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Mental Disorder in People Living with HIV/Aids in South Africa

Bibliographic Data

ID11011372
AuthorsMelvyn Freeman (0000-0002-7521-0294, Human Sciences Research Council, 30 Urania Street, Observatory, Johannesburg, 2198, South Africa, corresponding author), Nkululeko Nkomo (0000-0002-7516-8145, Human Sciences Research Council), Zuhayr Kafaar (0000-0001-6873-9870, Stellenbosch University), Kevin J Kelly (0000-0002-2954-6117, Rhodes University), Kevin Kelly (0000-0003-2939-2274, CADRE, Institute for Social and Economic Research, Rhodes University)
Year2008
Volume38
Issue3
Pages489-500
Publication date2008-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSouth African Journal of Psychology (JOURNAL)
Journal identifiersISSN: 0081-2463 • E-ISSN: 2078-208X
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/008124630803800304
OpenAlexW2064259074
LanguageEN
Citations received32
References cited30

We investigate the prevalence of mental disorder in people living with HIV/AIDS in a developing country context and examine the relationship between the presence of mental disorder and various independent variables. Nine-hundred HIV positive people were interviewed in 18 recruitment sites across five provinces in South Africa, using a cross-culturally validated diagnostic instrument and a structured socio-demographic and health information questionnaire. Prevalence of mental disorder was established using the Composite International Diagnostic Interview (CIDI). Chi-square, Fischer exact test, and binary logistic regression examined the relationship between mental health disorders and demographic characteristics, disease stage, CD4 count, and whether the person was on anti-retroviral treatment. A number of respondents (43.7%) were found to have a diagnosable mental disorder. Depression was the most common disorder (11.1% major and 29.9% mild depression), followed by alcohol abuse disorder (12.4%). The presence of mental disorder was significantly associated with gender, employment status, having children, and the clinical stage of the disease. Gender and the stage of disease were the best predictors of mental disorder. Rates of mental disorder were substantially higher in people living with HIV/AIDS than generally found in populations in developing countries and similar to HIV positive groupings in developed countries. Viral impacts on the brain, psychological reactions, and social conditions all contributed to the higher prevalence rates. Mental health interventions need to become a central part of comprehensive HIV/AIDS support, care, and treatment programmes

Alcohol use disorder · CIDI · Context (archaeology) · Depression (economics) · Disease · Logistic regression · Mental health · Prevalence of mental disorders · Psychiatry · Psychological intervention · Adolescent Sexual and Reproductive Health · Clinical Psychology · Family Caregiving in Mental Illness · HIV/AIDS Research and Interventions · Internal Medicine · Medicine · Psychology

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Unique citing works32
Citations per year1.78
Citation span2008 - 2026 (19)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 28

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