Psychopathology and sociodemographic characteristics of people with the human immunodeficiency virus and acquired immunodeficiency syndrome

Authors

Keywords:

depression, psychopathology, HIV

Abstract

Introduction: mental illnesses are associated with an increased risk of infection by the human immunodeficiency virus and acquired immunodeficiency syndrome and, conversely, some mental disorders occur as a direct result of human immunodeficiency virus infection. Objective: to identify the presence of psychopathology in people with human immunodeficiency virus and acquired immunodeficiency syndrome and its relationship with some sociodemographic characteristics. Method: a cross-sectional descriptive study including 741 patients with the human immunodeficiency virus and acquired immunodeficiency syndrome assisted at the Central Hospital of Nampula, Mozambique, was conducted. The sociodemographic variables, the presence of psychological symptoms and the psychiatric diagnosis were studied. Descriptive and inferential statistics were used to analyze the data. Results: the average age was 35.4 years old and female patients predominated, with employment, primary schooling, a stable partner and zero to two children. The majority (70.7%) had psychological symptoms, symptoms of depression prevailed. The most frequent diagnoses were adjustment disorders (18.7%), major depressive disorder (16.8%), psychosis (10.5%), personality disorders (5%) and dysthymic disorder (3, 6%). The age group between 15 and 24 years, female sex, unemployment, being in prison, not having a partner and having zero to two children were significantly associated with psychopathology (p <0.05). Conclusions: psychiatric morbidity is frequent in seropositive persons and is associated with some demographic characteristics that seem to become factors of psychosocial stress.

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Author Biographies

Andrés Vázquez Machado, Policlínico "Jimmy Hirzel"

Especialista de II Grado en Psiquiatría. Máster en Psiquiatría Social. Profesor Asistente de la Universidad de Ciencias Médicas de Granma. Departamento de Salud Mental del Policlínico "Jimmy Hirzel", Bayamo, Granma.

Julienne Mukamutara, Hospital Central de Nampula

Licenciada en Psicología

References

1. Sharp PM, Hahn BH. Origins of HIV and the AIDS pandemic. Cold Spring Harb Perspect Med [Internet]. 2011 Sep [citado 20 Ene 2018];1(1):a006841. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3234451/

2. World Health Organization. HIV/AIDS. Fact sheet Nº360 [Internet]. Ginebra: WHO; 2015. [citado 20 Ene 2018]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/hiv-aids

3. Kharsany AB, Karim QA. HIV Infection and AIDS in Sub-Saharan África: Current Status, Challenges and Opportunities. Open AIDS J [Internet]. 2016 [citado 20 Ene 2018];10:34-48. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893541/

4. Schlebusch L, Govender RD. Elevated risk of suicidal ideation in HIV-Positive persons. Depression Res Treat [Internet]. 2015 [citado 20 Ene 2018];4:1-6. Disponible en: https://www.hindawi.com/journals/drt/2015/609172/

5. Egbe CO, Dakum PS, Ekong E, Kohrt BA, Minto JG, Ticao CJ. Depression, suicidality, and alcohol use disorder among people living with HIV/AIDS in Nigeria. BMC Public Health [Internet]. 2017 Jun [citado 20 Ene 2018];17(1):542-55. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28577548

6. Olley BO, Adebayo KO, Ogunde MJ, Ishola A, Ogar AP. Psychosocial factors predicting severity of depression among treatment-seeking HIV/AIDS patients: A multi-site Nigerian study. Niger J Clin Pract [Internet]. 2017 Mar [citado 20 Ene 2018];20(3):296-302. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28256483

7. Seth P, Kidder D, Pals S, Parent J, Mbatia R, Chesang K. Psychosocial Functioning and Depressive Symptoms Among HIV-Positive Persons Receiving Care and Treatment in Kenya, Namibia, and Tanzania. Prev Sci [Internet]. 2014 Jun [citado 20 Ene 2018];15(3):318-28. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23868419

