Effects of Care givers counselling on Depression among People Living with HIV/AIDs
Abstract
Introduction: People living with HIV/AIDs (PLWHA) are also prone to mental health problem such
as depression. However, there is limited evidence on the effects of care giver counselling on the level of
depression among people living with HIV/AIDs.
This study aimed to determine factors associated with depression and the effects of care giver counselling and
follow up on depression among PLWHA attending Federal Teaching Hospital, Ido-Ekiti, Nigeria.
Methods: This study has two parts. The first part addressed the descriptive aspect of the study while in the
second part, an experimental study was performed on 64 depressed HIV patients (32 intervention group and
32 in the control group). These 64 respondents were randomly screened out of 351 consenting PLWHA in the
hospital using Zung’s self-rating depression scale. A systematic random sampling technique was employed
to allocate participants to the groups, with the first client of the 64 participants allocated to the control group
and the next client allocated to intervention group. On-phone counselling of a minimum of 30 minutes (once
in a week) was done for the patients in the experimental group for a month after which a post intervention
assessment was done for both intervention and control groups. Bar chart and descriptive statistics were
employed to explain the data. Yate’s Chi-squared statistics was employed to find out statistical associations
between the groups while the p-values were consequently reported.
Results: The age of the studied subjects ranged between 21-80 years with a mean age of 41.53 (±9.06). One
hundred forty-nine (42.5%) of the 351 subjects were found to have one form of depression or the other. Of 351
subjects, 57.5% were not depressed, 17.1% had mild depression, 10.3% had moderate depression and 15.1%
had severe depression. One hundred two (29.1%) of 351 respondents came from a severely dysfunctional
family, while 193(55.0%) from a moderately dysfunctional family and 56(16%) from highly functional
family. The percentage of the intervention group that suffered severe depression reduced from 40.6% to 6.2%
after the intervention as opposed to a marginal reduction of 34.4% to 31.2% in the control group without
intervention (p-value<0.001). Also, the relationships between the severity of depression and BMI, CD4 and
family functions were significantly associated with p-values of <0.001.
Conclusion: Care giver counselling significantly reduced depression among PLWHA. Therefore, PLWHA
should be encouraged through policies and otherwise to attend counselling sessions with caregivers
2. Oriol G, Jennifer M, Kate F, Trent S, Ben R (Eds.) Depression and HIV. Proceedings of the XIX International aids conference. AIDS 2012. CDM Publishing. Washington DC.
3. Becker D. (2021) Depression symptoms by age group https://www. sutterhealth.org/health/mental/depression-by-age
4. Abdullah A.M, Lara A.M Abdullah B, Moon F.C., Badar S.R.A., Nasser A.S, and Samir A.A.(2020). Prevalence and correlates of depressive symptoms among people living with HIV attending tertiary care hospitals in Oman. Pan Afr Med J. 2020; 37: 90.
5. Chapman DP, Perry GS, Strine TW. The vital link between chronic disease and depressive disorders. Prev Chronic Dis[serial online] 2005.
6. Bach XT, Roger CMH, Cyrus SHH, Carl AL, Hai TP, Giang HH, Giang TV, Jiangbo Y, Melvyn WBZ. Depression among Patients with HIV/AIDS: Research Development and Effective Interventions (2019) Int J Environ Res Public Health.16(10): 1772-1781.
7. Evans DL, Have TDT, Douglas SD, Gettes DR, Morrison M, Chiappini MS, Brinker-Spence P, Job C, Mercer DE, Wang YL, Cruess D, Dube B, Dalen EA, Brown T, Bauer R, Petitto JM.(2002). Association of depression with viral load, CD8 T lymphocytes, and natural killer cells in women with HIV infection. Am J Psychiatry, 159(10):1752-1759.
8. Mark CRN. Dealing with HIV and depression when sadness takes over. www. about.com. Health, Disease and Condition 2009.
9. Ndu AC, Arinze-Onyia SU, Aguwa EN, Obi IE. Prevalence of depression and role of support groups in its management: A study of adult HIV/AIDS patients attending HIV/AIDS clinic in a tertiary health facility in South-eastern Nigeria. J Pub Health Epidem 2011; 3(4):182-186.
