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Gaitho D, Kumar M, Wamalwa D, et al. Understanding mental health difficulties and associated psychosocial outcomes in adolescents in the HIV clinic at Kenyatta National Hospital, Kenya. Ann Gen Psychiatry. 2018;17:29doi: 10.1186/s12991-018-0200-8.
Gaitho, D., Kumar, M., Wamalwa, D., Wambua, G. N., & Nduati, R. (2018). Understanding mental health difficulties and associated psychosocial outcomes in adolescents in the HIV clinic at Kenyatta National Hospital, Kenya. Annals of general psychiatry, 1729. https://doi.org/10.1186/s12991-018-0200-8
Gaitho, Douglas, et al. "Understanding mental health difficulties and associated psychosocial outcomes in adolescents in the HIV clinic at Kenyatta National Hospital, Kenya." Annals of general psychiatry vol. 17 (2018): 29. doi: https://doi.org/10.1186/s12991-018-0200-8
Gaitho D, Kumar M, Wamalwa D, Wambua GN, Nduati R. Understanding mental health difficulties and associated psychosocial outcomes in adolescents in the HIV clinic at Kenyatta National Hospital, Kenya. Ann Gen Psychiatry. 2018 Jul 10;17:29. doi: 10.1186/s12991-018-0200-8. eCollection 2018. PMID: 30002721; PMCID: PMC6038280.
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Ann Gen Psychiatry. 2018 Jul 10;17:29. doi: 10.1186/s12991-018-0200-8. eCollection 2018.

Understanding mental health difficulties and associated psychosocial outcomes in adolescents in the HIV clinic at Kenyatta National Hospital, Kenya.

Annals of general psychiatry

Douglas Gaitho, Manasi Kumar, Dalton Wamalwa, Grace Nduku Wambua, Ruth Nduati

Affiliations

  1. 1Department of Paediatrics, College of Health Sciences, University of Nairobi, P.O. Box 19676, Nairobi, Kenya.
  2. 2Department of Psychiatry, College of Health Sciences, University of Nairobi, P.O. Box 19676, Nairobi, Kenya.

PMID: 30002721 PMCID: PMC6038280 DOI: 10.1186/s12991-018-0200-8

Abstract

BACKGROUND: Globally adolescents continue to have an upward trend in HIV incidence and AIDS-related mortality. The interplay between the rapid physical growth, sexual maturation, and enormous albeit slow-evolving cognitive and psychological changes in adolescence may partly explain this trend. Our main purpose was to highlight key psychosocial characteristics of HIV-infected adolescents and explore if these characteristics are associated with depression symptoms.

METHODS: From August to December 2016 after obtaining informed consent, adolescents living with HIV at Kenyatta National Hospital were interviewed using the Home environment, Education and Employment, Activity, Sexuality, Suicide and depression traits (HEADSS) tool combined with the Patient Health Questionnaire (PHQ-9) to elucidate which key symptoms of depression and link with psychosocial characteristics mapped on HEADSS. In order to determine which psychosocial characteristics were linked with risk of depression, the traits of adolescents who were symptomatic were compared to those who were not using univariate and multivariate regression analysis.

RESULTS: All the 270 adolescents offered participation in the study accepted to enroll. The aged 10-19 years were recruited and mean age was 14.75 and 53.7% (

CONCLUSION: One in two of the adolescents interviewed had depression symptoms which were significantly associated with lack of school fees, missing meals, non-adherence to medication, and substance abuse.

Keywords: Adherence; Adolescents; Depression; HIV; Psychosocial characteristics; School performance

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