8. Tlhajoane M, Eaton JW, Takaruza A, Rhead R, Maswera R, Schur N, et al. Prevalence and associations of psychological distress, HIV Infection and HIV Care Service utilization in East Zimbabwe. AIDS Behav [Internet]. 2018 [citado 20 Ene 2018];22(5):1485-95. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902521/

9. Okeke EN, Wagner GJ. AIDS Treatment and Mental Health: Evidence from Uganda. Soc Sci Med [Internet]. 2013 [citado 20 Ene 2018];92:27-34. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713499/

10. Tesfaw G, Ayano G, Awoke T, Assefa D, Birhanu Z, Miheretie G, et al. Prevalence and correlates of depression and anxiety among patients with HIV on follow up at Alert Hospital, Addis Ababa, Ethiopia. BMC Psychiatry [Internet]. 2016 Nov [citado 20 Ene 2018];16(1):368-75. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27806711

11. Fettig J, Swaminathan M, Murrill CS, Kaplan JE. Global Epidemiology of HIV. Infect Dis Clin North Am [Internet]. 2014 Sep [citado 20 Ene 2018];28(3):323-37. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25151559

12. Jobarteh K, Shiraishi RW, Malimane I, Gudo PS, Decroo T, Auld AF; et al. Community ART Support Groups in Mozambique: The Potential of Patients as Partners in Care. PloS One [Internet]. 2016 Dec [citado 20 Ene 2018];11(12):e0166444. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27907084

13. Schadé A, van Grootheest G, Smit JH. HIV-infected mental health patients: characteristics and comparison with HIV-infected patients from the general population and non-infected mental health patients. BMC Psychiatry [Internet]. 2013 Jan [citado 20 Ene 2018];13:35. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23343356

14. Shittu RO, Issa BA, Olanrewaju GT, Mahmoud AO, Odeigah LO, Salami AK, et al. Prevalence and correlates of depressive disorders among people living with HIV/AIDS, in North Central Nigeria. J AIDS Clin Res [Internet]. 2013 [citado 20 Ene 2018];4(11):251-8. Disponible en: https://www.omicsonline.org/prevalence-and-correlates-of-depressive-disorders-among-people-living-with-hivaids-in-north-central-nigeria-2155-6113.1000251.php?aid=21034

15. Knights MJ, Chatziagorakis A, Buggineni SK. HIV infection and its psychiatric manifestations: a clinical overview. Br J Psych Advanc [Internet]. 2017 [citado 20 Ene 2018];23(4):265-77. Disponible en: https://www.cambridge.org/core/journals/bjpsych-advances/article/hiv-infection-and-its-psychiatric-manifestations-a-clinical-overview/EB1393FE02F9E9872BD049F58E26FB8F

16. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IVTR. Washington, DC: American Psychiatric Publishing Inc; 2000.

17. Onsomu EO, Kimani JK, Abuya BA, Arif AA, Moore D, Duren-Winfield V; et al. Delaying sexual debut as a strategy for reducing HIV epidemic in Kenya. Afr J Reproduct Health [Internet]. 2013 Jun [citado 20 Ene 2018];17(2):46-57. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/24069751

18. Stöckl H, Kalra N, Jacobi J, Watts C. Is early sexual debut a risk factor for HIV infection among women in sub-Saharan Africa? A systematic review. Am J Reprod Immunol [Internet]. 2013 Feb [citado 20 Ene 2018];69(Suppl 1):27-40. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23176109

19. Pearson CR, Micek MA, Pfeiffer J, Montoya P, Matediane E, Jonasse T; et al. One Year After ART Initiation: Psychosocial Factors Associated with Stigma Among HIV-Positive Mozambicans. AIDS Bevah [Internet]. 2009 Dec [citado 20 Ene 2018];13(6):1189-96. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19639405

