“We did more than survive”

Lessons learned from studies of risk and resilience of young people growing up with HIV and mental health needs

Bibliographic Data

ID19440468
AuthorsOhemaa B Poku (HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA), Ohemaa Poku (0000-0001-7658-2981, New York Psychoanalytic Society and Institute, corresponding author), Afifa Ahmed (HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA), Lucy Liotta (0000-0002-6277-1172, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA), Luke Kluisza (0000-0002-0601-9453, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA), Reuben N Robbins (0000-0003-0774-2245, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA), Elaine J Abrams (0000-0001-7938-8981, ICAP at Columbia University, Mailman School of Public Health and Department of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University, New York City, NY, USA), Claude Ann Mellins (0000-0002-1978-7638, New York Psychoanalytic Society and Institute)
Year2024
Volume36
Issuesup1
Pages24-35
Publication date2024-07-09
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2024.2308745
PMID38446048
OpenAlexW4392506282
LanguageEN
References cited112

Despite advances in HIV-treatment, adolescents and young adults (AYA) with HIV (AYAHIV) face myriad challenges. They are less likely than children and older adults to be virally suppressed and are at higher risk for mental health conditions compared to their peers who do not have HIV. AYA are also developing in the context of numerous biomedical, neurocognitive, and psychosocial developmental changes. Normative challenges during this time can be exacerbated by HIV and can result in significant physical and mental health problems. Yet, many AYAHIV have shown resilience with positive assets and resources and few health or mental health problems. Historically research has had a risk-focused approach to understanding AYAHIV needs. This paper discusses the rationale for a shift from a risk-focused only approach to one that examines AYAHIV needs from both a risk and resilience perspective. This paper presents: (1) epidemiological data on AYAHIV; (2) conceptual models for understanding both risk (e.g., poverty, stress, trauma, limited resources) and resilience/protective factors (e.g., family and peer support, future orientation, problem-solving skills); (3) global data examining risk and protective factors for physical and mental health challenges; and (4) promising interventions that incorporate elements of resilience to improve overall outcomes among AYAHIV

Cognition · Geography · Mental health · Neurocognitive · Normative · Political science · Poverty · Psychiatry · Psychological intervention · Psychological resilience · Psychosocial · Adolescent and Pediatric Healthcare · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology · Gerontology