TY - JOUR
T1 - Prenatal and Mental Health Care Among Trauma-Exposed, HIV-Infected, Pregnant Women in the United States
AU - Villar-Loubet, Olga M.
AU - Illa, Lourdes
AU - Echenique, Marisa
AU - Cook, Ryan
AU - Messick, Barbara
AU - Duthely, Lunthita M.
AU - Gazabon, Shirley
AU - Glemaud, Myriam
AU - Bustamante-Avellaneda, Victoria
AU - Potter, Jo Nell
PY - 2014
Y1 - 2014
N2 - Comprehensive prenatal care for HIV-infected women in the United States involves addressing mental health needs. Retrospective quantitative data are presented from HIV-infected pregnant women (n = 45) who reported childhood sexual or physical abuse (66%), abuse in adulthood by a sexual partner (25%), and abuse during pregnancy (10%). Depression and anxiety were the most commonly reported psychological symptoms; more than half of the sample reported symptoms of posttraumatic stress disorder (PTSD), including HIV-related PTSD (PTSD-HIV). There was a strong association between depression and PTSD as well as between anxiety and PTSD-HIV. The majority of infants received zidovudine at birth and continued the recommended regimen. All but one infant were determined to be noninfected. Women improved their CD4+ T cell counts and HIV RNA viral loads while in prenatal care. Results support the need for targeted prenatal programs to address depression, anxiety, substance use, and trauma in HIV-infected women.
AB - Comprehensive prenatal care for HIV-infected women in the United States involves addressing mental health needs. Retrospective quantitative data are presented from HIV-infected pregnant women (n = 45) who reported childhood sexual or physical abuse (66%), abuse in adulthood by a sexual partner (25%), and abuse during pregnancy (10%). Depression and anxiety were the most commonly reported psychological symptoms; more than half of the sample reported symptoms of posttraumatic stress disorder (PTSD), including HIV-related PTSD (PTSD-HIV). There was a strong association between depression and PTSD as well as between anxiety and PTSD-HIV. The majority of infants received zidovudine at birth and continued the recommended regimen. All but one infant were determined to be noninfected. Women improved their CD4+ T cell counts and HIV RNA viral loads while in prenatal care. Results support the need for targeted prenatal programs to address depression, anxiety, substance use, and trauma in HIV-infected women.
KW - HIV
KW - Mental health
KW - Prenatal
KW - Trauma
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U2 - 10.1016/j.jana.2013.06.006
DO - 10.1016/j.jana.2013.06.006
M3 - Article
C2 - 24274993
AN - SCOPUS:84891373210
SN - 1055-3290
VL - 25
SP - S50-S61
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - SUPPL1
ER -