Search results for ‘Subject term:"mental health problems"’ Sort:
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Psychological distress patterns of women and mothers presenting for HIV-related mental health care
- Authors:
- REECE Michael, BASTA Tania B., KOERS Erin
- Journal article citation:
- Journal of HIV/AIDS and Social Services, 3(2), 2004, pp.93-109.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Over a seven year period, data were collected from 228 women living with HIV upon their self-enrollment into mental health care at an HIV-related mental health clinic in the USA. Analyses were conducted to explore the symptoms of mental health distress being presented by women upon their enrollment into care and, in particular, associations between these symptoms and characteristics of motherhood. Findings suggest that women living with HIV present for care with significant levels of psychological distress symptoms and that factors related to parenthood are associated with diverse clinical presentations. As an increasingly prevalent component of the HIV social services system, women living with HIV are in need of access to services that are responsive to their unique mental health issues and that are based upon an understanding of the extent to which familial variables influence psychological distress. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Sibling separation and psychological problems of double AIDS orphans in rural China – a comparison analysis
- Authors:
- GONG J., et al
- Journal article citation:
- Child: Care, Health and Development, 35(4), July 2009, pp.534-541.
- Publisher:
- Wiley
The authors investigated the psychological impact of sibling separation among children who lost both of their parents to AIDS and were placed in group care or kinship care settings in rural China. Comparative analysis of cross-sectional survey data among 155 children among whom 96 experienced sibling separation. Trauma symptoms (anxiety, depression, anger, post-traumatic stress, dissociation, sexual concerns) were compared between the AIDS orphans who experienced sibling separation and those who did not using analysis of variance and multivariate analysis of covariance. Among the participants (47.7% girls) with an average age of 12.4 years, univariate and multivariate analyses showed that separation from siblings was associated with significantly higher scores in anxiety, depression, anger and dissociation before or after controlling for gender, age, care arrangement, number of household replacement, trusting relationship with the current caregivers and perceived quality of current living condition. Sibling separation among orphans was not associated with level of post-traumatic stress and sexual concerns. The authors conclude that AIDS orphans separated from their siblings suffered from increased psychological distress compared with those who remained with their siblings. The data in the current study suggest that care arrangement for AIDS orphans should include accommodating the siblings together or providing them with opportunities for frequent contact and/or communication with each other. Appropriate psychological counselling should be given to those orphans experiencing sibling separation.
Childhood sexual abuse and sexual transmission risk behaviour among HIV-positive men who have sex with men
- Authors:
- O'LEARY A., et al
- Journal article citation:
- AIDS Care, 15(1), February 2003, pp.17-26.
- Publisher:
- Taylor and Francis
Previous studies have indicated an association between childhood sexual abuse (CSA) and adult sexual risk behaviour among women and among men who have sex with men (MSM). However, no studies to date have tested the hypothesis that a history of CSA predicts sexual behaviour carrying risk of transmission of HIV to others. The present study tested this hypothesis among a sample of 456 HIV-positive MSM recruited from community venues in New York and San Francisco. Anxiety and hostility were significantly associated with insertive acts, while anxiety, hostility and suicidality were associated with receptive acts. These results highlight the importance of mental health services for individuals who have been sexually abused, both for personal and for public health benefit.
Trauma, coping, and depression among women with HIV/AIDS in New York City
- Authors:
- SIMONI J.M., NG M.T.
- Journal article citation:
- AIDS Care, 12(5), October 2000, pp.567-580.
- Publisher:
- Taylor and Francis
Among 230 HIV-positive women in New York city, the researchers examined the association of retrospective self-reports of sexual and physical abuse, current coping strategies and depressive symptomatology. Results revealed a high prevalence of abuse in childhood and adulthood. Childhood abuse positively correlated with the frequency of current adaptive and avoidant coping strategies. Implications for improving the psychological functioning of women living with HIV/AIDS are discussed.
HIV-negative gay men: individual and community social service needs
- Author:
- BALL Steven
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 4(2), 1996, pp.25-40.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Addresses the need for mental health professionals to be alert to the specific psychological and social stressors affecting a large group of survivors of the ongoing AIDS epidemic: HIV-negative gay men. The difficult obstacles to surviving often release severe emotional reactions that at their worst can lead to self-destructive behaviours that put men at risk for contracting HIV. A protocol that integrates group work into existing treatment that helps begin the delivery of services to this often overlooked, traumatised population, is described.