Cumulative psychosocial risk is a salient predictor of depressive symptoms among vertically HIV-infected and HIV-affected adolescents at the Kenyan coast

A.A. Abubakar, Fons van de Vijver, A. S. Hassan, R. Fischer, M. K. Nyongesa, B. Kabunda, J. A. Berkley, A. Stein, C.R. Newton

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Abstract

BACKGROUND Little is known of mental health outcomes among vertically HIV-infected or HIVaffected adolescents in Africa.

OBJECTIVES The current study set out to describe depressive symptoms and their correlates among vertically HIV-infected and HIV-affected adolescents at the Kenyan Coast.

METHODS 130 adolescents (vertically HIV-infected [n = 44], HIV-affected [n = 53], and unexposed [n = 33]) and their caregivers participated in this cross-sectional study. An adapted version of the Beck Depression Inventory-11 (BDI) was administered to examine depressive symptoms in both adolescents and caregivers, together with measures of sociodemographic, medical, and anthropometric characteristics.

FINDINGS Our analysis indicated a main effect of HIV status on mean BDI scores in HIV-infected (18.4 [SD = 8.3) and HIV-affected (16.8 [SD = 7.3]) adolescents compared to the community controls (12.0 [SD = 7.9]), F (2, 127) = 6.704, P =.002, eta(2) =.095. Post hoc analysis showed that BDI scores of HIV-infected adolescents were higher than those of community controls (P

CONCLUSIONS Both HIV-infected and HIV-affected adolescents are at a high risk of experiencing depressive symptoms, largely due to the multiple psychosocial risk factors in their environment. The provision of adequate psychosocial support and counseling needs to become an integral part of the care program for adolescents from families living with HIV/AIDS at the Kenyan coast and other similar settings.
Original languageEnglish
Pages (from-to)743-752
Number of pages10
JournalAnnals of Global Health
Volume83
Issue number5-6
DOIs
Publication statusPublished - 10 Dec 2017

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Depression
Equipment and Supplies
Caregivers
Mental Health
Acquired Immunodeficiency Syndrome
Cross-Sectional Studies

Keywords

  • adolescents
  • cumulative risk
  • depressive symptoms
  • HIV
  • Kenya
  • MENTAL-HEALTH
  • CHILDREN
  • AFRICA

Cite this

Abubakar, A.A. ; van de Vijver, Fons ; Hassan, A. S. ; Fischer, R. ; Nyongesa, M. K. ; Kabunda, B. ; Berkley, J. A. ; Stein, A. ; Newton, C.R. / Cumulative psychosocial risk is a salient predictor of depressive symptoms among vertically HIV-infected and HIV-affected adolescents at the Kenyan coast. In: Annals of Global Health. 2017 ; Vol. 83, No. 5-6. pp. 743-752.
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title = "Cumulative psychosocial risk is a salient predictor of depressive symptoms among vertically HIV-infected and HIV-affected adolescents at the Kenyan coast",
abstract = "BACKGROUND Little is known of mental health outcomes among vertically HIV-infected or HIVaffected adolescents in Africa.OBJECTIVES The current study set out to describe depressive symptoms and their correlates among vertically HIV-infected and HIV-affected adolescents at the Kenyan Coast.METHODS 130 adolescents (vertically HIV-infected [n = 44], HIV-affected [n = 53], and unexposed [n = 33]) and their caregivers participated in this cross-sectional study. An adapted version of the Beck Depression Inventory-11 (BDI) was administered to examine depressive symptoms in both adolescents and caregivers, together with measures of sociodemographic, medical, and anthropometric characteristics.FINDINGS Our analysis indicated a main effect of HIV status on mean BDI scores in HIV-infected (18.4 [SD = 8.3) and HIV-affected (16.8 [SD = 7.3]) adolescents compared to the community controls (12.0 [SD = 7.9]), F (2, 127) = 6.704, P =.002, eta(2) =.095. Post hoc analysis showed that BDI scores of HIV-infected adolescents were higher than those of community controls (PCONCLUSIONS Both HIV-infected and HIV-affected adolescents are at a high risk of experiencing depressive symptoms, largely due to the multiple psychosocial risk factors in their environment. The provision of adequate psychosocial support and counseling needs to become an integral part of the care program for adolescents from families living with HIV/AIDS at the Kenyan coast and other similar settings.",
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Abubakar, AA, van de Vijver, F, Hassan, AS, Fischer, R, Nyongesa, MK, Kabunda, B, Berkley, JA, Stein, A & Newton, CR 2017, 'Cumulative psychosocial risk is a salient predictor of depressive symptoms among vertically HIV-infected and HIV-affected adolescents at the Kenyan coast', Annals of Global Health, vol. 83, no. 5-6, pp. 743-752. https://doi.org/10.1016/j.aogh.2017.10.024

Cumulative psychosocial risk is a salient predictor of depressive symptoms among vertically HIV-infected and HIV-affected adolescents at the Kenyan coast. / Abubakar, A.A.; van de Vijver, Fons; Hassan, A. S.; Fischer, R.; Nyongesa, M. K. ; Kabunda, B. ; Berkley, J. A. ; Stein, A. ; Newton, C.R.

