Skip to main content

Advertisement

Log in

Lifetime and HIV-Related PTSD Among Persons Recently Diagnosed with HIV

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

This cross-sectional study sought to determine the percentage of individuals who met criteria for lifetime PTSD and HIV-related PTSD among 85 recently diagnosed HIV-positive patients attending public health clinics in the Western Cape, South Africa. The PTSD module of the Composite International Diagnostic Interview (CIDI) was used to determine the percentage of those who met criteria for lifetime PTSD and HIV-related PTSD. The rate of lifetime PTSD and incidence of HIV-related PTSD was 54.1% (95% CI: 43.6–64.3%) and 40% (95% CI: 30.2–50.6%), respectively. Findings suggest that receiving an HIV-positive diagnosis and/or being HIV-positive may be considered a stressor that frequently results in HIV-related PTSD. Given the various barriers to efficient mental health interventions and services in South Africa, there are significant challenges that need to be addressed in order to ensure that the mental health of HIV-positive individuals is appropriately addressed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Andrews, G., & Peters, L. (1998). The psychometric properties of the composite international diagnostic interview. Social Psychiatry and Psychiatric Epidemiology, 33, 80–88. doi:10.1007/s001270050026.

    Article  CAS  PubMed  Google Scholar 

  • Andrykowski, M., Cordova, M., Studts, J., & Miller, T. (1998). Posttraumatic stress disorder after treatment for breast cancer: Prevalence of diagnosis and use of the PTSD checklist-civilian version (PCL-C) as a screening instrument. Journal of Consulting and Clinical Psychology, 66, 586–590. doi:10.1037/0022-006X.66.3.586.

    Article  CAS  PubMed  Google Scholar 

  • Acierno, R., Resnick, H. S., & Kilpatrick, D. G. (1997). Health impact of interpersonal violence 1: Prevalence rates, case identification, and risk factors for sexual assault, physical assault, and domestic violence in men and women. Behavioral Medicine (Washington, DC), 23, 53–63.

    CAS  Google Scholar 

  • Botha, K. F. H. (1996). Posttraumatic stress disorder and illness behaviour in HIV-positive patients. Psychological Reports, 79, 843–845.

    CAS  PubMed  Google Scholar 

  • Breslau, N. (2001). The epidemiology of posttraumatic stress disorder: What is the extent of the problem? The Journal of Clinical Psychiatry, 62(Suppl. 17), 16–22.

    PubMed  Google Scholar 

  • Breslau, N. (2002). Epidemiological studies of trauma, posttraumatic stress disorder, and other psychiatric disorders. Canadian Journal of Psychiatry, 47, 923–930.

    Google Scholar 

  • Breslau, N., & Kessler, R. C. (2001). The stressor criterion in DSM-IV posttraumatic stress disorder: An empirical investigation. Biological Psychiatry, 50, 699–704. doi:10.1016/S0006-3223(01)01167-2.

    Article  CAS  PubMed  Google Scholar 

  • Brief, D. J., Bollinger, A. R., Vielhauer, M. J., Berger-Greenstein, J. A., Morgan, E. E., Brady, S. M., et al. (2004). Understanding the interface of HIV, trauma, post-traumatic stress disorder, and substance use and its implications for health outcomes. AIDS Care, 16(Suppl. 1), 97–120. doi:10.1080/09540120412301315259.

    Article  Google Scholar 

  • Brouwer, C. N. M., Lok, C. L., Wolffers, I., & Sebagalls, S. (2000). Psychosocial and economic aspects of HIV/AIDS and counselling of caretakers of HIV-infected children in Uganda. AIDS Care, 12, 535–540. doi:10.1080/095401200750003725.

    Article  CAS  PubMed  Google Scholar 

  • Carr, R. L., & Gramling, L. F. (2004). Stigma: A health barrier for women with HIV/AIDS. The Journal of the Association of Nurses in AIDS Care, 15, 30–39. doi:10.1177/1055329003261981.

    Article  PubMed  Google Scholar 

  • Delahanty, D. L., Bogart, L. M., & Figler, J. L. (2004). Posttraumatic stress disorder symptoms, salivary cortisol, medication adherence, and CD4 levels in HIV-positive individuals. AIDS Care, 16, 247–260. doi:10.1080/09540120410001641084.

    Article  CAS  PubMed  Google Scholar 

  • Freeman, M., Nkomo, N., Kafaar, Z., & Kelly, K. (2008). Mental disorder in people living with HIV/AIDS in South Africa. South African Journal of Psychology. Suid-Afrikaanse Tydskrif Vir Sielkunde, 38, 489–500.

    Google Scholar 

  • Human Sciences Research Council. (2005). South African national HIV prevalence, HIV incidence, behaviour and communication survey, 2005. Cape Town: HSRC Press.

    Google Scholar 

  • Israelski, D. M., Prentiss, D. E., Lubega, S., Balmas, G., Garcia, P., Muhammad, M., et al. (2007). Psychiatric co-morbidity in vulnerable populations receiving primary care for HIV/AIDS. AIDS Care, 19, 220–225. doi:10.1080/09540120600774230.

    Article  CAS  PubMed  Google Scholar 

  • Kagee, A. (2008). Application of the DSM-IV criteria to the experience of living with AIDS. Some concerns. Journal of Health Psychology, 13, 34–37.

