title: Psychological interventions for post-traumatic stress disorder in people living with HIV in Resource poor settings: a systematic review.
abstract: OBJECTIVE
  Post-traumatic stress disorder is pervasive in low- and middle-income countries. There is evidence to suggest that post-traumatic stress disorder is more common among people living with HIV than non-infected matched controls. We carried out a systematic review of interventions for adult post-traumatic stress disorder from resource poor settings with a focus on people living with HIV.
  
  
  METHODS
  We included all studies that investigated interventions for adult post-traumatic stress disorder from resource poor settings with a focus on interventions that were either randomised controlled trials or observational cohort studies carried out from 1980 to May 2015.
  
  
  RESULTS
  Of the 25 articles that were identified for full review, two independent reviewers identified seven studies that met our study inclusion criteria. All randomised controlled trials (RCT) (n = 6) used cognitive behavioural therapy-based interventions and focused on people living with HIV in resource poor settings. There was only one study focusing on the use of lay counsellors to address post-traumatic stress disorder but core competencies were not described. There were no intervention studies from Africa, only an observational cohort study from Rwanda.
  
  
  CONCLUSIONS
  Rigorously evaluated interventions for adult post-traumatic stress disorder in people living with HIV are rare. Most were undertaken in resource poor settings located in high-income countries. There is a need for research on the development and implementation of appropriate interventions for post-traumatic stress disorder in people living with HIV in low- and middle-income countries.
authors.affiliation: Zimbabwe Aids Prevention Project, University of Zimbabwe, Harare, Zimbabwe. ruth.verhey@zol.co.zw.
authors.forename: Ruth
authors.initials: R
authors.lastname: Verhey
authors.affiliation: Zimbabwe Aids Prevention Project, University of Zimbabwe, Harare, Zimbabwe.
authors.forename: Dixon
authors.initials: D
authors.lastname: Chibanda
authors.affiliation: Say and Play Therapy Centre, Harare, Zimbabwe.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Brakarsh
authors.affiliation: Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa.
authors.forename: Soraya
authors.initials: S
authors.lastname: Seedat
mesh_terms: D000328:Adult; D003906:Developing Countries; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology*; D006801:Humans; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000628:therapy*
keywords: HIV; People living with HIV; Post-traumatic stress disorder; Trastorno por estrés postraumático (TEPT); VIH; lugares con pocos recursos; milieux pauvres en ressources; personas viviendo con VIH; personnes vivant avec le VIH; resource poor settings; syndrome de stress post-traumatique (SSPT)