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Development of KET-U-T phenomenon to assess comprehensive care, support, and treatment in people living with HIV

  • Ketut Suryana ,

Abstract

Background:  Negative psychological responses related to HIV seropositivity status disclosure are prevalent and often remain unattended. We proposed a comprehensive care delivery method with biopsychosocial approach (comprehensive care, support, and treatment [C-CST]) along with an instrument (KET-U-T phenomenon) to assess its efficacy.

Methods:  A total of 200 individuals HIV positive were consecutively enrolled in this study and equally distributed into pre- and post-C-CST groups. All participants were structurally interviewed to assess HIV-related information level, family support, and KET-U-T phenomenon (K=disappointment, E=emotion/anger, T=denial, U=effort, T=acceptance).  Appropriate statistical analyses were done to determine the effect of C-CST on the KET-U-T phenomenon.

Results: Post test counselling for 100 individuals pre-C- CST, demonstrated HIV-related information level (68%) and family support (78%) inadequacy, with respective proportion of KET-U-T phenomenon components of; K: 43.0%, E: 12%, T: 30%, U: 100%, T: 15%. Significant improvement post C-CST observed in reduction of HIV-related information level (26%) and family support (38%) inadequacy, with respective proportion of KET-U-T phenomenon components of; K: 18%, E: 2%, T: 5%, U: 100%, T: 75% (p=0.000).

Conclusions: Comprehensive care, support, and treatment yielded significant improvement in negative psychological adaptation and seropositive status acceptance in PLWH as observed with the KET-U-T phenomenon.

