Prevalence and correlates of probable post-traumatic stress disorder and common mental disorders in a population with a high prevalence of HIV in Zimbabwe. Issue 1 (1st January 2018)

• Record Type: Journal Article
• Authors: Verhey, R.; Gibson, L.; Brakarsh, J.; Chibanda, D.; Seedat, S.
• Is Part Of: European journal of psychotraumatology. Volume 9:Issue 1(2018)
• Publication Date: 2018-01-01
• Subjects: Post-traumatic stress disorder -- common mental disorders -- HIV -- low- and middle-income countries -- Zimbabwe -- primary health care; Trastorno de estrés postraumático -- Trastornos mentales comunes -- VIH -- Países de bajos y medios ingresos -- Zimbabue -- Atención primaria de salud.; 创伤后应激障碍 -- 常见精神障碍 -- HIV -- 低收入和中等收入国家 -- 津巴布韦 -- 初级卫生保健; PTSD was found in almost 41% of primary health-care users in Zimbabwe's capital. Nearly 45% of participants were HIV positive. Participants with PTSD were four times more likely than those without PTSD to have experienced a negative life event in the past six months. Participants with PTSD were six times more likely than those without PTSD to have CMDs.; Post-traumatic stress disorder -- Periodicals; Stress Disorders, Post-Traumatic; Post-traumatic stress disorder; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 616.8521
• DOI: 10.1080/20008198.2018.1536286
• Languages: English
• ISSNs: 2000-8198

Abstract

ABSTRACT: Background : We investigated the prevalence of and factors associated with post-traumatic stress disorder (PTSD) and common mental disorders (CMDs), which include depression and anxiety disorders, in a setting with a prevalence of high human immunodeficiency virus (HIV) within a primary care clinic, using the PTSD Checklist for DSM-5 and the 14-item Shona Symptom Questionnaire, both locally validated screening tools. Methods : A cross-sectional survey was carried out with adult patients ( n = 204) from the largest primary care clinic facility in Harare, Zimbabwe, in June 2016. Results : A total of 83 patients (40.7%) met the criteria for probable PTSD, of whom 57 (69.5%) had comorbid CMDs. Among people living with HIV, 42 (55.3%) had PTSD. Probable PTSD was associated with having experienced a negative life event in the past 6 months [adjusted odds ratio (OR) 3.73, 95% confidence interval (CI) 1.49–9.34] or screening positive for one or more CMD (adjusted OR 6.48, 95% CI 3.35–2.54). Conclusion : People living with HIV showed a high prevalence of PTSD and CMD comorbidity. PTSD screening should be considered when the CMD screen is positive and there is a history of negative life events.