    Google Scholar 

  • Katz, S., & Nevid, S. J. (2005). Risk factors associated with posttraumatic stress disorder symptomatology in HIV-infected women. AIDS Patient Care and STDs, 19, 110–120. doi:10.1089/apc.2005.19.110.

    Article  PubMed  Google Scholar 

  • Kelly, B., Raphael, B., Judd, F., Perdices, M., Kernutt, G., Burnett, P., et al. (1998). Posttraumatic stress disorder in response to HIV infection. General Hospital Psychiatry, 20, 345–352. doi:10.1016/S0163-8343(98)00042-5.

    Article  CAS  PubMed  Google Scholar 

  • Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.

    CAS  PubMed  Google Scholar 

  • Kimerling, R., Calhoun, K. S., Forehand, R., Armistead, L., Morse, E., Morse, P., et al. (1999). Traumatic stress in HIV-infected women. AIDS Education and Prevention, 11, 321–330.

    CAS  PubMed  Google Scholar 

  • Martinez, A., Israelski, D., Walker, C., & Koopman, C. (2002). Posttraumatic stress disorder in women attending human immunodeficiency virus outpatient clinics. AIDS Patient Care and STDs, 16, 283–291. doi:10.1089/10872910260066714.

    Article  PubMed  Google Scholar 

  • Olley, B. O., Seedat, S., & Stein, D. J. (2006). Persistence of psychiatric disorders in a cohort of HIV/AIDS patients in South Africa. Journal of Psychosomatic Research, 61, 479–484. doi:10.1016/j.jpsychores.2006.03.010.

    Article  PubMed  Google Scholar 

  • Olley, B. O., Zeier, M. D., Seedat, S., & Stein, D. J. (2005). Post-traumatic stress disorder among recently diagnosed patients with HIV/AIDS in South Africa. AIDS Care, 17, 550–557. doi:10.1080/095401204123315089.

    Article  CAS  PubMed  Google Scholar 

  • Poindexter, C. C. (1997). In the aftermath: Serial crisis intervention for people with HIV. Health and Social Work, 22, 125–132.

    CAS  PubMed  Google Scholar 

  • Safren, S. A., Gershuny, B. S., & Hendriksen, E. (2003). Symptoms of posttraumatic stress and death anxiety in persons with HIV and medication adherence difficulties. AIDS Patient Care and STDs, 17, 657–664. doi:10.1089/108729103771928717.

    Article  PubMed  Google Scholar 

  • Saraceno, B., van Ommeren, M., Batniji, R., Cohen, A., Gureje, O., Mahoney, J., et al. (2007). Barriers to improvement of mental health services in low-income and middle-income countries. Lancet, 370, 1164–1174. doi:10.1016/S0140-6736(07)61263-X.

    Article  PubMed  Google Scholar 

  • Simbayi, L. C., Kalichman, S., Strebel, A., Cloete, A., Henda, N., & Mqeketo, A. (2007). Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa. Social Science and Medicine, 64, 1823–1831. doi:10.1016/j.socscimed.2007.01.006.

    Article  PubMed  Google Scholar 

  • Stein, D. J., Seedat, S., Herman, A., Moomal, H., Heeringa, S. G., Kessler, R. C., et al. (2008). Lifetime prevalence of psychiatric disorders in South Africa. The British Journal of Psychiatry, 192, 112–117. doi:10.1192/bjp.bp.106.029280.

    Article  PubMed  Google Scholar 

  • Williams, D. R., Herman, A., Kessler, R. S., Sonnega, J., Seedat, S., Stein, D. J., et al. (2004). The South African stress and health study: Rationale and design. Metabolic Brain Disease, 19, 135–147. doi:10.1023/B:MEBR.0000027424.86587.74.

    Article  PubMed  Google Scholar 

  • Williams, D. R., Herman, A., Stein, D. J., Heeringa, S. G., Jackson, P. B., Moomal, H., et al. (2008). Twelve-month mental disorders in South Africa: Prevalence, service use and demographic correlates in the population-based South African Stress and Health Study. Psychological Medicine, 38, 211–220. doi:10.1017/S0033291707001420.

    Article  CAS  PubMed  Google Scholar 

  • Withell, B. (2000). A study of the experiences of women living with HIV/AIDS in Uganda. International Journal of Palliative Nursing, 6, 234–244.

    CAS  PubMed  Google Scholar 

  • World Health Organization. (1997). Composite international diagnostic interview, version 2.1. Geneva: WHO.

    Google Scholar 

  • World Health Organization. (2001). Fact sheet: Women and HIV/AIDS. Retrieved 10, August 2008 from http://www.who.int/mip2001/files/2271/242-WomenandHIVAIDSforMIP.pdf.

  • World Health Organization. (2008). Epidemiological fact sheet on HIV and AIDS: South Africa, 2008 update. Retrieved 10, August 2008 from http://www.who.int/globalatlas/predefinedReports/EFS2008/full/EFS2008_ZA.pdf.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ashraf Kagee.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Martin, L., Kagee, A. Lifetime and HIV-Related PTSD Among Persons Recently Diagnosed with HIV. AIDS Behav 15, 125–131 (2011). https://doi.org/10.1007/s10461-008-9498-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-008-9498-6

Keywords

Navigation