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Depression, anxiety, stress and stigma in informal caregivers of People Living with HIV (PLHIV)

机译:患有艾滋病毒(Plhiv)的人的非正式护理人员中的抑郁症,焦虑,压力和耻辱

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摘要

Informal caregivers are unpaid individuals who help friends or family members who cannot fully care for themselves. However fulfilling the act of helping debilitated individuals, exposure to another person's traumatic experiences often results in psychological distress. Caregiver's stigma towards HIV worsens this. Hence, this study aims to assess the effect of stigma on the mental health of caregivers so that their needs for support can be determined. A cross sectional hospital based study was carried out in Mangalore, India on 150 informal caregivers of PLHIV. The HIV Stigma Scale was used to assess stigma and DASS-21 was used to assess depression, anxiety and stress. Of the 150 caregivers, 20% marked one or more items on the stigma scale. Frequency of depression, anxiety and stress was 46%, 27% and 8% respectively. Most caregivers who had stigma and anxiety were of those patients diagnosed for a shorter duration of time (5 years) n=20, p=0.05 and n=26, p=0.03 respectively. Spouses of PLHIV (n=31, p=0.005), sero-positive caregivers (n=25, p=0.03) and those living with patients (n=39, p=0.01) suffered most from anxiety. Stress was significantly associated with depression (83%, p=0.007) and anxiety (66.6%, p=0.001) in caregivers. In conclusion, more of depression and anxiety was observed among the participants than stress. Stigma was seen in 20% of the participants. Stigma was not significantly associated with depression anxiety and stress.
机译:非正式护理人员是未付的人,帮助您提供无法完全照顾自己的朋友或家庭成员。然而,履行帮助衰弱的个人的行为,接触另一个人的创伤经历往往会导致心理困扰。照顾者对艾滋病毒的耻辱恶化了。因此,本研究旨在评估耻辱对护理人员心理健康的影响,以便确定他们对支持的需求。基于横截面医院的研究是在印度Mangalore的150个非正式护理人员的Plhiv中进行。 HIV STIGMA规模用于评估耻辱和DASS-21来评估抑郁症,焦虑和应力。在150名护理人员中,20%标记了耻辱尺度的一个或多个项目。抑郁症,焦虑和应力的频率分别为46%,27%和8%。具有耻辱和焦虑的大多数护理人员是那些被诊断为较短时间(5年)n = 20,p = 0.05和n = 26,p = 0.03的患者。 PLHIV的配偶(n = 31,p = 0.005),血清阳性护理人员(n = 25,p = 0.03)和与患者的那些(n = 39,p = 0.01)遭受焦虑。应激与护理人员中的抑郁症(83%,p = 0.007)和焦虑(66.6%,p = 0.001)显着相关。总之,参与者在参与者中观察到比压力更多的抑郁和焦虑。在20%的参与者中看到耻辱。耻辱与抑郁症焦虑和压力没有显着相关。

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