title: Prenatal and mental health care among trauma-exposed, HIV-infected, pregnant women in the United States.
abstract: 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.
authors.forename: Olga M
authors.initials: OM
authors.lastname: Villar-Loubet
authors.forename: Lourdes
authors.initials: L
authors.lastname: Illa
authors.forename: Marisa
authors.initials: M
authors.lastname: Echenique
authors.forename: Ryan
authors.initials: R
authors.lastname: Cook
authors.forename: Barbara
authors.initials: B
authors.lastname: Messick
authors.forename: Lunthita M
authors.initials: LM
authors.lastname: Duthely
authors.forename: Shirley
authors.initials: S
authors.lastname: Gazabon
authors.forename: Myriam
authors.initials: M
authors.lastname: Glemaud
authors.forename: Victoria
authors.initials: V
authors.lastname: Bustamante-Avellaneda
authors.forename: JoNell
authors.initials: J
authors.lastname: Potter
mesh_terms: D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D003863:Depression / Q000523:psychology; D005260:Female; D005431:Florida; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008016:Life Change Events; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy; D008603:Mental Health; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D011295:Prenatal Care; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies; D013179:Spouse Abuse / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000150:complications* / Q000523:psychology*; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology; D014481:United States
keywords: HIV; mental health; prenatal; trauma