Mental Health in Women Living With HIV: The Unique and Unmet Needs

Women living with HIV (WLWH) experience depression, anxiety, and posttraumatic stress symptoms at higher rates than their male counterparts and more often than HIV-unaffected women. These mental health issues affect not only the well-being and quality of life of WLWH, but have implications for HIV m...

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Main Authors: Elizabeth M. Waldron, Inger Burnett-Zeigler, Victoria Wee, Yiukee Warren Ng, Linda J. Koenig, Aderonke Bamgbose Pederson, Evelyn Tomaszewski, Emily S. Miller
Format: Article
Language:English
Published: SAGE Publishing 2021-01-01
Series:Journal of the International Association of Providers of AIDS Care
Online Access:https://doi.org/10.1177/2325958220985665
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author Elizabeth M. Waldron
Inger Burnett-Zeigler
Victoria Wee
Yiukee Warren Ng
Linda J. Koenig
Aderonke Bamgbose Pederson
Evelyn Tomaszewski
Emily S. Miller
author_facet Elizabeth M. Waldron
Inger Burnett-Zeigler
Victoria Wee
Yiukee Warren Ng
Linda J. Koenig
Aderonke Bamgbose Pederson
Evelyn Tomaszewski
Emily S. Miller
author_sort Elizabeth M. Waldron
collection DOAJ
description Women living with HIV (WLWH) experience depression, anxiety, and posttraumatic stress symptoms at higher rates than their male counterparts and more often than HIV-unaffected women. These mental health issues affect not only the well-being and quality of life of WLWH, but have implications for HIV management and transmission prevention. Despite these ramifications, WLWH are under-treated for mental health concerns and they are underrepresented in the mental health treatment literature. In this review, we illustrate the unique mental health issues faced by WLWH such as a high prevalence of physical and sexual abuse histories, caregiving stress, and elevated internalized stigma as well as myriad barriers to care. We examine the feasibility and outcomes of mental health interventions that have been tested in WLWH including cognitive behavioral therapy, mindfulness-based interventions, and supportive counseling. Future research is required to address individual and systemic barriers to mental health care for WLWH.
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spelling doaj.art-64db5b8ccf664574a11561ddededd24e2022-12-21T22:25:46ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822021-01-012010.1177/2325958220985665Mental Health in Women Living With HIV: The Unique and Unmet NeedsElizabeth M. Waldron0Inger Burnett-Zeigler1Victoria Wee2Yiukee Warren Ng3Linda J. Koenig4Aderonke Bamgbose Pederson5Evelyn Tomaszewski6Emily S. Miller7 Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, , Chicago, IL, USA Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, , Chicago, IL, USA Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, , Chicago, IL, USA Department of Psychiatry, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, NY, USA Division of HIV/AIDS Prevention, , Atlanta, GA, USA Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, , Chicago, IL, USA Department of Social Work, College of Health and Human Services, , Fairfax, VA, USA Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Feinberg School of Medicine, , Chicago, IL, USAWomen living with HIV (WLWH) experience depression, anxiety, and posttraumatic stress symptoms at higher rates than their male counterparts and more often than HIV-unaffected women. These mental health issues affect not only the well-being and quality of life of WLWH, but have implications for HIV management and transmission prevention. Despite these ramifications, WLWH are under-treated for mental health concerns and they are underrepresented in the mental health treatment literature. In this review, we illustrate the unique mental health issues faced by WLWH such as a high prevalence of physical and sexual abuse histories, caregiving stress, and elevated internalized stigma as well as myriad barriers to care. We examine the feasibility and outcomes of mental health interventions that have been tested in WLWH including cognitive behavioral therapy, mindfulness-based interventions, and supportive counseling. Future research is required to address individual and systemic barriers to mental health care for WLWH.https://doi.org/10.1177/2325958220985665
spellingShingle Elizabeth M. Waldron
Inger Burnett-Zeigler
Victoria Wee
Yiukee Warren Ng
Linda J. Koenig
Aderonke Bamgbose Pederson
Evelyn Tomaszewski
Emily S. Miller
Mental Health in Women Living With HIV: The Unique and Unmet Needs
Journal of the International Association of Providers of AIDS Care
title Mental Health in Women Living With HIV: The Unique and Unmet Needs
title_full Mental Health in Women Living With HIV: The Unique and Unmet Needs
title_fullStr Mental Health in Women Living With HIV: The Unique and Unmet Needs
title_full_unstemmed Mental Health in Women Living With HIV: The Unique and Unmet Needs
title_short Mental Health in Women Living With HIV: The Unique and Unmet Needs
title_sort mental health in women living with hiv the unique and unmet needs
url https://doi.org/10.1177/2325958220985665
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