https://www.thelancet.com/article/S2215036620302030/pdf

Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic.

A qualitative study on the psychological experience of caregivers of COVID-19 patients.

Introduction: Adherence to HIV antiretroviral therapy (ART) is a critical determinant of HIV-1 RNA viral suppression and health outcomes. It is generally accepted that HIV-related stigma is correlated with factors that may undermine ART adherence, but its relationship with ART adherence itself is not well established. We therefore undertook this review to systematically assess the relationship between HIV-related stigma and ART adherence. Methods: We searched nine electronic databases for published and unpublished literature, with no language restrictions. First we screened the titles and abstracts for studies that potentially contained data on ARTadherence.Then we reviewed the full text of these studies to identify articles that reported data on the relationship between ARTadherence and either HIV-related stigma or serostatus disclosure. We used the method of meta-synthesis to summarize the findings from the qualitative studies. Results: Our search protocol yielded 14,854 initial records. After eliminating duplicates and screening the titles and abstracts, we retrieved the full text of 960 journal articles, dissertations and unpublished conference abstracts for review. We included 75 studies conducted among 26,715 HIV-positive persons living in 32 countries worldwide, with less representation of work from Eastern Europe and Central Asia. Among the 34 qualitative studies, our meta-synthesis identified five distinct third-order labels through an inductive process that we categorized as themes and organized in a conceptual model spanning intrapersonal, interpersonal and structural levels. HIV-related stigma undermined ART adherence by compromising general psychological processes, such as adaptive coping and social support.We also identified psychological processes specific to HIV-positive persons driven by predominant stigmatizing attitudes and which undermined adherence, such as internalized stigma and concealment. Adaptive coping and social support were critical determinants of participants' ability to overcome the structural and economic barriers associated with poverty in order to successfully adhere to ART. Among the 41 quantitative studies, 24 of 33 cross-sectional studies (71%) reported a positive finding between HIV stigma and ART non-adherence, while 6 of 7 longitudinal studies (86%) reported a null finding (Pearson's x 2 7.7; p0.005). Conclusions: We found that HIV-related stigma compromised participants' abilities to successfully adhere to ART. Interventions to reduce stigma should target multiple levels of influence (intrapersonal, interpersonal and structural) in order to have maximum effectiveness on improving ART adherence.

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Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis

There is a growing interest in whether and how to adapt psychotherapies to take into account the cultural, linguistic, and socioeconomic context of diverse ethnocultural groups. At the root of the debate is the issue of whether evidence-based treatments (EBTs) developed within a particular linguistic and cultural context are appropriate for ethnocultural groups that do not share the same language, cultural values, or both. There is considerable evidence that culture and context influence almost every aspect of the diagnostic and treatment process. Yet, there are concerns about fidelity of interventions, and some have questioned whether tinkering with well-established EBTs is warranted. We present arguments in favor of the cultural compatibility and universalistic hypotheses. Next, we review the available published frameworks for cultural adaptations of EBTs and offer examples from the literature on the process and outcome of different approaches used. Conceptual models for adapting existing interventions and emerging evidence that adapted intervention leads to positive outcomes suggest that there are tools for engaging in evidence-based psychological practices with ethnocultural youth. Recommendations for future directions are provided.

Cultural adaptation of treatments: A resource for considering culture in evidence-based practice.

Introduction : HIV-related stigma and discrimination continue to hamper efforts to prevent new infections and engage people in HIV treatment, care and support programmes. The identification of effective interventions to reduce stigma and discrimination that can be integrated into national responses is crucial to the success of the global AIDS response. Methods : We conducted a systematic review of studies and reports that assessed the effectiveness of interventions to reduce HIV stigma and discrimination between 1 January 2002 and 1 March 2013. Databases searched for peer-reviewed articles included PubMed, Scopus, EBSCO Host -CINAHL Plus, Psycinfo, Ovid, Sociofile and Popline. Reports were obtained from the www.HIVAIDSClearinghouse.eu , USAID Development Experience Clearinghouse, UNESCO HIV and AIDS Education Clearinghouse, Google, WHO and UNAIDS. Ancestry searches for articles included in the systematic review were also conducted. Studies of any design that sought to reduce stigma as a primary or secondary objective and included pre- and post-intervention measures of stigma were included. Results : Of 2368 peer-reviewed articles and reports identified, 48 were included in our review representing 14 different target populations in 28 countries. The majority of interventions utilized two or more strategies to reduce stigma and discrimination, and ten included structural or biomedical components. However, most interventions targeted a single socio-ecological level and a single domain of stigma. Outcome measures lacked uniformity and validity, making both interpretation and comparison of study results difficult. While the majority of studies were effective at reducing the aspects of stigma they measured, none assessed the influence of stigma or discrimination reduction on HIV-related health outcomes. Conclusions : Our review revealed considerable progress in the stigma-reduction field. However, critical challenges and gaps remain which are impeding the identification of effective stigma-reduction strategies that can be implemented by national governments on a larger scale. The development, validation, and consistent use of globally relevant scales of stigma and discrimination are a critical next step for advancing the field of research in this area. Studies comparing the effectiveness of different stigma-reduction strategies and studies assessing the influence of stigma reduction on key behavioural and biomedical outcomes are also needed to maximize biomedical prevention efforts. Keywords : systematic review; HIV; stigma reduction; discrimination reduction; interventions; measurement. (Published: 13 November 2013) To access the supplementary material to this article please see Supplementary Files in the column to the right (under Article Tools). Citation : Stangl AL et al. Journal of the International AIDS Society 2013, 16 (Suppl 2):18734 http://www.jiasociety.org/index.php/jias/article/view/18734 | http://dx.doi.org/10.7448/IAS.16.3.18734