20. Amirkhanian YA, Kelly JA, Kuznetsova AV, DiFranceisco WJ, Musatov VB, Pirogov DG. People with HIV in HAART-era Russia: Transmission Risk Behavior Prevalence, Antiretroviral Medication-Taking, and Psychosocial Distress. AIDS Behav [Internet]. 2011 May [citado 20 Ene 2018];15(4):767-77. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20803063

21. Su X, Lau JT, Mak WW, Choi KC, Chen L, Song J, et al. Prevalence and associated factors of depression among people living with HIV in two cities in China. J Affect Disord [Internet]. 2013 Jul [citado 20 Ene 2018];149(1-3):108-15. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23452645

22. Do AN, Rosenberg ES, Sullivan PS, Beer L, Strine TW, Schulden JD, et al. Excess burden of depression among HIV-infected persons receiving medical care in the United State: Data from the medical onitoring project and the behavioral risk factors surveillance system. PLoS One [Internet]. 2014 Mar [citado 20 Ene 2018];9(3):e92842. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/24663122

23. Bhatia MS, Munjal S. Prevalence of depression in people living with HIV/AIDS undergoing ART and factors associated with it. J Clin Diagn Res [Internet]. 2014 Oct [citado 20 Ene 2018];8(10):1-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253251/

24. Sánchez-Fernández MD, Tomateo-Torvisco D. Síndromes psiquiátricos en personas infectadas por el Virus de la Inmunodeficiencia Humana: una revisión breve. Rev Neuropsiquiatr [Internet]. 2014 [citado 20 Ene 2018];77(2):70-7. Disponible en: http://www.scielo.org.pe/pdf/rnp/v77n2/v77n2ar2.pdf

25. Chauhan VS, Chaudhury S, Sudarsanan S, Srivastava K. Psychiatric morbidity in asymptomatic human immunodeficiency virus patients. Ind Psychiatry J [Internet]. 2013 Jul-Dec [citado 20 Ene 2018];22(2):125. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085804/

26. Adejumo O, Oladeji B, Akpa O, Malee K, Baiyewu O, Ogunniyi A; et al. Psychiatric Disorders and adherence to antiretroviral therapy among a population of HIV-infected adults in Nigeria. Int J STD AIDS [Internet]. 2016 Oct [citado 20 Ene 2018];27(11):938-49. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26384949

27. Marwick KF, Kaaya SF. Prevalence of depression and anxiety disorders in HIV-positive outpatients in rural Tanzania. AIDS Care [Internet]. 2010 Apr [citado 20 Ene 2018];22(4):415-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20131127

28. Moss da Silva C, Mendoza-Sassi RA, Días da Mota L, Nader MM, Barral de Martínez AM. Alcohol use disorders among people living with HIV/AIDS in Southern Brazil: prevalence, risk factors and biological markers outcomes. BMC Infect Dis [Internet]. 2017 Apr [citado 20 Ene 2018];17(1):263-71. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28399823

29. Gordon S, Rotheram-Borus MJ, Skeen S, Perry C, Bryant K, Tomlinson M. Research Priorities for the Intersection of Alcohol and HIV/AIDS in Low and Middle Income Countries: A Priority Setting Exercise. AIDS Behav [Internet]. 2017 Nov [citado 20 Ene 2018];21(suppl 2):262-73. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28975440

30. Belete T, Medfu G, Yemiyamrew E. Prevalence of HIV Associated Neurocognitive Deficit among HIV Positive People in Ethiopia: A Cross Sectional Study at Ayder Referral Hospital. Ethiop J Health Sci [Internet]. 2017 Jan [citado 20 Ene 2018];27(1):67-76. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28458492

Published

2019-04-05

How to Cite

1.
Vázquez Machado A, Mukamutara J. Psychopathology and sociodemographic characteristics of people with the human immunodeficiency virus and acquired immunodeficiency syndrome. Acta Méd Centro [Internet]. 2019 Apr. 5 [cited 2025 Aug. 25];13(2):208-20. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/957

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Section

Original Articles