10. Revah-Levy A, Speranza M, Barry C, Hassler C, Gasquet I, Moro M, et al. Association between Body Mass Index and depression; the "fat and jolly" hypothesis for adolescent girls. BMC Pub Health 2011; 11:649.
11. Li L, Wu Z, Sun S, Cui H, Jia M. Understanding family support for people living with HIV/AIDS. AIDS Behav 2006; 10(5):509-517.
12. Berman E, Heru A, Grunebaum H, Josephson A, Miller G, Rolland J, et al. Family oriented care in adult psychiatric residency training. University of Pennsylvania Department of Psychiatry 2013. pp3-11.
13. Rank J. Definition of family ̶ Theoretical definition. http://family.jrank. org.
14. Alison M. H. Family Psychiatry: From Research to Practice. Am J Psychiatry 2006; 163:962-968.
15. Effect of a psycho-educational intervention for family members on caregiver burdens and psychiatric symptoms in patient with schizophrenia in Shiraz, Iran. Available from http//www.biomedcentral.com.
16. Ronald M. E and Richard L. S, Jr. The Value of Patient-Centered Care. Ann Fam Med 2011; 9:100-103; doi: 10.1370/ afm.1239.
17. McDaniel SH, Thomas LC, Jeru H, Alan L. Family-oriented primary care 2nd Edition 2005. Springer Science + Business Media Inc. USA.
18. Afolabi MO. Pattern of depression among patients attending general medical practice clinic, Wesley Guild Hospital Ilesa. Dissertation thesis 2008, Wesley Guild Hospital Ilesa, Nigeria.
19. Nigeria 2006 census figures (Population)-Nigeria masterweb. http://www. nigeriamasterweb.com/nigeria06censusfig. html..
20. Shittu RO, Issa BA, Olanrewaju GT, Odeigah LO, Sanni MA, Aderibigbe. Correlates and Consequences of International Stigma of Mental Illness Among People Living with HIV/AIDS in Nigeria. West Afr J AIDS and HIV Res 2014; 6(2):44-52.
21. Gupta R, Dandu M, Packel L, Rutherford G, Leiter K, Phaladze N. Depression and HIV in Botswana, a population based study on gender-specific, socio-economic and behavioural correlates. Plos One 2010; 5:e14252.
22. Kaharuza FM, Brunell R, Moss S, Purcell DW, Bikaako-Kajura W, Wamai N, et al. Depression and CD4 Cell Count among Persons Living with HIV and Infection in Uganda. AIDS Behav 2006; 10(4): S105-S111.
23. Myer L, Smit J, Roux LL, Parker S, Stein O, Seedat S. Common Mental Disorders and Validation of Brief Psychiatric Rating Scales. AIDS Patient Care STD 2008;22; 147-158.
24. Nakimidi Mpungu E, Musisi S, Katabiha E, Niechega J, Bass J. Prevalence and Factors Associated with Depressive Disorders in an HIV + Rural Patient Population in Southern Uganda. J Affect Disord 2011; 135: 160-167.
25. Marwick KF, Kaaya SF. Prevalence of Depression and Anxiety Disorders in HIV-positive Outpatients in Rural Tanzania. AIDS Care 2010; 22: 415-419.
26. Stephanie W, David C, Johyn Aaker. Caregiver support Interventions. Family caregivers in California 2004. pp 49-74.
27. Richard.S, Alison O’Brien, Sara C, Marcia O, Rachel N, Lynn M.M, et al. Dementia Caregiver Intervention Research: In search of clinical significance. Gerontologist. Oct 2002; 42(5):589-602.
28. Igie I, Udoh M (2011) Prevalence of depression in HIV/AIDS patients,Lagos state university hospital (LUTH), Lagos, Nigeria. International AIDS society, 6th IAS conference on HIV Pathogenesis, Treatment and Prevention. Rome, Italy.
29. Obadeji A, Oluwole LO, Dada MU, Ajiboye AS, Kumolalo BF, Solomon OA. Assessment of depression in a primary care setting in Nigeria using the PHQ-9. Journal of Family Medicine and Primary of Care 2015(4):30-4.
| Files | ||
| Issue | Vol 8 No 1 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jbe.v8i1.10409 | |
| Keywords | ||
| Depression Patients HIV/AIDs PLWHA Caregivers | ||
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