Psychological Distress in a Population of People Living with HIV/AIDS in Nigeria: Association with Socio-demographics and Perceived Social Support

Background: Recent improvement in the care of People living with HIV/AIDS (PLHA) continues to change the face of HIV infection from a deadly disease to a chronic illness with attendance psychological sequelae. The objective of this present study was to examine the rate of psychological distress (PD)...

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Main Authors: Adetunji Obadeji, Lateef Olutoyin Oluwole, Banji Ferdinand Kumolalo, Kehinde Oyeyemi Oderinde, Adedotun Samuel Ajiboye, Christopher Goson Piwuna
Format: Article
Language:English
Published: University of Messina 2021-04-01
Series:Mediterranean Journal of Clinical Psychology
Subjects:
Online Access:https://cab.unime.it/journals/index.php/MJCP/article/view/2824
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author Adetunji Obadeji
Lateef Olutoyin Oluwole
Banji Ferdinand Kumolalo
Kehinde Oyeyemi Oderinde
Adedotun Samuel Ajiboye
Christopher Goson Piwuna
author_facet Adetunji Obadeji
Lateef Olutoyin Oluwole
Banji Ferdinand Kumolalo
Kehinde Oyeyemi Oderinde
Adedotun Samuel Ajiboye
Christopher Goson Piwuna
author_sort Adetunji Obadeji
collection DOAJ
description Background: Recent improvement in the care of People living with HIV/AIDS (PLHA) continues to change the face of HIV infection from a deadly disease to a chronic illness with attendance psychological sequelae. The objective of this present study was to examine the rate of psychological distress (PD), and its association with socio-demographics and perceived social support among PLHA. Methods: This cross-sectional study was conducted among a population of PLHA in Ado-Ekiti, Nigeria. Participants completed a socio-demographic questionnaire, the Multidimensional Scale of Perceived Social Support (MSPSS), and the 10-item Kessler Psychological distress scale. Relationship between sociodemographic variables, social support and PD were examined using bivariate and multivariate analyses. Results: Of 324 participants, 26.5% were experiencing PD. Being a female, unemployed, having no spouse, no post-test counseling or non-disclosure of status increases the odds of developing PD while the absence of complications significantly reduces the risk of developing psychological distress [OR=0.31 (95% CI: 0.17-0.56), AOR=0.20 (95% CI: 0.09-0.45)]. There was a significant negative correlation between PD and MSPSS (r= -0.116, p=0.037) and its Significant others subscale (r= -0.276, p=0.001). Conclusions: The study findings emphasize the importance of enhancing social support systems for people living with HIV/AIDS in a bid to reduce psychological distress. Similarly, disclosure of illness and ensuring post-test counseling are essential in preparing PLHA to cope effectively after testing. Incorporating psychological assessment as well as care for PLHA will go a long way in improving treatment outcomes.
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spelling doaj.art-dcff34908b94422384af13554c80966e2022-12-22T04:25:24ZengUniversity of MessinaMediterranean Journal of Clinical Psychology2282-16192021-04-019110.6092/2282-1619/mjcp-28242401Psychological Distress in a Population of People Living with HIV/AIDS in Nigeria: Association with Socio-demographics and Perceived Social SupportAdetunji Obadeji0Lateef Olutoyin Oluwole1Banji Ferdinand Kumolalo2Kehinde Oyeyemi Oderinde3Adedotun Samuel Ajiboye4Christopher Goson Piwuna5Department of Psychiatry, College of Medicine, Ekiti State University, Ado-Ekiti Department of Psychiatry, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti StateDepartment of Psychiatry, College of Medicine, Ekiti State University, Ado-Ekiti; Department of Psychiatry, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti StateDepartment of Psychiatry, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti StateUniversity of Benin Teaching Hospital, BeninDepartment of Psychiatry, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti StateDepartment of Psychiatry, Faculty of Medicine, University of Jos, Jos, Plateau StateBackground: Recent improvement in the care of People living with HIV/AIDS (PLHA) continues to change the face of HIV infection from a deadly disease to a chronic illness with attendance psychological sequelae. The objective of this present study was to examine the rate of psychological distress (PD), and its association with socio-demographics and perceived social support among PLHA. Methods: This cross-sectional study was conducted among a population of PLHA in Ado-Ekiti, Nigeria. Participants completed a socio-demographic questionnaire, the Multidimensional Scale of Perceived Social Support (MSPSS), and the 10-item Kessler Psychological distress scale. Relationship between sociodemographic variables, social support and PD were examined using bivariate and multivariate analyses. Results: Of 324 participants, 26.5% were experiencing PD. Being a female, unemployed, having no spouse, no post-test counseling or non-disclosure of status increases the odds of developing PD while the absence of complications significantly reduces the risk of developing psychological distress [OR=0.31 (95% CI: 0.17-0.56), AOR=0.20 (95% CI: 0.09-0.45)]. There was a significant negative correlation between PD and MSPSS (r= -0.116, p=0.037) and its Significant others subscale (r= -0.276, p=0.001). Conclusions: The study findings emphasize the importance of enhancing social support systems for people living with HIV/AIDS in a bid to reduce psychological distress. Similarly, disclosure of illness and ensuring post-test counseling are essential in preparing PLHA to cope effectively after testing. Incorporating psychological assessment as well as care for PLHA will go a long way in improving treatment outcomes.https://cab.unime.it/journals/index.php/MJCP/article/view/2824clinical psychologydisclosurenigeriapeople living with hiv/aidspsychological distresssocial supportdepression and anxiety.
spellingShingle Adetunji Obadeji
Lateef Olutoyin Oluwole
Banji Ferdinand Kumolalo
Kehinde Oyeyemi Oderinde
Adedotun Samuel Ajiboye
Christopher Goson Piwuna
Psychological Distress in a Population of People Living with HIV/AIDS in Nigeria: Association with Socio-demographics and Perceived Social Support
Mediterranean Journal of Clinical Psychology
clinical psychology
disclosure
nigeria
people living with hiv/aids
psychological distress
social support
depression and anxiety.
title Psychological Distress in a Population of People Living with HIV/AIDS in Nigeria: Association with Socio-demographics and Perceived Social Support
title_full Psychological Distress in a Population of People Living with HIV/AIDS in Nigeria: Association with Socio-demographics and Perceived Social Support
title_fullStr Psychological Distress in a Population of People Living with HIV/AIDS in Nigeria: Association with Socio-demographics and Perceived Social Support
title_full_unstemmed Psychological Distress in a Population of People Living with HIV/AIDS in Nigeria: Association with Socio-demographics and Perceived Social Support
title_short Psychological Distress in a Population of People Living with HIV/AIDS in Nigeria: Association with Socio-demographics and Perceived Social Support
title_sort psychological distress in a population of people living with hiv aids in nigeria association with socio demographics and perceived social support
topic clinical psychology
disclosure
nigeria
people living with hiv/aids
psychological distress
social support
depression and anxiety.
url https://cab.unime.it/journals/index.php/MJCP/article/view/2824
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