References

  1. Barkish F G, Jalali R, Jalali A. Experiences of patients with primary HIV diagnosis in Kermanshah-Iran regarding the nature of HIV/AIDS: A qualitative study. Hellyon. 2019;5:e02278.
  2. Ramovha R, Khoza LB, Lebese RT, Shilubana HN. The Psychological Experience of HIV and Aids by Newly Diagnosed Infected Patients at Hospital A of Vhembe District, Limpopo Province. J AIDS Clinic Re. 2012;S1:1-6.
  3. Rodkjaer L, Sodemann M, Ostergaard L, Lomborg K. Disclosure decisions: HIV positive persons coping with disease-related stressors. Qualitative Health Research. 2011;20:1-11.
  4. Remien RH, Rabkin JG. Psychological Aspects of living with HIV disease. West J Med. 2001;175:332-5.
  5. Hosahally DW, Padikkal T. Psychosocial Perspective of People Living with HIV/AIDS in India. The International Journal of Indian Psychology. 2015;3:61-5.
  6. Brown LK, Whiteley L, Harper GW, Nichols S, Nieves A, et al. Psychological Symptoms Among 2032 Youth Living with HIV: A Multisite Study. AIDS Patient Care and STDs. 2015;29(4):212-9.
  7. Varas-Diaz N, Neilands TB, Rodriguez-Medera SL, Padilla M. The rle of emotions in the reduction of HIV/AIDS stigma among physicians in training. AIDS Care. 2016;2(3):376-383
  8. Nanni MG, Caruso R, Mitchell AJ, Meggiolaro E, Grassi L. Depression in HIV Infected Patients: a Review. Curr Psychiatry Rep. 2015;17:1-11.
  9. Genberg BL, Kawichai S, Chingono A, Sendah M, Chariyalertsak S, Konda KA, et al. Assesing HIV/ADIS Stigma and Discrimination in Developing Countries. AIDS Behav. 2008;12:722-780.
  10. Einav L. Psychosocial Aspects of HIV/AIDS. HIV AIDS Res. J;1(1):1-4 (2018).
  11. Nedelcovych MT, Manning AA, Semenova S, Gamaldo C, Haughe NJ, Slusher BS. The Psychiatric Impact of HIV. ACS Chem Neurosci. 2017;8:1432-34.
  12. Rao MA, Ramapuram J, Kotian SS. Assessment of Emotional Problems faced by People Living with HIV/AIDS and to study the role of family support and role of a counselor to manage the Emotional Problems. Imperial Journal of Interdisciplinary Research (IJIR). 2016;2(7):546-551.
  13. Madaliyeva Z, Kassymova I R. The Emotional State of HIV Positive. The Social Sciences 2015;10(9):2311-15.
  14. World Health Organization. HIV/AIDS and mental health. 20 November 2008. Available at: https://apps.who.int/gb/archive/pdf_files/EB124/B124_6-en.pdf
  15. Bhatta DN, Liabsuetrakul T, McNeil EB. Social and behavioral intervention for improving quality of life of HIV infected people receiving antiretroviral therapy: a systematic review and meta-analysis. Health and Quality of Life Outcomes. 2017;15:80.
  16. Gonzalez-Baeza A, Carvajal F, Bayon C, Perez-Valero I, Montes-Ramirez M, Arribas JR. Facial emotion Processing in Aviremic HIV-infected Adults. Achieves of Clinical Neuropsychology. 2016;31:401-410.
  17. Agrawal A, Jain M, Agrawal S, Singh S, Yadav M. Psychological Dimension of HIV/AIDS and Recemt Advances in Its Management. The International Journal of Indian Psychology. 2015;3(1):165-177.
  18. Brion JM, Leary MR, Darbkin AS. Self-compassion and reaction to serious illness: he case of HIV. Journal of Health Psychology. 2014;19:218-229.
  19. Remien RH, Stirratt MJ, Nguyen N, Robbins RN, Pala AN, Mellins CA. Mental health and HIV/AIDS: the need for an integrated response. AIDS. 2019;33(9):1411-1420.
  20. Mak WWS, Mo PKH, Ma GYK, Lam MYY. Meta-analysis and systematic review of studies on the effectiveness of HIV stigma reduction programs. Soc Sci Med. 2017;188:30-40.
  21. Bateganya MH, Amanyeiwe U, Roxo U, Dong M. Impact of support groups for people living with HIV on clinical outcomes: a systematic review of the literature. J Acquir Immune Defic Syndr. 2015;68 Suppl 3(0 3):S368-S374.
  22. Moitra E, LaPlante A, Armstrong ML, Chan PA, Stein MD. Pilot Randomized Controlled Trial of Acceptance-Based Behavior Therapy to Promote HIV Acceptance, HIV Disclosure, and Retention in Medical Care. AIDS Behav. 2017;21(9):2641-2649.
  23. Arias-Colmenero T, Pérez-Morente MÃ, Ramos-Morcillo AJ, Capilla-Díaz C, Ruzafa-Martínez M, Hueso-Montoro C. Experiences and Attitudes of People with HIV/AIDS: A Systematic Review of Qualitative Studies. Int J Environ Res Public Health. 2020;17(2):639.
  24. Hornby AS, Wehmeier S, McIntosh C, Turnbull J, Ashby M. Oxford Advanced Learner's Dictionary. 7th ed. Oxford: Oxford University Press. 2005.
  25. Safren SA, Reisner SL, Herrick A, Mimiaga MJ, Stall RD. Mental health and HIV risk in men who have sex with men. J Acquir Immune Defic Syndr. 2010;55 Suppl 2(Suppl 2):S74-S77.
  26. Brown MJ, Serovich JM, Kimberly JA, Hu J. Psychological reactance and HIV-related stigma among women living with HIV. AIDS Care. 2016;28(6):745-749.
  27. Cahill S, Valadéz R. Growing older with HIV/AIDS: new public health challenges. Am J Public Health. 2013;103(3):e7-e15.
  28. Yuen WW, Tran L, Wong CK, Holroyd E, Tang CS, Wong WC. Psychological health and HIV transmission among female sex workers: a systematic review and meta-analysis. AIDS Care. 2016;28(7):816-824.
  29. McIntosh RC, Hurwitz BE, Antoni M, Gonzalez A, Seay J, Schneiderman N. The ABCs of Trait Anger, Psychological Distress, and Disease Severity in HIV. Ann Behav Med. 2015;49(3):420-433.
  30. Whitehead NE, Hearn LE, Burrell L. The association between depressive symptoms, anger, and perceived support resources among underserved older HIV positive black/African American adults. AIDS Patient Care STDS. 2014;28(9):507-512.
  31. Brown MJ, Serovich JM, Kimberly JA, Hu J. Vengeance, Condomless Sex and HIV Disclosure Among Men Who Have Sex with Men Living with HIV. AIDS Behav. 2017;21(9):2650-2658.
  32. Kutnick AH, Gwadz MV, Cleland CM, et al. It's a Process: Reactions to HIV Diagnosis and Engagement in HIV Care among High-Risk Heterosexuals. Front Public Health. 2017;5:100.
  33. Nam SL, Fielding K, Avalos A, Dickinson D, Gaolathe T, Geissler PW. The relationship of acceptance or denial of HIV-status to antiretroviral adherence among adult HIV patients in urban Botswana. Soc Sci Med. 2008 Jul;67(2):301-10.
  34. Halkitis PN, Kingdon MJ, Barton S, Eddy J. Facilitators and Barriers to HIV Status Disclosure Among HIV-positive MSM Age 50 and Older. J Gay Lesbian Ment Health. 2016;20(1):41-56.
  35. Sikkema KJ, Dennis AC, Watt MH, Choi KW, Yemeke TT, Joska JA. Improving mental health among people living with HIV: a review of intervention trials in low- and middle-income countries. Glob Ment Health (Camb). 2015;2:e19.
  36. Locher C, Messerli M, Gaab J, Gerger H. Long-Term Effects of Psychological Interventions to Improve Adherence to Antiretroviral Treatment in HIV-Infected Persons: A Systematic Review and Meta-Analysis. AIDS Patient Care STDS. 2019 Mar;33(3):131-144.
  37. Evangeli M, Pady K, Wroe AL. Which Psychological Factors are Related to HIV Testing? A Quantitative Systematic Review of Global Studies. AIDS Behav. 2016;20(4):880-918.
  38. Stein JA, Nyamathi A. Gender differences in behavioural and psychosocial predictors of HIV testing and return for test results in a high-risk population. AIDS Care. 2000 Jun;12(3):343-56.

How to Cite

Suryana, K. (2020). Development of KET-U-T phenomenon to assess comprehensive care, support, and treatment in people living with HIV. Bali Medical Journal, 9(3), 888–892. https://doi.org/10.15562/bmj.v9i3.1958

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