A cross sectional study on quality of life of PLHIV and their psychosocial correlates at tertiary care hospital, Lucknow

Authors

  • Anuradha Gautam Department of Community and Family Medicine, AIIMS, Deoghar, Jharkhand, India
  • Chandra Mauli Mishra Department of Community and Family Medicine, AIIMS, Raebareli, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20223543

Keywords:

Anxiety, Coping, Depression, HIV/AIDS, QoL, Self-transcendence, Stigma, Stress

Abstract

Background: People living with HIV/AIDS (PLHIV) are prone to psychological illnesses. HIV/AIDS, not only affects physical health but also emotional and mental health, which affects quality of life (QoL). The aim of present study was to assess the psychosocial variables affecting QoL of PLHIV.

Methods: A cross sectional study was done at ART plus centre of a tertiary care hospital of Lucknow, among PLHIV. The questionnaire contained details of the socio-demographic, clinical characteristics, QoL and psychosocial factors including stress, depression, anxiety, stigma, coping and self-transcendence. To see any significant correlation Pearson’s correlation was used to identify relationship between different domains of QoL and psychosocial factors associated with PLHIV. Logistic regression was also used to identify predictors of QoL by using SPSS version 23.0.

Results: QoL was rated as poor by 12.2% of the study subjects and 14.6% were dissatisfied with their overall health status. QoL score was highest in “physical health” and “level of independence” domain and the minimum mean score was in “psychological” domain. All the domains of QoL were found to be positively correlated with ‘self-transcendence’ and negatively correlated with ‘stress, depression, anxiety and internalized stigma’.

Conclusions: Self-transcendence act as a healing role to improve QoL while depression, stress and anxiety negatively associated with QoL.

 

References

Dejman M, Ardakani HM, Malekafzali B, Moradi G, Gouya MM, Shushtari ZJ, et al. Psychological, social, and familial problems of people living with HIV/AIDS in Iran: A qualitative study. Int J Prevent Med. 2015;2015:1-10.

Safren SA, Otto MW, Worth JL, Salomon E, Johnson W, Mayer K, et al. Two strategies to increase adherence to HIV antiretroviral medication: life-steps and medication monitoring. Behav Res Therap. 2001;39(10):1151-62.

Arjun BY, Unnikrishnan B, Ramapuram JT, Thapar R, Mithra P, Kumar N, et al. Factors influencing quality of life among people living with HIV in Coastal South India. J Int Assoc Provid AIDS Care. 2017;16(3):247-53.

Asmare Eshetu D, Meseret S. Prevalence of depression and associated factors among HIV/AIDS patients attending ART clinic at Debrebirhan Referral Hospital, North Showa, Amhara Region, Ethiopia. Clin Psychiatr. 2015;1(1):1-7.

Garrido-Hernansaiz H, Heylen E, Bharat S, Ramakrishna J, Ekstrand ML. Stigmas, symptom severity and perceived social support predict quality of life for PLHIV in urban Indian context. Health Qual Life Outcomes. 2016;14(1):1-9.

Ellermann CR, Reed PG. Self-transcendence and depression in middle-age adults. Sage Publ. 2001;23(7):698-713.

Ramer L, Johnson D, Chan L, Barrett MT. The effect of HIV/AIDS disease progression on spirituality and self-transcendence in a multicultural population. J Transcult Nurs. 2006;17(3):280-9.

Kumar A, Girish H, Nawaz A, Balu P, Kumar B. Determinants of quality of life among people living with HIV/AIDS: a cross sectional study in central Karnataka, India. Int J Med Sci Public Health. 2014;3(11):1413.

World Health Organization. WHOQOL-HIV Bref Mental Health. World Health Organization. 2002. Available from: https://apps.who.int/iris/handle/ 10665/77775. Accessed on 4 January 2022.

World Health Organization. WHOQOL-HIV Instrument: Scoring and Coding for the WHOQOL-HIV Instruments: User Manual. 2012; Available from: http://apps.who.int/iris/bitstream/handle/ 10665/77776/?sequence=1. Accessed on 4 January 2022.

