A comparative study of post traumatic symptoms in men and women newly diagnosed with HIV-infection
- Authors: Lakaje, Thapelo Shadrack
- Date: 2008-11-06T07:23:47Z
- Subjects: Post-traumatic stress disorder , HIV-positive men , HIV-positive women
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/366662 , uj:14591 , http://hdl.handle.net/10210/1512
- Description: M.A. , It is now well known that HIV/AIDS-sufferers face profound psychological, psychiatric and neurological sequelae as the disease progresses. However, studies indicate that women diagnosed with HIV-infection are twice more likely to be depressed, to suffer from PTSD and other psychiatric morbidity than men. Yet very few studies have attempted to investigate the role that gender plays in reacting to the illness. Finding out that one is HIV-infected is one of the most significant discoveries. This is due to the fact that in receiving an HIV-positive diagnosis individuals are exposed to news of prodigious personal consequence. And yet very few studies have focused on how the impact of finding out that one is HIV-positive may affect their adjustment to the illness. Moreover, how men and women are likely to react to such news. It is against this background that the current study was conducted. The aim of the current study was to compare post traumatic symptoms in men and women upon hearing news of their HIV-positive status and to investigate to what extent such reactions may be similar or different and to further assess how their reactions are likely to affect disease progression and adjustment. A total of one hundred participants (38 Male, 63 female) diagnosed with HIV/AIDS participated in the study. These men and women were obtained from support groups in the Gauteng region. The Impact of Event Scale-Revised and Mental Adjustment to HIV-Scale questionnaires were used to collect data over a period of a month. A large majority of 60.2% of the total sample (n = 87) reported experiencing feelings of shock upon hearing about their HIV-positive status, 66.0% of the total sample (n = 94) of those who responded to this item reported trying to remove the issue from their mind. A further 59.6% of the total sample of (n = 94) indicated feeling as though news about their HIV-positive status were not real suggesting that the incident was traumatic. There were no significant gender differences in how both men and women reacted to news of their HIV-positive diagnosis. However, significant differences were found in relation to adjustment. Men were found to be more likely to have more Fighting Spirit which is indicative of adaptive adjustment as compared to women. Women on the other hand were found to be more likely to be Hopeless which is indicative of maladaptive coping.
- Full Text:
- Authors: Lakaje, Thapelo Shadrack
- Date: 2008-11-06T07:23:47Z
- Subjects: Post-traumatic stress disorder , HIV-positive men , HIV-positive women
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/366662 , uj:14591 , http://hdl.handle.net/10210/1512
- Description: M.A. , It is now well known that HIV/AIDS-sufferers face profound psychological, psychiatric and neurological sequelae as the disease progresses. However, studies indicate that women diagnosed with HIV-infection are twice more likely to be depressed, to suffer from PTSD and other psychiatric morbidity than men. Yet very few studies have attempted to investigate the role that gender plays in reacting to the illness. Finding out that one is HIV-infected is one of the most significant discoveries. This is due to the fact that in receiving an HIV-positive diagnosis individuals are exposed to news of prodigious personal consequence. And yet very few studies have focused on how the impact of finding out that one is HIV-positive may affect their adjustment to the illness. Moreover, how men and women are likely to react to such news. It is against this background that the current study was conducted. The aim of the current study was to compare post traumatic symptoms in men and women upon hearing news of their HIV-positive status and to investigate to what extent such reactions may be similar or different and to further assess how their reactions are likely to affect disease progression and adjustment. A total of one hundred participants (38 Male, 63 female) diagnosed with HIV/AIDS participated in the study. These men and women were obtained from support groups in the Gauteng region. The Impact of Event Scale-Revised and Mental Adjustment to HIV-Scale questionnaires were used to collect data over a period of a month. A large majority of 60.2% of the total sample (n = 87) reported experiencing feelings of shock upon hearing about their HIV-positive status, 66.0% of the total sample (n = 94) of those who responded to this item reported trying to remove the issue from their mind. A further 59.6% of the total sample of (n = 94) indicated feeling as though news about their HIV-positive status were not real suggesting that the incident was traumatic. There were no significant gender differences in how both men and women reacted to news of their HIV-positive diagnosis. However, significant differences were found in relation to adjustment. Men were found to be more likely to have more Fighting Spirit which is indicative of adaptive adjustment as compared to women. Women on the other hand were found to be more likely to be Hopeless which is indicative of maladaptive coping.
