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Trop Med Int Health. 2016 Oct;21(10):1198-1208. doi: 10.1111/tmi.12756. Epub 2016 Aug 10.

Psychological interventions for post-traumatic stress disorder in people living with HIV in Resource poor settings: a systematic review.

Author information

1
Zimbabwe Aids Prevention Project, University of Zimbabwe, Harare, Zimbabwe. ruth.verhey@zol.co.zw.
2
Zimbabwe Aids Prevention Project, University of Zimbabwe, Harare, Zimbabwe.
3
Say and Play Therapy Centre, Harare, Zimbabwe.
4
Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa.

Abstract

OBJECTIVE:

Post-traumatic stress disorder is pervasive in low- and middle-income countries. There is evidence to suggest that post-traumatic stress disorder is more common among people living with HIV than non-infected matched controls. We carried out a systematic review of interventions for adult post-traumatic stress disorder from resource poor settings with a focus on people living with HIV.

METHODS:

We included all studies that investigated interventions for adult post-traumatic stress disorder from resource poor settings with a focus on interventions that were either randomised controlled trials or observational cohort studies carried out from 1980 to May 2015.

RESULTS:

Of the 25 articles that were identified for full review, two independent reviewers identified seven studies that met our study inclusion criteria. All randomised controlled trials (RCT) (n = 6) used cognitive behavioural therapy-based interventions and focused on people living with HIV in resource poor settings. There was only one study focusing on the use of lay counsellors to address post-traumatic stress disorder but core competencies were not described. There were no intervention studies from Africa, only an observational cohort study from Rwanda.

CONCLUSION:

Rigorously evaluated interventions for adult post-traumatic stress disorder in people living with HIV are rare. Most were undertaken in resource poor settings located in high-income countries. There is a need for research on the development and implementation of appropriate interventions for post-traumatic stress disorder in people living with HIV in low- and middle-income countries.

KEYWORDS:

HIV; People living with HIV; Post-traumatic stress disorder; Trastorno por estrés postraumático (TEPT); VIH; lugares con pocos recursos; milieux pauvres en ressources; personas viviendo con VIH; personnes vivant avec le VIH; resource poor settings; syndrome de stress post-traumatique (SSPT)

PMID:
27443803
DOI:
10.1111/tmi.12756
[Indexed for MEDLINE]
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