PfilzerInc. Patient Health Questionnaire (PHQ-9). 2005;1-2. Available from: https://www.uspreventiveservicestaskforce.org/Home/GetFileByID/218. Accessed on 4 January 2022.

State of New Hampshire Employee Assistance Program. Perceived Stress Scale Score Cut Off. State New Hampshire Employee Assistant Program. 1983;2.

Ellermann CR, Reed PG. Self-transcendence and depression in middle-age adults. West J Nurs Res. 2001;23(7):698-713.

L’akoa RM, Noubiap JJN, Fang Y, Ntone FE, Kuaban C. Prevalence and correlates of depressive symptoms in HIV-positive patients: A cross-sectional study among newly diagnosed patients in yaoundé, cameroon. BMC Psychiat. 2013;13.

Chan BT, Pradeep A, Prasad L, Murugesan V, Chandrasekaran E, Kumarasamy N, et al. Association between internalized stigma and depression among HIV-positive persons entering into care in Southern India. J Glob Health. 2017;7(2).

Haugan G, Rannestad T, Garåsen H, Hammervold R, Espnes GA. The self-transcendence scale. J Holist Nurs. 2012;30(3):147-59.

Reed PG. Demystifying self-transcendence for mental health nursing practice and research. Arch Psychiatr Nurs. 2009;23(5):397-400.

Addison CC, Campbell-Jenkins BW, Sarpong DF, Kibler J, Singh M, Dubbert P, et al. Erratum: psychometric evaluation of a coping strategies inventory short-form (CSI-SF) in the Jackson heart study cohort. Int J Environ Res Public Health. 2007;4(4):289-95.

Tobin DL, Holroyd KA, Reynolds R. Manual for the coping strategies inventory. Athens, OH: Department of Psychology, Ohio University. 1984.

Kohli R, Sane S, Ghate M, Paranjape R. Coping strategies of HIV-positive individuals and its correlation with quality of life in Pune, India. Int Soc Work. 2016;59(2):256–67.

Subramanian T, Gupte MD, Dorairaj VS, Periannan V, Mathai AK. Psycho-social impact and quality of life of people living with HIV/AIDS in South India. AIDS Care. 2009;21(4):473-81.

Rane MS, Hong T, Govere S, Thulare H, Moosa M-Y, Celum C, et al. Depression and anxiety as risk factors for delayed care-seeking behavior in HIV positive individuals in South Africa. Clin Infect Dis. 2018;67(9):1411-8.

Mellors MP, Riley TA, Erlen JA. HIV, self-transcendence, and quality of life. J Assoc Nurses AIDS Care. 1997;8(2):59-69.

Weaver KE, Antoni MH, Lechner SC, Durán REF, Penedo F, Fernandez MI, et al. Perceived stress mediates the effects of coping on the quality of life of HIV-positive women on highly active antiretroviral therapy. AIDS Behav. 2004;8(2):175-83.

Shrestha R, Copenhaver M, Bazazi AR, Huedo-Medina TB, Krishnan A, Altice FL. A moderated mediation model of HIV-related stigma, depression, and social support on health-related quality of life among incarcerated Malaysian men with HIV and opioid dependence. AIDS Behav. 2017;21(4):1059-69.

Charles B, Jeyaseelan L, Pandian AK, Sam AE, Thenmozhi M. GE/phoenix (2009) Test report, 3D precision test CT, Test report to determine the measurement accuracy of CT systems. 2009;2009:1-8.

Nobre N, Pereira M, Roine RP, Sutinen J, Sintonen H. HIV-related self-stigma and health-related quality of life of people living with HIV in Finland. J Assoc Nurses AIDS Care. 2018;29(2):254-65.

Downloads

Published

2022-12-29

How to Cite

Gautam, A., & Mishra, C. M. (2022). A cross sectional study on quality of life of PLHIV and their psychosocial correlates at tertiary care hospital, Lucknow. International Journal Of Community Medicine And Public Health, 10(1), 194–199. https://doi.org/10.18203/2394-6040.ijcmph20223543

Issue

Section

Original Research Articles