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Psychosocial and behavioral correlates of depression among HIV-infected pregnant women.

Publication ,  Journal Article
Blaney, NT; Fernandez, MI; Ethier, KA; Wilson, TE; Walter, E; Koenig, LJ; Perinatal Guidelines Evaluation Project Group,
Published in: AIDS Patient Care STDS
July 2004

This study addressed two aims: (1) to assess the level of depressive symptoms among pregnant, HIV-infected racial and ethnic minority women and (2) to identify potentially modifiable factors associated with prenatal depression in order to foster proactive clinical screening and intervention for these women. Baseline interview data collected from HIV-infected women participating in the Perinatal Guidelines Evaluation Project were analyzed. Participants were from prenatal clinics in four areas representative of the U. S. HIV/AIDS epidemic among women. Of the final sample (n = 307), 280 were minorities (218 blacks [African American and Caribbean], 62 Hispanic). Standardized interviews assessed potential psychosocial factors associated with pregnancy-related depression and psychological distress (life stressors, inadequate social support, and ineffective coping skills) in a population for whom little work has been done. Depressive symptomatology was considerable, despite excluding somatic items in order to avoid confounding from prenatal or HIV-related physical symptoms. The psychosocial factors significantly predicted the level of prenatal depressive symptoms beyond the effects of demographic and health-related factors. Perceived stress, social isolation, and disengagement coping were associated with greater depression, positive partner support with lower depression. These findings demonstrate that psychosocial and behavioral factors amenable to clinical intervention are associated with prenatal depression among women of color with HIV. Routine screening to identify those currently depressed or at risk for depression should be integrated into prenatal HIV-care settings to target issues most needing intervention.

Duke Scholars

Published In

AIDS Patient Care STDS

DOI

ISSN

1087-2914

Publication Date

July 2004

Volume

18

Issue

7

Start / End Page

405 / 415

Location

United States

Related Subject Headings

  • Virology
  • United States
  • Surveys and Questionnaires
  • Social Support
  • Prenatal Care
  • Pregnancy Complications, Infectious
  • Pregnancy
  • Poverty
  • Minority Groups
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Blaney, N. T., Fernandez, M. I., Ethier, K. A., Wilson, T. E., Walter, E., Koenig, L. J., & Perinatal Guidelines Evaluation Project Group, . (2004). Psychosocial and behavioral correlates of depression among HIV-infected pregnant women. AIDS Patient Care STDS, 18(7), 405–415. https://doi.org/10.1089/1087291041518201
Blaney, Nancy T., M Isabel Fernandez, Kathleen A. Ethier, Tracey E. Wilson, Emmanuel Walter, Linda J. Koenig, and Linda J. Perinatal Guidelines Evaluation Project Group. “Psychosocial and behavioral correlates of depression among HIV-infected pregnant women.AIDS Patient Care STDS 18, no. 7 (July 2004): 405–15. https://doi.org/10.1089/1087291041518201.
Blaney NT, Fernandez MI, Ethier KA, Wilson TE, Walter E, Koenig LJ, et al. Psychosocial and behavioral correlates of depression among HIV-infected pregnant women. AIDS Patient Care STDS. 2004 Jul;18(7):405–15.
Blaney, Nancy T., et al. “Psychosocial and behavioral correlates of depression among HIV-infected pregnant women.AIDS Patient Care STDS, vol. 18, no. 7, July 2004, pp. 405–15. Pubmed, doi:10.1089/1087291041518201.
Blaney NT, Fernandez MI, Ethier KA, Wilson TE, Walter E, Koenig LJ, Perinatal Guidelines Evaluation Project Group. Psychosocial and behavioral correlates of depression among HIV-infected pregnant women. AIDS Patient Care STDS. 2004 Jul;18(7):405–415.
Journal cover image

Published In

AIDS Patient Care STDS

DOI

ISSN

1087-2914

Publication Date

July 2004

Volume

18

Issue

7

Start / End Page

405 / 415

Location

United States

Related Subject Headings

  • Virology
  • United States
  • Surveys and Questionnaires
  • Social Support
  • Prenatal Care
  • Pregnancy Complications, Infectious
  • Pregnancy
  • Poverty
  • Minority Groups
  • Humans