Psychological Well-being and Coping Mechanism among HIV-Naive Patients in Nigeria: An Analysis of Depression and Anxiety
Abstract:
Depression and anxiety disorders (DAD) have
consistently been established as some of the major mental health outcomes in the
HIV/AIDS population. In light of previous research attempts to examine its
causes and proffer solutions, however, rates of DAD have remained consistently
high, especially in HIV populations. This study therefore examined the prevalence
of depression, anxiety and coping strategies among HIV naïve patients in Abuja.
The research design was a descriptive cross-sectional survey that utilized
multistage sampling technique to recruit 1022 HIV naïve patients. Patient Health
Questionnaire (PHQ), generalized anxiety scale (GAD-7) and developed instruments
for coping were used to assess depression, anxiety and coping strategies respectively.
The research instrument was administered to well-consented and eligible
participants. Three objectives, which were later transformed into hypotheses,
examined the prevalence of depression, anxiety and coping strategies. Data was analyzed
using descriptive analysis, Chi-square and logistic regression. Results indicated
that the prevalence of depression was 65.1%, 18.8%, 10.8% and 5.3% for minimal, mild, moderate
and severe depression respectively. Similarly, the prevalence of anxiety was
69.5%, 20.6%, 7.6% and 2.3% for minimal, mild, moderate and severe
anxiety respectively. Further results revealed that sex is significantly associated with depression and
anxiety X2 = 21.597, df= 4, p<.000; X2 =
12.480, df= 4, p<.05. There was also a statistically significant difference in
coping between patients with mild depression and severe depression (OR. 2.673
to 29.949). Also, there was a statistically significant
difference in coping between patients with mild and severe anxiety (OR, 2.673 to 29.949). Governmental
and Non-governmental organizations should take cognizance of this prevalence
and evolve measure to reduce the rate of these problems among HIV naïve
patients in Abuja and beyond.
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