Mental health outcomes in HIV and childhood maltreatment: A systematic review

被引:34
作者
Spies G. [1 ]
Afifi T.O. [4 ]
Archibald S.L. [5 ,6 ]
Fennema-Notestine C. [5 ,6 ]
Sareen J. [3 ]
Seedat S. [1 ,2 ]
机构
[1] South African Research Chairs Initiative (SARChI), PTSD program, Department of Psychiatry, University of Stellenbosch, Cape Town 7505, Francie van Zijl drive
[2] MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, Cape Town 7505, Francie van Zijl drive
[3] Departments of Psychiatry, Psychology, and Community Health Sciences, University of Manitoba, Winnipeg R3E 0W5, Bannatyne Avenue
[4] Department of Community Health Sciences, University of Manitoba, Winnipeg R3E 0W5, Bannatyne Avenue
[5] Department of Psychiatry, University of California San Diego, La Jolla, CA 92093, Gilman drive
[6] Department of Radiology, University of California San Diego, La Jolla, CA 92093, Gilman Drive
基金
新加坡国家研究基金会; 英国医学研究理事会;
关键词
AIDS; Anxiety; Childhood maltreatment; Depression; HIV; Psychiatric morbidity; Substance abuse;
D O I
10.1186/2046-4053-1-30
中图分类号
学科分类号
摘要
Background: High rates of childhood maltreatment have been documented in HIV-positive men and women. In addition, mental disorders are highly prevalent in both HIV-infected individuals and victims of childhood maltreatment. However, there is a paucity of research investigating the mental health outcomes associated with childhood maltreatment in the context of HIV infection. The present systematic review assessed mental health outcomes in HIV-positive individuals who were victims of childhood maltreatment.Methods: A systematic search of all retrospective, prospective, or clinical trial studies assessing mental health outcomes associated with HIV and childhood maltreatment. The following online databases were searched on 25-31 August 2010: PubMed, Social Science Citation Index, and the Cochrane Library (the Cochrane Central Register of Controlled Trials and the Cochrane Developmental, Psychosocial and Learning Problems, HIV/AIDS, and Depression, Anxiety and Neurosis registers).Results: We identified 34 studies suitable for inclusion. A total of 14,935 participants were included in these studies. A variety of mixed mental health outcomes were reported. The most commonly reported psychiatric disorders among HIV-positive individuals with a history of childhood maltreatment included: substance abuse, major depressive disorder, and posttraumatic stress disorder. An association between childhood maltreatment and poor adherence to antiretroviral regimens was also reported in some studies.Conclusion: A broad range of adult psychopathology has been reported in studies of HIV-infected individuals with a history of childhood maltreatment. However, a direct causal link cannot be well established. Longer term assessment will better delineate the nature, severity, and temporal relationship of childhood maltreatment to mental health outcomes. © 2012 Spies et al.; licensee BioMed Central Ltd.
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