- Full Text:
HIV-positive women's experience of being pregnant: a phenomenological enquiry
- Authors: Schroder, Hermiena Anna
- Date: 2009-05-04T09:49:15Z
- Subjects: AIDS (Disease) in women , AIDS (Disease) in pregnancy , HIV-positive women , Mental health of HIV-positive women , HIV/AIDS (South Africa)
- Type: Thesis
- Identifier: uj:8345 , http://hdl.handle.net/10210/2470
- Description: M.A. , This study explores the experience of pregnancy from the perspective of HIV-positive women. To shed light on this phenomenon, the existing literature was examined and it was found that very few studies have investigated South African women’s experience in this context. Existing findings tend to focus on the day-to-day impact of HIV on a woman’s mothering role rather than on her experience of pregnancy in particular. Pregnancy can be viewed as a process of growth, during which the relationship between the mother and her baby is prepared. For most women, acceptance of pregnancy is associated with the development of an attachment to the foetus. However, the nature of emotional support received during pregnancy can affect the development of the mothers’ attachment to the baby. Moreover, a pregnancy experience is coloured by a complex of personal needs and expectations, health status, as well as emotional, psychosocial and physical circumstances. In this regard, an HIV-positive status may influence an expectant woman’s perception of her health. Generally, being HIV positive and physically healthy is experienced as a complex psychological state, where a chronic sense of uncertainty can precipitate various somatic and psychological symptoms of distress. HIV-positive individuals who experience the most distress tend to have difficulty with initiating contact with sources of support. The focal point of this study was to understand the psychological implications of pregnancy delineated by an HIV-infection, as well as the meanings that these mothers attribute to the experience. Accordingly, a phenomenological framework was adopted to investigate the lived world of the HIV-positive pregnant woman. Phenomenologically informed interviews were conducted with HIV-positive women in the last trimester of their pregnancies, with the aim of obtaining an in-depth account of their experience of pregnancy. These women all knew about their HIV status for at least three years before falling pregnant. The interviews of three of the four participants were transcribed, followed by analyses and descriptions that were guided by phenomenological principles. The findings offer a phenomenological description of themes that form part of the phenomenon of pregnancy in the face of an HIV-positive status for these women. Their experience of pregnancy was characterized by significant emotional distress fuelled by fear of disclosing their status to their children and health care staff, uncertainty about the future, as well as having significant worry about their own and the baby’s health. These mothers adopted a cautious, wait-and-see attitude toward the pregnancy and they coped by distancing themselves from negative affect. Because they did not want to burden their families, they carried much of their emotional distress on their own. HIV-positive pregnant mothers seem to be proactive in looking after their health, possibly as a result of antenatal care. However, they are vigilant about physical changes as well as markers of health, such as CD4 counts, and shifts can be anxiety provoking. Finally, pregnancy intendedness forms a significant part of the overall experience, where a pregnant mother may consider termination of an unexpected pregnancy on the grounds of her HIV-positive status. Negotiating the decision or ability to terminate, can also have an influence on the overall experience of the pregnancy. In conclusion, an overview of the findings leads to tentative recommendations that may alleviate the emotional difficulties experienced by HIV-positive pregnant women. These findings need to be viewed in conjunction with the evaluation of the strengths and limitations. Although this study has yielded some findings that can contribute toward a deeper understanding of HIV-positive women’s experience of their pregnancies, a number of additional issues have arisen as a result of these findings. There is thus a need for further research on the topic and to this end, some suggestions for future research are offered.
- Full Text:
- Authors: Schroder, Hermiena Anna
- Date: 2009-05-04T09:49:15Z
- Subjects: AIDS (Disease) in women , AIDS (Disease) in pregnancy , HIV-positive women , Mental health of HIV-positive women , HIV/AIDS (South Africa)
- Type: Thesis
- Identifier: uj:8345 , http://hdl.handle.net/10210/2470
- Description: M.A. , This study explores the experience of pregnancy from the perspective of HIV-positive women. To shed light on this phenomenon, the existing literature was examined and it was found that very few studies have investigated South African women’s experience in this context. Existing findings tend to focus on the day-to-day impact of HIV on a woman’s mothering role rather than on her experience of pregnancy in particular. Pregnancy can be viewed as a process of growth, during which the relationship between the mother and her baby is prepared. For most women, acceptance of pregnancy is associated with the development of an attachment to the foetus. However, the nature of emotional support received during pregnancy can affect the development of the mothers’ attachment to the baby. Moreover, a pregnancy experience is coloured by a complex of personal needs and expectations, health status, as well as emotional, psychosocial and physical circumstances. In this regard, an HIV-positive status may influence an expectant woman’s perception of her health. Generally, being HIV positive and physically healthy is experienced as a complex psychological state, where a chronic sense of uncertainty can precipitate various somatic and psychological symptoms of distress. HIV-positive individuals who experience the most distress tend to have difficulty with initiating contact with sources of support. The focal point of this study was to understand the psychological implications of pregnancy delineated by an HIV-infection, as well as the meanings that these mothers attribute to the experience. Accordingly, a phenomenological framework was adopted to investigate the lived world of the HIV-positive pregnant woman. Phenomenologically informed interviews were conducted with HIV-positive women in the last trimester of their pregnancies, with the aim of obtaining an in-depth account of their experience of pregnancy. These women all knew about their HIV status for at least three years before falling pregnant. The interviews of three of the four participants were transcribed, followed by analyses and descriptions that were guided by phenomenological principles. The findings offer a phenomenological description of themes that form part of the phenomenon of pregnancy in the face of an HIV-positive status for these women. Their experience of pregnancy was characterized by significant emotional distress fuelled by fear of disclosing their status to their children and health care staff, uncertainty about the future, as well as having significant worry about their own and the baby’s health. These mothers adopted a cautious, wait-and-see attitude toward the pregnancy and they coped by distancing themselves from negative affect. Because they did not want to burden their families, they carried much of their emotional distress on their own. HIV-positive pregnant mothers seem to be proactive in looking after their health, possibly as a result of antenatal care. However, they are vigilant about physical changes as well as markers of health, such as CD4 counts, and shifts can be anxiety provoking. Finally, pregnancy intendedness forms a significant part of the overall experience, where a pregnant mother may consider termination of an unexpected pregnancy on the grounds of her HIV-positive status. Negotiating the decision or ability to terminate, can also have an influence on the overall experience of the pregnancy. In conclusion, an overview of the findings leads to tentative recommendations that may alleviate the emotional difficulties experienced by HIV-positive pregnant women. These findings need to be viewed in conjunction with the evaluation of the strengths and limitations. Although this study has yielded some findings that can contribute toward a deeper understanding of HIV-positive women’s experience of their pregnancies, a number of additional issues have arisen as a result of these findings. There is thus a need for further research on the topic and to this end, some suggestions for future research are offered.
- Full Text:
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