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Depression and coping strategies among Vietnamese women living with HIV: A qualitative study

机译：艾滋病毒患者越南妇女中的抑郁和应对策略：定性研究

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Women living with HIV (WLWH) are more likely to suffer from depression than seronegative women and are also more likely to suffer from depression than men living with HIV. There is limited depression research with WLWH in Vietnam. Twenty in-depth interviews with WLWH were conducted to identify pathways leading to depression and coping strategies for depression. Participants were recruited from an antiretroviral treatment clinic in northern Vietnam. Audio-recorded interviews were transcribed, translated, and analysed to identify key themes. All participants reported sudden loss of social support, debilitating depression, and suicidal ideation in the first six months after HIV diagnosis. While some were able to cope with their status after several months, others continued to struggle due to HIV-related stigma that was perceived as more isolating for WLWH than for men. Women who were able to effectively cope with depression found ways to re-establish connections to family and community. Interventions to improve mental wellbeing should link WLWH to mental health services immediately after diagnosis and address loss of support and stigma, as they contributed to the onset and persistence of depression after HIV diagnosis. Community-level HIV stigma reduction interventions may also help repair broken social bonds and foster new ones.
机译：与艾滋病毒（WLWH）一起生活的妇女比血清等女性更容易患抑郁症，并且比艾滋病毒患有艾滋病毒的男性更容易患抑郁症。在越南有有限的抑郁症研究。与WLWH进行二十采访，识别导致抑郁症和应对抑郁症策略的途径。参与者被越南北部的抗逆转录病毒治疗诊所招募。录制的访谈被转录，翻译和分析以识别关键主题。所有参与者报告，艾滋病病毒诊断后的前六个月，所有参与者都突然失去了社会支持，衰弱的抑郁和自杀性思想。虽然有些人在几个月后能够应对自己的地位，但其他人继续由于艾滋病病毒相关的耻辱而斗争，这些耻辱感到比男性更加隔离。能够有效应对抑郁症的妇女找到了重建与家庭和社区联系的方法。改善心理健康的干预措施应在诊断和解决支持和耻辱之后立即将WLWH与心理健康服务联系起来，因为它们导致艾滋病毒诊断后抑郁症的发病和持续存在。社区级别的HIV耻辱减少干预措施也可能有助于修复破坏的社会债券和培养新的。

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