https://onlinelibrary.wiley.com/doi/pdf/10.7448/IAS.16.3.18734

A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: how far have we come?

Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+/AIDS

A total of 379 NIMH-funded clinical trials published between 1995 and 2004 in five major mental health journals were assessed on their inclusion of women and racial/ethnic groups in their study recruitment. Findings showed that whereas most of the studies reported gender information and gender representation was balanced across studies, less than half of the studies provided complete racial/ethnic information. All racial/ethnic groups except Whites and African Americans were underrepresented, a pattern that has not improved significantly over the last decade. Less than half of the studies had potential for subgroup analyses by gender and race/ethnicity.

Gender and Ethnic Diversity in NIMH-funded Clinical Trials: Review of a Decade of Published Research

Background The moderating and mediating relationships among sense of coherence, parental attitudes and parenting stress for caregiving parents of children with autism were tested.

Materials and Methods  One hundred and fifty-seven mothers of children with autism recruited from representative community service centres in Hong Kong completed the Chinese versions of Sense of Coherence Scale (SOC), Confidence and Acceptance subscales of Parent-Attitude Survey Scales and Parenting Stress Index Short Form.

Results  Accounting for mothers’ demographic background, SOC showed a moderating effect with child's symptoms and parenting stress. Mothers with a strong SOC perceived lower stress than their counterparts even when their children presented with more severe autistic symptoms. Two proximal factors in parenting, parental confidence and acceptance of the child, were found to partially mediate SOC and stress.

Conclusions  The stress experience of mothers of children with autism is related strongly to a global sense of coherence as well as more specific parenting attitudes.

Sense of Coherence, Parenting Attitudes and Stress among Mothers of Children with Autism in Hong Kong.

The study tested the model of perceived support from medical staff and family/friends on severe acute respiratory syndrome (SARS) survivors' mental health as mediated by self-care self-efficacy. One hundred and forty-three SARS survivors recruited from the Hong Kong Hospital Authority following 18 months recovery were surveyed by trained interviewers using structured questionnaires. Based on structural equation modeling, findings showed that self-care self-efficacy completely mediated the effects of perceived medical staff support and perceived family/friends support on mental health status. The model achieved a satisfactory fit, CFI = 0.98, NNFI = 0.98, RMSEA = 0.06, and explained 75.2% of the variance in mental health status. The study is the first attempt in understanding long-term psychological adjustment of SARS survivors. Findings may be applicable to other infectious disease outbreaks in informing psychosocial factors that are important to long-term recovery.

Social support and psychological adjustment to SARS: the mediating role of self-care self-efficacy.

The present study tested a structural equation model of the association between self-construal, sociotropy, anxiety, and depression across two ethnic groups (n = 212 for Asian Americans and n = 202 for European Americans). The results provided support for a unified model that was applicable in explaining distress experiences among both ethnic groups. Interdependent self-construal predisposes a person to develop sociotropy and consequent depression via a heightened level of anxiety. Despite this indirect pathway from interdependent self-construal to depression, however, interdependent self-construal in and of itself was found to be negatively related to depression. On the other hand, independent self-construal protects a person from developing sociotropy and subsequent distress experiences. The findings provided support to the link between anxiety and depression. Implications to person-environment fit are discussed.

Cultural Model of Vulnerability to Distress: The Role of Self-Construal and Sociotropy on Anxiety and Depression Among Asian Americans and European Americans:

Rita W. Law

Papers

Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+/AIDS

Gender and Ethnic Diversity in NIMH-funded Clinical Trials: Review of a Decade of Published Research

Sense of Coherence, Parenting Attitudes and Stress among Mothers of Children with Autism in Hong Kong.

Social support and psychological adjustment to SARS: the mediating role of self-care self-efficacy.

Cultural Model of Vulnerability to Distress: The Role of Self-Construal and Sociotropy on Anxiety and Depression Among Asian Americans and European Americans: