Lay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambique
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://pubmed.ncbi.nlm.nih.gov/36249253/ https://repositorio.unifesp.br/11600/67490 |
Resumo: | Introduction: Depression is the most common mental disorder among people living with HIV/AIDS and has a negative impact on HIV treatment outcomes. Training lay HIV counselors to identify and manage depression may contribute to improved patient access and adherence to treatment, and reduce stigma and discrimination among lay health workers toward both HIV and depression. The purpose of this study was to assess the current knowledge and attitudes of lay HIV counselors toward managing depression in primary care in Mozambique. Methods: We conducted a mixed-methods cross-sectional study to assess depression-related knowledge and attitudes among lay HIV counselors in 13 primary healthcare facilities in Mozambique. We used the quantitative Depression Attitude Questionnaire (DAQ) scale, followed by open-ended questions to further explore three key DAQ domains: the nature of depression, treatment preferences, and professional attitudes or reactions. Results: The sample included 107 participants (77.6% female, mean age: 32.3 years, sd = 7.4). Most (82.2%) had less than a high/technical school education. Findings suggested that some HIV counselors had knowledge of depression and described it as a cluster of psychological symptoms (e.g., deep sadness, anguish, apathy, isolation, and low self-esteem) sometimes leading to suicidal thoughts, or as a consequence of life stressors such as loss of a loved one, abuse, unemployment or physical illness, including being diagnosed with HIV infection. HIV counselors identified talking to trusted people about their problems, including family and/or counseling with a psychotherapist, as the best way for patients to deal with depression. While acknowledging challenges, counselors found working with patients with depression to be rewarding. Conclusion: Lay health counselors identified HIV and psychosocial issues as key risk factors for depression. They believed that the treatment approach should focus on social support and psychotherapy. |
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Mandlate, Flavio Machado [UNIFESP]Greene, M. ClairePereira, Luis F.Sweetland, Annika C.Kokonya, DonaldCournos, FrancineOquendo, Maria A.Wainberg, Milton L.Sidat, Mohsin ,Sevene, EsperançaMello, Marcelo F. [UNIFESP]Duarte, Cristiane S.http://lattes.cnpq.br/85301431796526312023-05-11T18:00:05Z2023-05-11T18:00:05Z2022-09-28https://pubmed.ncbi.nlm.nih.gov/36249253/https://repositorio.unifesp.br/11600/6749010.3389/fpubh.2022.919827Introduction: Depression is the most common mental disorder among people living with HIV/AIDS and has a negative impact on HIV treatment outcomes. Training lay HIV counselors to identify and manage depression may contribute to improved patient access and adherence to treatment, and reduce stigma and discrimination among lay health workers toward both HIV and depression. The purpose of this study was to assess the current knowledge and attitudes of lay HIV counselors toward managing depression in primary care in Mozambique. Methods: We conducted a mixed-methods cross-sectional study to assess depression-related knowledge and attitudes among lay HIV counselors in 13 primary healthcare facilities in Mozambique. We used the quantitative Depression Attitude Questionnaire (DAQ) scale, followed by open-ended questions to further explore three key DAQ domains: the nature of depression, treatment preferences, and professional attitudes or reactions. Results: The sample included 107 participants (77.6% female, mean age: 32.3 years, sd = 7.4). Most (82.2%) had less than a high/technical school education. Findings suggested that some HIV counselors had knowledge of depression and described it as a cluster of psychological symptoms (e.g., deep sadness, anguish, apathy, isolation, and low self-esteem) sometimes leading to suicidal thoughts, or as a consequence of life stressors such as loss of a loved one, abuse, unemployment or physical illness, including being diagnosed with HIV infection. HIV counselors identified talking to trusted people about their problems, including family and/or counseling with a psychotherapist, as the best way for patients to deal with depression. While acknowledging challenges, counselors found working with patients with depression to be rewarding. Conclusion: Lay health counselors identified HIV and psychosocial issues as key risk factors for depression. They believed that the treatment approach should focus on social support and psychotherapy.engAliya NaheedFrontiers in Public HealthHIV/AIDSAttitudeDepressionKnowledgeLay health counselorsLay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambiqueinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPEscola Paulista de Medicina (EPM)Psiquiatria e Psicologia MédicaORIGINALartigo 2.pdfartigo 2.pdfapplication/pdf256816${dspace.ui.url}/bitstream/11600/67490/1/artigo%202.pdf6ed8da282dd30d91ec2d068212776054MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-85901${dspace.ui.url}/bitstream/11600/67490/2/license.txtfd3089634912fba3b1a3adb9a70ba5e1MD52open accessTEXTartigo 2.pdf.txtartigo 2.pdf.txtExtracted 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InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-10-04T04:00:34Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Lay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambique |
title |
Lay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambique |
spellingShingle |
Lay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambique Mandlate, Flavio Machado [UNIFESP] HIV/AIDS Attitude Depression Knowledge Lay health counselors |
title_short |
Lay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambique |
title_full |
Lay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambique |
title_fullStr |
Lay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambique |
title_full_unstemmed |
Lay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambique |
title_sort |
Lay HIV counselors' knowledge and attitudes toward depression: a mixed-methods cross-sectional study at primary healthcare centers in Mozambique |
author |
Mandlate, Flavio Machado [UNIFESP] |
author_facet |
Mandlate, Flavio Machado [UNIFESP] Greene, M. Claire Pereira, Luis F. Sweetland, Annika C. Kokonya, Donald Cournos, Francine Oquendo, Maria A. Wainberg, Milton L. Sidat, Mohsin , Sevene, Esperança Mello, Marcelo F. [UNIFESP] Duarte, Cristiane S. |
author_role |
author |
author2 |
Greene, M. Claire Pereira, Luis F. Sweetland, Annika C. Kokonya, Donald Cournos, Francine Oquendo, Maria A. Wainberg, Milton L. Sidat, Mohsin , Sevene, Esperança Mello, Marcelo F. [UNIFESP] Duarte, Cristiane S. |
author2_role |
author author author author author author author author author author author |
dc.contributor.authorLattes.pt_BR.fl_str_mv |
http://lattes.cnpq.br/8530143179652631 |
dc.contributor.author.fl_str_mv |
Mandlate, Flavio Machado [UNIFESP] Greene, M. Claire Pereira, Luis F. Sweetland, Annika C. Kokonya, Donald Cournos, Francine Oquendo, Maria A. Wainberg, Milton L. Sidat, Mohsin , Sevene, Esperança Mello, Marcelo F. [UNIFESP] Duarte, Cristiane S. |
dc.subject.por.fl_str_mv |
HIV/AIDS |
topic |
HIV/AIDS Attitude Depression Knowledge Lay health counselors |
dc.subject.eng.fl_str_mv |
Attitude Depression Knowledge Lay health counselors |
description |
Introduction: Depression is the most common mental disorder among people living with HIV/AIDS and has a negative impact on HIV treatment outcomes. Training lay HIV counselors to identify and manage depression may contribute to improved patient access and adherence to treatment, and reduce stigma and discrimination among lay health workers toward both HIV and depression. The purpose of this study was to assess the current knowledge and attitudes of lay HIV counselors toward managing depression in primary care in Mozambique. Methods: We conducted a mixed-methods cross-sectional study to assess depression-related knowledge and attitudes among lay HIV counselors in 13 primary healthcare facilities in Mozambique. We used the quantitative Depression Attitude Questionnaire (DAQ) scale, followed by open-ended questions to further explore three key DAQ domains: the nature of depression, treatment preferences, and professional attitudes or reactions. Results: The sample included 107 participants (77.6% female, mean age: 32.3 years, sd = 7.4). Most (82.2%) had less than a high/technical school education. Findings suggested that some HIV counselors had knowledge of depression and described it as a cluster of psychological symptoms (e.g., deep sadness, anguish, apathy, isolation, and low self-esteem) sometimes leading to suicidal thoughts, or as a consequence of life stressors such as loss of a loved one, abuse, unemployment or physical illness, including being diagnosed with HIV infection. HIV counselors identified talking to trusted people about their problems, including family and/or counseling with a psychotherapist, as the best way for patients to deal with depression. While acknowledging challenges, counselors found working with patients with depression to be rewarding. Conclusion: Lay health counselors identified HIV and psychosocial issues as key risk factors for depression. They believed that the treatment approach should focus on social support and psychotherapy. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022-09-28 |
dc.date.accessioned.fl_str_mv |
2023-05-11T18:00:05Z |
dc.date.available.fl_str_mv |
2023-05-11T18:00:05Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.pt_BR.fl_str_mv |
https://pubmed.ncbi.nlm.nih.gov/36249253/ |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/11600/67490 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.3389/fpubh.2022.919827 |
url |
https://pubmed.ncbi.nlm.nih.gov/36249253/ https://repositorio.unifesp.br/11600/67490 |
identifier_str_mv |
10.3389/fpubh.2022.919827 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Frontiers in Public Health |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Aliya Naheed |
publisher.none.fl_str_mv |
Aliya Naheed |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
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repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
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1802764144342990848 |