Systematic Review Mental Health Interventions Low and Middle Income Countries

Review

. 2021 Jun;24 Suppl 2(Suppl 2):e25722.

doi: ten.1002/jia2.25722.

Mental health interventions for persons living with HIV in low- and eye-income countries: a systematic review

Seggane Musisi ^ane , Colin Thousand Smith ^{ii 3} , Megan Von Isenburg ⁴ , Benedict Akimana ⁵ , Ani Shakarishvili ^six , Jean B Nachega ^{vii 8 9} , Edward J Mills ¹⁰ , Dixon Chibanda ¹¹ , Marcelo Ribeiro ¹² , Anna V Williams ¹³ , John A Joska ¹⁴

Affiliations

• PMID: 34164926
• PMCID: PMC8222847
• DOI: 10.1002/jia2.25722

Free PMC article

Review

Mental health interventions for persons living with HIV in depression- and centre-income countries: a systematic review

Etheldreda Nakimuli-Mpungu  et al. J Int AIDS Soc. 2021 Jun .

Complimentary PMC commodity

Abstract

Introduction: Addressing the intersection between mental health and HIV is disquisitional for the wellbeing of persons living with HIV (PLWH). This systematic review synthesized the literature on mental wellness interventions for PLWH in low- and middle-income countries (LMICs) to determine intervention components and explore their relationship with intervention effectiveness.

Methods: We included only controlled clinical trials of interventions aiming to ameliorate the mental wellness of PLWH. We conducted a search in the following databases: PubMed, CINAHL, PsycINFO and EMBASE for eligible studies describing the evaluation of interventions for mental wellness bug amidst PLWH in LMICs published through Baronial 2020. Two reviewers independently screened references in 2 successive stages of title/abstract screening and then full-text screening for references meeting championship/abstract criteria.

Results: We identified a total of thirty eligible manufactures representing 6477 PLWH who were assigned to either the intervention arm (n = 3182) or control arm (n = 3346). The mental health interventions evaluated were psychological (n = 17, 56.67%), pharmacological (north = 6, 20.00%), combined psychological and pharmacological (n = 1, 3.33%) and complementary/alternative treatments (north = half dozen, 20.00%). The mental wellness problems targeted were depression (north = 22, 73.33 %), multiple psychological symptoms (north = 1, 3.33%), alcohol and substance utilize problems (n = 4, 13.33%), post-traumatic stress disorder (n = 1, 3.33%) and HIV-related neuro-cognitive impairment (n = 2, 6.67%). Studies of interventions with meaning furnishings had significantly a higher number of agile ingredients than those without significant effects [3.41 (2.24) vs. ane.84 (1.46) Mean (SD)] [Hateful difference = -i.56, 95% CI = -three.03 to -0.09, p = 0.037].

Conclusions: There go along to be advances in mental wellness interventions for PLWH with mental illness in LMICs. Even so, more inquiry is needed to elucidate how intervention components lead to intervention effectiveness. We recommend scale upwards of culturally appropriate interventions that have been successfully evaluated in low- and middle-income countries.

Keywords: HIV/AIDS; anti-retroviral therapy theory of alter; low- and middle-income countries; mental wellness; psychotherapy; psychotropic.

© 2021 The Authors. Journal of the International AIDS Society published past John Wiley & Sons Ltd on behalf of the International AIDS Social club.

Figures

Figure 1

PRISMA flowchart. PLWH, people living with HIV.

Figure 2

Narrative synthesis procedure. RCTs, randomized control trials; LMICs, depression‐and‐middle‐income countries.

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