Association between coping strategies, social support, and depression and anxiety symptoms among rural Ugandan women living with HIV/AIDS.

Journal: AIDS care

Volume: 30

Issue: 7

Year of Publication: 2019

Affiliated Institutions:  a Department of Health Behavior and Health Education , University of Michigan School of Public Health , Ann Arbor , MI , USA. b Department of Psychiatry , Michigan State University , East Lansing , MI , USA. c Department of Mental Health , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA. d Department of Psychiatry , Makerere University , Kampala , Uganda. e Department of Pediatrics and Child Health , Makerere University , Kampala , Uganda.

Abstract summary 

Poor mental health detrimentally affects quality of life among women living with HIV/AIDS. An improved understanding of how coping and social support relate to depression and anxiety in this population can facilitate the design and implementation of appropriate mental health treatment and support services. Secondary analysis was conducted on baseline data from 288 HIV-positive women enrolled in a parenting intervention in Uganda. Depression and anxiety symptoms, social support, and coping were assessed with the Hopkins Symptom Checklist and adapted versions of the Multidimensional Scale for Perceived Social Support and Ways of Coping Questionnaire. General linear regression models were used to estimate associations between coping and mental health. Based on report of elevated symptoms, approximately 10% of women were categorized as having clinically-relevant depression or anxiety. Emotion-focused (EF: p < .001) and problem-focused (PF: p = .01) coping were associated with more depressive symptoms while greater family support (EF: p = .002; PF: p = .003) was associated with fewer depression symptoms. More anxiety symptoms were associated with reporting both coping strategies (EF: p < .001; PF: p = .02) and higher community support (EF&PF: p = .01). The cross-sectional nature of the study limits our ability to rule out the role of reverse causation in the significant relationship between coping and mental health. Findings do suggest that high family support can be protective against depression and anxiety symptoms among women living with HIV.

Authors & Co-authors:  Seffren Victoria V Familiar Itziar I Murray Sarah M SM Augustinavicius Jura J Boivin Michael J MJ Nakasujja Noeline N Opoka Robert R Bass Judith J

Study Outcome 

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Statistics
Citations :  Bass J, Neugebauer R, Clougherty KF, Verdeli H, Wickramaratne P, Ndogoni L, . . . Bolton P. (2006). Group interpersonal psychotherapy for depression in rural Uganda: 6-month outcomes. The British Journal of Psychiatry, 188(6), 567–573.
Authors :  8
Identifiers
Doi : 10.1080/09540121.2018.1441969
SSN : 1360-0451
Study Population
Women
Mesh Terms
Adaptation, Psychological
Other Terms
Depression symptoms;PLWHA;Uganda;coping strategies;social support
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
England