A case study of sexual abuse and psychological correlates among an HIV-serodiscordant couple.

Loeb, Tamra Burns; Williams, John K.; Davis, Teri D.; Zhang, Muyu

doi:10.1037/a0028773

Cited by 7 publications

(4 citation statements)

References 61 publications

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“…Previous intervention studies on serodiscordant couples have demonstrated a decrease in HIV transmission protective behaviours in couples where one or both partners had clinically significant symptoms of PTSD. [25] These findings suggest that the success of sexual risk reduction interventions may be attenuated and compromised by the presence of physical or sexual trauma histories and residual mental health issues, such as PTSD.…”

Section: Discussionmentioning

confidence: 99%

Intimate partner violence among HIV-serodiscordant couples in Durban, South Africa

2018

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Background. South Africa (SA) has a high prevalence rate of intimate partner violence (IPV) and HIV, both of which can be exacerbated further by HIV serodiscordancy in the couple dyad. Further exploration of the discordancy sidedness in known mediating factors, such as alcohol abuse risk and post-traumatic stress (PTS), is required. Objectives. To investigate the extent of and gender differences in IPV, alcohol abuse risk and PTS symptoms among HIV-serodiscordant couples in Durban, SA, and to analyse these further with regard to female HIV serostatus. Methods. A cross-sectional analysis of data on 30 serodiscordant couples was conducted at the point of enrolment into a pilot study of an HIV risk reduction intervention. The statistical procedure for a dependent small sample was applied to examine gender differences in IPV, alcohol use and PTS symptoms among HIV-serodiscordant couples. Results. The woman was HIV-positive in 18 (60.0%) of the 30 serodiscordant couples enrolled. Exposure to IPV differed significantly between men (28.6%) and women (89.3%) (proportional difference −0.61, 95% confidence interval (CI) −0.8–−0.39). The Wilcoxon signed-rank test showed that PTS symptom scores differed significantly between men (median 22, interquartile range (IQR) 23) and women (median 44, IQR 28) (p=0.03). When the above analysis was stratified by female HIV serostatus, significant gender differences were found in IPV and PTS in the couples where the woman was HIV-positive. There were no significant gender differences for alcohol abuse risk. Conclusions. The findings demonstrated high levels of IPV in HIV-serodiscordant couples and a significant gender difference in mental health risk such as PTS in such relationships, particularly where the woman was HIV-positive. HIV intervention programmes should address gender-based violence and inequity among heterosexual couples.

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Section: Discussionmentioning

confidence: 99%

Intimate partner violence among HIV-serodiscordant couples in Durban, South Africa

2018

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“…Sexual Education ‐ Helping families understand the importance of parental involvement and shared decision‐making in relationships for sexual risk reduction in young women (Kogan, Simons, Chen, Burwell, & Brody, ). ‐ The success of sexual risk reduction interventions may be attenuated by sexual traumas histories and comorbid mental health issues. (Wyatt, Loeb, Williams, Zhang, & Davis, ). ‐ Promoting condom use and mutual masturbation as a safe sex practice was effective in increasing condom use in Peurto Rico (Pérez‐Jiménez, Seal, & Ronis, ). …”

Section: Resultsmentioning

confidence: 99%

“…-The success of sexual risk reduction interventions may be attenuated by sexual traumas histories and comorbid mental health issues. (Wyatt, Loeb, Williams, Zhang, & Davis, 2012).…”

Section: Sexual Educationmentioning

confidence: 99%

The State of Sex Research in MFT and Family Studies Literature: A Seventeen‐Year Content Analysis

Jones

Johnson

Wenglein

et al. 2018

J Marital Family Therapy

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The ability to conceptualize and treat sexual problems has been widely accepted as a crucial skill to master the MFT training. However, clients' sexual relationships are often ignored by clinicians because of a lack of experience or training, or personal discomfort. In this content analysis, we review sex and sex therapy research within MFT and family studies journals since the turn of the century. Of the 13,919 articles published within the 15 journals, 137 focused on sexuality or sex therapy. The articles were divided into five themes: sexual and relational health, sexual diversity, treatment and contributors of sexual dysfunction, sex therapy practices, and sexual education and development. Implications for clinical practices, sex therapy integration, and future research are discussed.

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“…The seronegative partner, although not physically affected by HIV, also bears devastating psychological burdens such as fear of transmission, stress associated with caretaking, anger associated with betrayal (if their partner acquired HIV through extra-relational sex), and concern about the partner’s deteriorating health as well as anticipated loss (Beyeza-Kashesya et al, 2009; Gordon-Garofalo & Rubin, 2004; Rispel, Cloete, Metcalf, Moody, & Caswell, 2012). The mental health challenges may compromise treatment adherence, may heighten HIV transmission risk for couples affected by HIV/AIDS (Bradley, Remien, & Dolezal, 2008; Wyatt, Loeb, Williams, Davis, & Zhang, 2012), and warrant further investigation with different types of couples.…”

mentioning

confidence: 99%

Gender Differences in Depressive Symptoms Among HIV-Positive Concordant and Discordant Heterosexual Couples in China

Liang

Lin

et al. 2016

Psychology of Women Quarterly

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HIV seropositive individuals and their heterosexual partners/spouses, either seropositive or seronegative, are facing several mental health challenges. The objective of this study was to examine gender differences in depressive symptoms among HIV-positive concordant and HIV-discordant couples. We identified heterosexual couples from participants of a randomized controlled trial conducted in Anhui province, China. A total of 265 couples, comprising 129 HIV+ male/HIV− female couples, 98 HIV− male/HIV+ female couples, and 38 HIV-positive concordant couples, were included in the analyses. We collected data using the computer-assisted personal interview method. We used a linear mixed-effects regression model to assess whether gender differences in depressive symptoms varied across couple types. HIV-positive women reported a significantly higher level of depressive symptoms than their partners/spouses. HIV-positive women with HIV-positive partners had higher depressive symptoms than those with HIV-negative partners, whereas HIV-positive men reported similar levels of depressive symptoms regardless of their partners’ serostatus. Among the concordant couples, those with the highest annual family income showed the greatest gender differences in depressive symptoms. We suggest that family interventions should be gender- and couple-type specific and that mental health counseling is warranted not only for HIV-positive women but also for HIV-negative women in an HIV-affected relationship.

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A case study of sexual abuse and psychological correlates among an HIV-serodiscordant couple.

Cited by 7 publications

References 61 publications

Intimate partner violence among HIV-serodiscordant couples in Durban, South Africa

Intimate partner violence among HIV-serodiscordant couples in Durban, South Africa

The State of Sex Research in MFT and Family Studies Literature: A Seventeen‐Year Content Analysis

Gender Differences in Depressive Symptoms Among HIV-Positive Concordant and Discordant Heterosexual Couples in China

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