In: Annals of Global Health, Vol. 83, No. 5-6, 10.12.2017, p. 743-752.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Cumulative psychosocial risk is a salient predictor of depressive symptoms among vertically HIV-infected and HIV-affected adolescents at the Kenyan coast

AU - Abubakar, A.A.

AU - van de Vijver, Fons

AU - Hassan, A. S.

AU - Fischer, R.

AU - Nyongesa, M. K.

AU - Kabunda, B.

AU - Berkley, J. A.

AU - Stein, A.

AU - Newton, C.R.

PY - 2017/12/10

Y1 - 2017/12/10

N2 - BACKGROUND Little is known of mental health outcomes among vertically HIV-infected or HIVaffected adolescents in Africa.OBJECTIVES The current study set out to describe depressive symptoms and their correlates among vertically HIV-infected and HIV-affected adolescents at the Kenyan Coast.METHODS 130 adolescents (vertically HIV-infected [n = 44], HIV-affected [n = 53], and unexposed [n = 33]) and their caregivers participated in this cross-sectional study. An adapted version of the Beck Depression Inventory-11 (BDI) was administered to examine depressive symptoms in both adolescents and caregivers, together with measures of sociodemographic, medical, and anthropometric characteristics.FINDINGS Our analysis indicated a main effect of HIV status on mean BDI scores in HIV-infected (18.4 [SD = 8.3) and HIV-affected (16.8 [SD = 7.3]) adolescents compared to the community controls (12.0 [SD = 7.9]), F (2, 127) = 6.704, P =.002, eta(2) =.095. Post hoc analysis showed that BDI scores of HIV-infected adolescents were higher than those of community controls (PCONCLUSIONS Both HIV-infected and HIV-affected adolescents are at a high risk of experiencing depressive symptoms, largely due to the multiple psychosocial risk factors in their environment. The provision of adequate psychosocial support and counseling needs to become an integral part of the care program for adolescents from families living with HIV/AIDS at the Kenyan coast and other similar settings.

AB - BACKGROUND Little is known of mental health outcomes among vertically HIV-infected or HIVaffected adolescents in Africa.OBJECTIVES The current study set out to describe depressive symptoms and their correlates among vertically HIV-infected and HIV-affected adolescents at the Kenyan Coast.METHODS 130 adolescents (vertically HIV-infected [n = 44], HIV-affected [n = 53], and unexposed [n = 33]) and their caregivers participated in this cross-sectional study. An adapted version of the Beck Depression Inventory-11 (BDI) was administered to examine depressive symptoms in both adolescents and caregivers, together with measures of sociodemographic, medical, and anthropometric characteristics.FINDINGS Our analysis indicated a main effect of HIV status on mean BDI scores in HIV-infected (18.4 [SD = 8.3) and HIV-affected (16.8 [SD = 7.3]) adolescents compared to the community controls (12.0 [SD = 7.9]), F (2, 127) = 6.704, P =.002, eta(2) =.095. Post hoc analysis showed that BDI scores of HIV-infected adolescents were higher than those of community controls (PCONCLUSIONS Both HIV-infected and HIV-affected adolescents are at a high risk of experiencing depressive symptoms, largely due to the multiple psychosocial risk factors in their environment. The provision of adequate psychosocial support and counseling needs to become an integral part of the care program for adolescents from families living with HIV/AIDS at the Kenyan coast and other similar settings.

KW - adolescents

KW - cumulative risk

KW - depressive symptoms

KW - HIV

KW - Kenya

KW - MENTAL-HEALTH

KW - CHILDREN

KW - AFRICA

U2 - 10.1016/j.aogh.2017.10.024

DO - 10.1016/j.aogh.2017.10.024

M3 - Article

VL - 83

SP - 743

EP - 752

JO - Annals of Global Health

JF - Annals of Global Health

SN - 2214-9996

IS - 5-6

ER -