Physical activity counselling in women with HIV/AIDS and suicidal ideation: a secondary analysis of a real-world intervention in Ugandan HIV counselling centres.

Journal: The Pan African medical journal

Volume: 45

Issue: 

Year of Publication: 2023

Affiliated Institutions:  KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium. Department of Sociology and Social Administration, Kyambogo University, Kampala, Uganda. School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia.

Abstract summary 

people with HIV/AIDS have higher rates of suicidal ideation than the general population. Consequently, HIV counselling settings should implement suicide risk reduction initiatives. Physical activity (PA) counselling could be a relevant add-on intervention. The aim of this secondary analysis from a single-arm pre- and post-study exploring the efficacy of PA counselling for HIV/AIDS patients with mental health problems was to investigate the efficacy of PA counselling on reducing suicidal ideation.out of 41 participants in an 8-week PA counselling intervention, 15 participants reported suicidal ideation. These 15 (15♀, median age=42 years, interquartile range=24 years) participants completed the Patient Health Questionnaire-9 (PHQ-9), Alcohol Use Disorder Identification Test -10 (AUDIT-10), and the Simple Physical Activity Questionnaire (SIMPAQ) pre- and immediately post-intervention.the prevalence of suicidal ideation (PHQ-9 item 9≥1) dropped to 20% post-intervention, i.e. only three patients with HIV still reported suicidal ideation. Also, following the intervention significant (P<0.05) increases in walking and incidental PA (SIMPAQ) levels, and reductions in depressive and alcohol abuse symptoms were observed.our data demonstrate that PA counselling might be promising in reducing suicidal ideation in most HIV patients in low-resourced settings. Randomized controlled trials are warranted to confirm these beneficial findings.

Authors & Co-authors:  Vancampfort Davy D Mugisha James J Rosenbaum Simon S Van Damme Tine T

Study Outcome 

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Statistics
Citations :  Lofgren S, Bond D, Nakasujja N, Boulware D. Burden of depression in outpatient HIV-infected adults in sub-Saharan Africa; systematic review and meta-analysis. AIDS Behav. 2020;24:1752–64.
Authors :  4
Identifiers
Doi : 70
SSN : 1937-8688
Study Population
Women
Mesh Terms
Humans
Other Terms
Alcohol;depression;physical activity;suicide
Study Design
Randomized Control Trial,Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
Uganda