HIV-Related Shame, Stigma and the Mental Health Functioning of Adolescents Living with HIV: Findings from a Pilot Study in Uganda.

Journal: Child psychiatry and human development

Volume: 54

Issue: 6

Year of Publication: 2023

Affiliated Institutions:  International Center for Child Health and Development (ICHAD) Brown School, Washington University in St. Louis, Campus Box , One Brookings Drive, St. Louis, MO, , USA. nabunyap@wustl.edu. International Center for Child Health and Development (ICHAD), Masaka, Uganda.

Abstract summary 

This study examined the relationship between HIV-related shame, stigma and the mental health of adolescents (10-14 years) living with HIV in Uganda. Cross sectional data from a 2-year pilot study for adolescents living with HIV (N = 89) were analyzed. Multiple linear regression analyses were conducted to determine the relation between HIV-related shame, as measured by the Shame Questionnaire, stigma, and adolescents' mental health functioning, including depressive symptoms, hopelessness, PTSD symptoms, loneliness and self-concept. The average age was 12.2 years, and 56% of participants were female. HIV-related shame was associated with higher levels of depressive symptoms (p < 0.05), hopelessness (p < 0.001), PTSD symptoms (p < 0.001), loneliness (p < 0.01), and low levels of self-concept (p < 0.01). HIV stigma was not associated with any of the outcomes. Findings support the need for the development of strategies to help adolescents overcome the shame of living with HIV and mitigate the effects of shame on adolescents' mental health and treatment outcomes.

Authors & Co-authors:  Nabunya Proscovia P Namuwonge Flavia F

Study Outcome 

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Citations :  Dickerson SS, Gruenewald TL, Kemeny ME. When the social self is threatened: shame, physiology, and health. J Pers. 2004;72:1191–1216. doi: 10.1111/j.1467-6494.2004.00295.x.
Authors :  2
Identifiers
Doi : 10.1007/s10578-022-01374-z
SSN : 1573-3327
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Adolescent mental health;Child PTSD;Depressive symptoms;HIV-related shame;Stigma
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
United States