Waldron Elizabeth M, Burnett-Zeigler Inger, Wee Victoria, Ng Yiukee Warren, Koenig Linda J, Pederson Aderonke Bamgbose, Tomaszewski Evelyn, Miller Emily S
Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, 12244Northwestern University, Chicago, IL, USA.
Department of Psychiatry, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, NY, USA.
J Int Assoc Provid AIDS Care. 2021 Jan-Dec;20:2325958220985665. doi: 10.1177/2325958220985665.
Women living with HIV (WLWH) experience depression, anxiety, and posttraumatic stress symptoms at higher rates than their male counterparts and more often than HIV-unaffected women. These mental health issues affect not only the well-being and quality of life of WLWH, but have implications for HIV management and transmission prevention. Despite these ramifications, WLWH are under-treated for mental health concerns and they are underrepresented in the mental health treatment literature. In this review, we illustrate the unique mental health issues faced by WLWH such as a high prevalence of physical and sexual abuse histories, caregiving stress, and elevated internalized stigma as well as myriad barriers to care. We examine the feasibility and outcomes of mental health interventions that have been tested in WLWH including cognitive behavioral therapy, mindfulness-based interventions, and supportive counseling. Future research is required to address individual and systemic barriers to mental health care for WLWH.
感染艾滋病毒的女性（WLWH）比男性更容易出现抑郁、焦虑和创伤后应激症状，且比未感染艾滋病毒的女性更常见。这些心理健康问题不仅影响感染艾滋病毒女性的幸福感和生活质量，还对艾滋病毒管理和传播预防产生影响。尽管有这些影响，但感染艾滋病毒女性的心理健康问题未得到充分治疗，且她们在心理健康治疗文献中的代表性不足。在本综述中，我们阐述了感染艾滋病毒女性所面临的独特心理健康问题，例如身体和性虐待史的高发生率、护理压力、内化耻辱感加剧以及众多护理障碍。我们研究了在感染艾滋病毒女性中进行测试的心理健康干预措施的可行性和效果，包括认知行为疗法、正念干预和支持性咨询。未来需要开展研究，以解决感染艾滋病毒女性获得心理健康护理的个人和系统性障碍。
