combination
dc.subjectHIV Infections
dc.subjectHumans
dc.subjectMedication Adherence
dc.subjectMental Health Services
dc.subjectRisk Factors
dc.subjectSocial Support
dc.subjectStress Disorders, Post-Traumatic
dc.subjectSubstance-Related Disorders
dc.titleCommon mental health problems and antiretroviral therapy adherence
dc.typeReview
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