Prevalence of potentially traumatic events and symptoms of depression, anxiety, hazardous alcohol use, and post-traumatic stress disorder among people with HIV initiating HIV care in Cameroon.

Journal: BMC psychiatry

Volume: 23

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  Gillings School of Global Public Health, Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. angela_parcesepe@unc.edu. Department of Psychiatry, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA. Clinical Research Education Networking and Consultancy, Yaounde, Cameroon. Department of Psychiatry, Columbia University and New York State Psychiatric Institute, New York, NY, USA. Albert Einstein College of Medicine, Department of Medicine, Bronx, NY, USA. Albert Einstein College of Medicine, Departments of Medicine and Epidemiology & Population Health, Bronx, NY, USA. Jamot Hospital, Yaounde, Cameroon. Bamenda Regional Hospital, Bamenda, Cameroon. Institute for Implementation Science in Population Health, City University of New York, New York, NY, USA.

Abstract summary 

This study explored the relationship between specific types of potentially traumatic events (PTEs) and symptoms of mental health disorders among people with HIV (PWH) in Cameroon.We conducted a cross-sectional study with 426 PWH in Cameroon between 2019-2020. Multivariable log binominal regression was used to estimate the association between exposure (yes/no) to six distinct types of PTE and symptoms of depression (Patient Health Questionnaire-9 score > 9), PTSD (PTSD Checklist for DSM-5 score > 30), anxiety (Generalized Anxiety Disorder-7 scale score > 9), and hazardous alcohol use (Alcohol Use Disorders Identification Test score > 7 for men; > 6 for women).A majority of study participants (96%) reported exposure to at least one PTE, with a median of 4 PTEs (interquartile range: 2-5). The most commonly reported PTEs were seeing someone seriously injured or killed (45%), family members hitting or harming one another as a child (43%), physical assault or abuse from an intimate partner (42%) and witnessing physical assault or abuse (41%). In multivariable analyses, the prevalence of PTSD symptoms was significantly higher among those who reported experiencing PTEs during childhood, violent PTEs during adulthood, and the death of a child. The prevalence of anxiety symptoms was significantly higher among those who reported experiencing both PTEs during childhood and violent PTEs during adulthood. No significant positive associations were observed between specific PTEs explored and symptoms of depression or hazardous alcohol use after adjustment.PTEs were common among this sample of PWH in Cameroon and associated with PTSD and anxiety symptoms. Research is needed to foster primary prevention of PTEs and to address the mental health sequelae of PTEs among PWH.

Authors & Co-authors:  Parcesepe Angela M AM Filiatreau Lindsey M LM Ebasone Peter Vanes PV Dzudie Anastase A Pence Brian W BW Wainberg Milton M Yotebieng Marcel M Anastos Kathryn K Pefura-Yone Eric E Nsame Denis D Ajeh Rogers R Nash Denis D

Study Outcome 

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Statistics
Citations :  LeGrand S, Reif S, Sullivan K, Murray K, Barlow ML, Whetten K. A review of recent literature on trauma among individuals living with HIV. Curr HIV/AIDS Rep. 2015;12(4):397–405. doi: 10.1007/s11904-015-0288-2.
Authors :  12
Identifiers
Doi : 150
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Male
Other Terms
Cameroon;HIV;Mental health;Trauma
Study Design
Cross Sectional Study
Study Approach
Country of Study
Cameroon
Publication Country
England