Psychological interventions for Common Mental Disorders for People Living With HIV in Low- and Middle-Income Countries: systematic review

被引:66
作者
Chibanda, Dixon [1 ]
Cowan, Frances M. [2 ]
Healy, Jessica L. [3 ]
Abas, Melanie [4 ]
Lund, Crick [5 ]
机构
[1] Univ Zimbabwe, Coll Hlth Sci, Harare, Zimbabwe
[2] CeSHHAR Zimbabwe, Avondale West, Zimbabwe
[3] Ysbyty Gwynedd Betsi Cadwaladr Univ, Hlth Board, Bangor, Gwynedd, Wales
[4] Kings Coll London, Inst Psychiat, London WC2R 2LS, England
[5] Univ Cape Town, Dept Psychiat & Mental Hlth, ZA-7925 Cape Town, South Africa
关键词
Common mental disorders; depression; HIV; low- and middle-income countries; RANDOMIZED CONTROLLED-TRIAL; NONCOMMUNICABLE DISEASE COMORBIDITIES; TASK SHIFTING APPROACH; PRIMARY-CARE; SOUTH-AFRICA; HEALTH-CARE; COUNSELING INTERVENTION; ANTIRETROVIRAL THERAPY; PSYCHIATRIC-DISORDERS; POSTNATAL DEPRESSION;
D O I
10.1111/tmi.12500
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
OBJECTIVE To assess the effectiveness of structured psychological interventions against common mental disorders (CMD) in people living with HIV infection (PLWH), in low- and middle-income countries (LMIC). METHODS Systematic review of psychological interventions for CMD from LMIC for PLWH, with two-stage screening carried out independently by 2 authors. RESULTS Of 190 studies, 5 met inclusion criteria. These were randomised-controlled trials based on the principles of cognitive behaviour therapy (CBT) and were effective in reducing CMD symptoms in PLWH. Follow-up of study participants ranged from 6 weeks to 12 months with multiple tools utilised to measure the primary outcome. Four studies showed a high risk of bias, while 1 study from Iran met low risk of bias in all 6 domains of the Cochrane risk of bias tool and all 22 items of the CONSORT instrument. CONCLUSION There is a need for more robust and adequately powered studies to further explore CBT-based interventions in PLWH. Future studies should report on components of the psychological interventions, fidelity measurement and training, including supervision of delivering agents, particularly where lay health workers are the delivering agent.
引用
收藏
页码:830 / 839
页数:10
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