Post-traumatic stress disorder (PTSD) after stigma related events in HIV infected individuals in Nigeria.
BACKGROUND
One of the most distressing concerns of many people living with HIV in sub-Saharan Africa is the stigma. Intense stigma may be traumatic. This study aimed to investigate the probability and correlates of Posttraumatic stress disorder (PTSD) following intense stigmatizing events and situations in HIV infected individuals in Nigeria.


METHODS
Adult sero-positive attendees of an HIV care centre (N = 190) completed questionnaires regarding sociodemographic and clinical details; the 12-item General Health Questionnaire (GHQ-12) and the Rosenberg's Self-Esteem Scale. The clients were then interviewed for the presence of stigma related PTSD with a modified version of the mini international neuropsychiatry interview (MINI).


RESULTS
About 2/3 of the participants had experienced at least an intense HIV-related stigmatizing event or situation. The rate of HIV-stigma related PTSD was 27.4%. Independent predictors of HIV stigma-related PTSD included past history of traumatic events (Single event, OR 2.28, 95% CI 1.08-4.73; Multiple events, OR 9.47, 95% CI 2.97-32.20), low self esteem (OR 6.52, 95% CI 2.59-16.55), poor level of social support (OR 3.33, 95% CI 1.24-9.79) and presence of general psychopathology (OR 2.18, 95% CI 1.07-4.44).


CONCLUSIONS
PTSD may not be specific to traumatic events alone. There is a possibility of PTSD after an intense stigmatizing event or situation. While the validity for the validity of HIV-stigma related PTSD warrants further investigation, stigma needs to be considered when planning rehabilitation strategies for HIV infected individuals in sub-Saharan Africa. A closer attention to self esteem, level of social support and presence of psychopathology is needed in these individuals.
Adewuya
Abiodun O
AO
Dept. of Psychiatry, College of Medicine, Lagos State University, Lagos, Nigeria. biodunwuya@yahoo.com
Afolabi
Mohammed O
MO
Ola
Bola A
BA
Ogundele
Olorunfemi A
OA
Ajibare
Adeola O
AO
Oladipo
Bamidele F
BF
Fakande
Ibiyemi
I
D000328:Adult; D017954:Africa South of the Sahara; D015897:Comorbidity; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D006679:HIV Seropositivity / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D006304:Health Status; D006801:Humans; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology; D009549:Nigeria / Q000453:epidemiology; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D012649:Self Concept; D012720:Severity of Illness Index; D012944:Social Support; D012959:Socioeconomic Factors; D013240:Stereotyping; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D011795:Surveys and Questionnaires