Self-Reported Symptoms of Psychological Distress Experienced by Latinos Seeking HIV-Related Mental Health Care

Basta, Mph Tania B.; Reece, Michael; Shacham, Enbal

doi:10.1080/15381500802006649

Cited by 4 publications

(5 citation statements)

References 33 publications

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“…8 Furthermore, the study found that Latinos reported lower levels of anxiety, depression, and interpersonal sensitivity, as did this study; lower rates of depression and anxiety were unlike previous research that have consistently reported elevated levels of depression and anxiety among HIV-infected populations. 4,[13][14][15][16] Interestingly, these studies had not been conducted in a mental health clinic environment, which may play a role in the types of distress that are presented when individuals self-select into mental health care.…”

Section: Shacham Et Al 418contrasting

confidence: 54%

“…41,42,49 Research suggests that the BSI is a valid and reliable instrument for obtaining psychological health status data from adult populations, with internal consistency ranging from a low of 0.71 on the psychoticism dimension to a high of 0.85 on the depression dimension. 42,50,51 The BSI has also been used in previous studies focusing on HIV and AIDS 8,11,[43][44][45][46][47][48] and is considered a reliable measure for assessing distress in this population. 42,50,51 The normative sample, used as a comparison of levels of psychological distress among differing populations, for this study consisted of the adult psychiatric outpatient sample (n ϭ 1002).…”

Section: Methodsmentioning

confidence: 99%

“…[3][4][5][6][7] Within the United States, HIV infrastructures have developed to incorporate HIV-related mental health care for individuals engaged with the publicly funded systems of HIV-related care that are present in most large metropolitan areas with disproportionate rates of HIV/AIDS. [8][9][10][11] African Americans have disproportionately been affected by HIV/AIDS in the United States accounting for 50% of the AIDS cases. The rate of AIDS diagnoses in African American men is 7 times higher than the rate for Caucasian men and 21 times higher for African American women than their Caucasian counterparts.…”

Section: Introductionmentioning

confidence: 99%

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Symptoms of Psychological Distress among African Americans Seeking HIV-Related Mental Health Care

Shacham

Basta

Reece

2008

AIDS Patient Care and STDs

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The purpose of this study was to examine the prevalence of symptoms of psychological distress experienced by African Americans upon self-enrollment in HIV-related mental health care and to compare the symptoms in this sample to the Brief Symptom Inventory (BSI) normative sample, the instrument used in this study to assess symptoms of psychological distress. Data were collected from 575 African Americans living with HIV who self-enrolled at an HIV-related mental health clinic located in a large city in the southeastern United States. Nearly 20% of the sample reported a t score Ն 63 for both somatization and paranoid ideation, a level indicative of a need for further psychological evaluation. Compared to the normative sample, this sample had significantly lower levels (p Ͻ 0.05) of anxiety, depression, phobic anxiety, interpersonal sensitivity, and global severity index than the normative sample and had significantly higher levels of paranoid ideation and somatization than the normative sample. These results indicate that, overall, African Americans presented for mental health services with lower levels of symptoms of psychological distress than the normative sample. To that end, it is possible that African Americans living with HIV may underreport symptoms of psychological distress or may experience symptoms of psychological distress differently than other individuals. As a result, it is important that HIV-related service providers recognize these patterns of psychological distress and provide appropriate referrals to HIV-related mental health providers. 413

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Section: Shacham Et Al 418contrasting

confidence: 54%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Symptoms of Psychological Distress among African Americans Seeking HIV-Related Mental Health Care

Shacham

Basta

Reece

2008

AIDS Patient Care and STDs

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“…A study was conducted that measured symptoms of psychological distress reported by Hispanics seeking HIV‐related mental health services, but did not specifically measure depression. Psychological distress among Hispanics was mediated by engagement in HIV‐related mental health services (Basta et al . 2008a,b).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial and cultural correlates of depression among Hispanic men with HIV infection: a pilot study

Santis

González-Guarda

Vásquez

2012

Psychiatric Ment Health Nurs

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Background Depression is a common mental health condition among persons with HIV infection. Depression influences quality of life, social relationships, and adherence to medication therapy. Little is known about depression among Hispanic men with HIV infection. Aim The purpose of this pilot study was to describe the relationships of depression to other psychosocial factors (self-esteem, Hispanic stress, substance abuse, and violence) and cultural factors (familism & Hispanic stress) among a sample of Hispanic men with HIV infection. Method Using a cross-sectional, descriptive research design a convenience sample of 46 Hispanic men with HIV infection was recruited and surveyed from the South Florida area of the United States. Results The majority of the participants (65%; n = 30) were depressed. In addition, the majority of participants reported high familism and self-esteem and low Hispanic stress. A history of substance abuse and childhood and adult violence were common. Significant relationships were noted between depression, and self-esteem, Hispanic stress, substance abuse, and adult physical violence. Implications Healthcare providers need to be aware of the high rates of depression, substance abuse, and violence that may occur among Hispanic men with HIV infection. More research is needed to further explore the relationship of these factors, as well as to determine the impact that these variables have on adherence to medication therapy among Hispanic men with HIV infection.

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“…19 Furthermore, the prevalence is considerably higher than urban individuals living with HIV who self-reported symptoms indicative of a depression diagnosis. [20][21][22] Additional research is needed to examine the psychological distress levels among individuals living in rural areas in order to assist HIV service providers in addressing the unmet mental health needs of this population. This study was designed to increase understanding of the nature and range of psychological distress symptoms among rural individuals with HIV seeking mental health care and compare those to their urban counterparts.…”

Section: Introductionmentioning

confidence: 99%

Symptoms of Psychological Distress: A Comparison of Rural and Urban Individuals Enrolled in HIV-Related Mental Health Care

Basta

Shacham

Reece

2009

AIDS Patient Care and STDs

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Over the past decade, the number of individuals who have been diagnosed with HIV in nonmetropolitan areas (population of less than 50,000 individuals) has increased; however, the majority of the research has been conducted in metropolitan areas. Even less research has examined the levels of psychological distress among rural individual living with HIV. The purpose of this study was to explore the nature and range of psychological distress symptoms experienced by individuals living in rural areas who had self-enrolled into HIV-related mental health care and to compare their levels of distress to their urban counterparts accessing care at the same clinic. Data were collected from 95 individuals who self-enrolled in HIV-related mental health at either a rural (n = 47) or urban (n = 48) clinic. All participants completed the Brief Symptom Inventory (BSI), the instrument used in this study to assess symptoms of psychological distress. Rural participants had significantly higher mean scores on the hostility dimension of the BSI, F(1, 93) = 8.77, p = 0.004, than their urban counterparts. Furthermore, the rural participants had a greater proportion of individuals who had a T-score >or=63, a level indicative of a need for further psychological evaluation, for generalized anxiety, hostility, and psychoticism. The results indicated that rural individuals presented with higher levels of symptoms of psychological distress than their urban counterparts. These differences may be reflective of situational circumstances in rural areas where access to care, social isolation, and perceived stigma may delay screening for, and treatment of, psychological distress.

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Self-Reported Symptoms of Psychological Distress Experienced by Latinos Seeking HIV-Related Mental Health Care

Cited by 4 publications

References 33 publications

Symptoms of Psychological Distress among African Americans Seeking HIV-Related Mental Health Care

Symptoms of Psychological Distress among African Americans Seeking HIV-Related Mental Health Care

Psychosocial and cultural correlates of depression among Hispanic men with HIV infection: a pilot study

Symptoms of Psychological Distress: A Comparison of Rural and Urban Individuals Enrolled in HIV-Related Mental Health Care

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