Publication: Risk and protective factors in the mental health of adolescents living with HIV in Namibia
Loading...
Files
Official URL
Full text at PDC
Publication Date
2016-08-22
Authors
Advisors (or tutors)
Editors
Journal Title
Journal ISSN
Volume Title
Publisher
Universidad Complutense de Madrid
Citations
Exportar
Abstract
"Introducción": A pesar de que el 90% de los adolescentes con VIH en el mundo viven en África subsahariana, pocos estudios han examinado el impacto que tiene el hecho de estar infectados por VIH sobre su salud mental en este región. Además, los adolescentes con VIH en contextos de escasos recursos se enfrentan con factores de riesgo adicionales, como la pobreza, la falta de apoyo social y el estigma relacionado con el VIH. Este estudio examina la salud mental de los adolescentes que viven con el VIH en Namibia, un país con una de las prevalencias de VIH más altas del mundo. El estudio examina si estos adolescentes muestran mayores problemas de salud mental respecto a un grupo de comparación de la comunidad. Asimismo, el estudio evalúa los factores que predicen problemas de salud mental con el fin de identificar las potenciales áreas de intervención que permitan mejorar dichos problemas. Métodos: En una fase piloto, se organizan grupos de discusión con 34 adolescentes y entrevistas con ocho informantes clave para explorar las percepciones locales sobre los problemas de salud mental, así como sus factores de riesgo y factores de proteccion. Dado que las propiedades psicométricas del instrumento seleccionado para medir salud mental, el cuestionario Strengths and Difficulties Questionnaire/ Cuestionario de Capacidades y Dificultades (SDQ), nunca habían sido exploradas antes en Namibia, se decidió administrarlo a 236 participantes con edades comprendidas entre 12 y 18 años en una fase piloto cuantitativa...
"Background": Despite the fact that 90% of the world‘s HIV-positive adolescents live in sub- Saharan Africa, little research in this region has examined the impact of HIV status on their mental health. Furthermore, HIV-positive adolescents in resource poor contexts face additional risk factors, such as poverty, poor social support and HIV-related stigma. This study examines the mental health of adolescents living with HIV in Namibia, a country with one of the highest HIV prevalence in the world. The study examines whether these adolescents show increased mental health problems when compared to a community comparison group and assesses which factors predict negative mental health outcomes in order to identify potential areas of intervention for improving mental health. Methods: Group discussions with 34 adolescents and interviews with eight key informants explored local perceptions of mental health problems as well as risk and protective factors for mental health problems in a pilot phase. As the psychometric properties of the mental health instrument, the Strengths and Difficulties Questionnaire (SDQ), had never been explored in Namibia, it was administered to 236 participants between the ages of 12 and 18 prior to administration to the study sample. For the main study, 99 fully disclosed HIV-positive adolescents between the ages of 12 and 18 were interviewed at a State Hospital in Windhoek between July 2013 and March 2014, using a standardised questionnaire and compared to a randomly selected matched community comparison group (n=159). Interviews assessed emotional and behavioural symptoms of distress, using the SDQ, and risk factors including poverty, social support, orphan status and HIV-related stigma. Data were analysed with t-tests, chi-squares, ANOVAs and regression analysis...
"Background": Despite the fact that 90% of the world‘s HIV-positive adolescents live in sub- Saharan Africa, little research in this region has examined the impact of HIV status on their mental health. Furthermore, HIV-positive adolescents in resource poor contexts face additional risk factors, such as poverty, poor social support and HIV-related stigma. This study examines the mental health of adolescents living with HIV in Namibia, a country with one of the highest HIV prevalence in the world. The study examines whether these adolescents show increased mental health problems when compared to a community comparison group and assesses which factors predict negative mental health outcomes in order to identify potential areas of intervention for improving mental health. Methods: Group discussions with 34 adolescents and interviews with eight key informants explored local perceptions of mental health problems as well as risk and protective factors for mental health problems in a pilot phase. As the psychometric properties of the mental health instrument, the Strengths and Difficulties Questionnaire (SDQ), had never been explored in Namibia, it was administered to 236 participants between the ages of 12 and 18 prior to administration to the study sample. For the main study, 99 fully disclosed HIV-positive adolescents between the ages of 12 and 18 were interviewed at a State Hospital in Windhoek between July 2013 and March 2014, using a standardised questionnaire and compared to a randomly selected matched community comparison group (n=159). Interviews assessed emotional and behavioural symptoms of distress, using the SDQ, and risk factors including poverty, social support, orphan status and HIV-related stigma. Data were analysed with t-tests, chi-squares, ANOVAs and regression analysis...
Description
Tesis inédita de la Universidad Complutense de Madrid, Facultad de Psicología, Departamento de Personalidad, Evaluación y Tratamiento Psicológico I (Personalidad, Evaluación y Psicología Clínica), leída el 18-01-2016