"We Need Gentleness": Isolation, Loneliness, and Implications for Psychosocial Counseling Among People with HIV who are on Methadone Maintenance Treatment and Experience Common Mental Disorders in Vietnam.

Journal: AIDS and behavior

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Affiliated Institutions:  Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA. tfilipow@email.unc.edu. The University of North Carolina-Vietnam Office, Hanoi, Vietnam. Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam. Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA. Epidemiology Department, Hanoi Medical University, Hanoi, Vietnam. Department of Psychiatry & Research Support Centre, University of Zimbabwe, Harare, Zimbabwe. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA.

Abstract summary 

The psychological experiences and needs of people with human immunodeficiency virus (HIV) who use methadone maintenance treatment and have common mental disorders in Hanoi, Vietnam remain unknown. Due to limited services for common mental disorders, optimal delivery methods for psychotherapy are also unknown. Accordingly, this qualitive study explored both symptoms of common mental disorders among this population and the preferred qualifications and characteristics of a mental health counselor. We interviewed patients, their family members and caretakers, clinic providers, and clinic directors to answer these questions. Feelings of loneliness, isolation, sadness, hopelessness, and a general lack of motivation were common among patient participants. Patient participants had no preference among counselor professional qualifications. Three key qualities‒gentleness, enthusiasm, and understanding ‒ emerged as preferred counselor characteristics. The results from this work will help inform the future tailoring of mental health interventions among a population with unique care needs in Hanoi as well as other populations of people with HIV with common mental disorders.

Authors & Co-authors:  Filipowicz Teresa R TR Tran Ha Viet HV Nong Ha Thi Thuy HTT Tran Thuy Thi Thu TTT Landrum Kelsey R KR Nguyen Minh X MX Verhey Ruth R Chibanda Dixon D Go Vivian Fei-Ling VF Pence Brian Wells BW Gaynes Bradley N BN

Study Outcome 

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Citations :  “Drug use and HIV,” United Nations : UNODC Regional Office for Southeast Asia and the Pacific. Accessed: Sep. 06, 2023. [Online]. Available: // www.unodc.org/roseap/en/what-we-do/drugs-health-ad/drug-use-hiv.html
Authors :  11
Identifiers
Doi : 10.1007/s10461-024-04591-w
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Other Terms
HIV;Mental disorders;Mental health services;Opioid-related disorders
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Country of Study
Publication Country
United States