Trauma, Mental Health, & Haiti Final Project - Katie Guidera April 2014 | Page 6

  6   Table  1.   Lead   Author;     Year   Article  title   Population,   Sample  Size   Key  mental  health-­‐related  findings   Déviexu,   J.  G.;   2013   Post-­‐traumatic  stress   disorder  symptomatology   and  alcohol  use  among   HIV-­‐seropositive  adults  in   Haiti   Adult  PLWHA   in  Haiti   (n=104)   Malow,   R.;  2013   Depression,  Substance   Adult  PLWHA   Abuse,  and  other   in  Haiti   Contextual  Predictors  of   (n=194)   Adherence  to  Antiretroviral   Therapy  among  Haitians   -­‐  Women,  younger  participants,  those  who  lost  all   belongings,  &  those  with  greater  overall  alcohol   impact  were  more  likely  to  report  PTSD  symptoms     -­‐  Those  more  likely  to  meet  PTSD  criteria  were   those  who  reported  feeling  a  need  to  cut  down  on   drinking  and  those  who  used  behavioral   disengagement  as  a  coping  mechanism     -­‐  Depression  and  negative  attitudes  about  ART   directly  predict  poor  adherence     -­‐Partner  conflict,  maladaptive  coping,  and  alcohol   problems  predict  depression   Glémaud,   Abuse  and  mental  health   M.;  2014   concerns  among  HIV-­‐ infected  Haitian  women   living  in  the  United  States   Haitian   Women  LWHA   in  the  United   States  (n=96)   -­‐  Women  who  reported  a  history  of  abuse  were   more  likely  to  report  anxiety,  depression,  and  PTSD   related  to  HIV  symptoms  than  those  without  a   history  of  abuse   Ghose,  T.;   Surviving  the  Aftershock:   2012   Post-­‐earthquake  Access   and  Adherence  to  HIV   Treatment  Among  Haiti’s   Tent  Residents   Adult  PLWHA     in  Haiti  (n=33),   Patients  at  HIV   community   clinic  in  IDP   camp   Malow,   R.;  2010   Literature   review/Comm entary   -­‐  Poor  living  conditions  in  encampments  after  the   earthquake  exacerbated  stigma  of  being  HIV   positive  (thru  lack  of  privacy  in  camps)  and   undermined  mental  health  (created  life  stressors   that  led  to  feelings  of  helplessness,  worthlessness,   and  depression)  in  a  way  that  negatively  affected   access  and  adherence  to  HAART     -­‐  There  is  a  need  to  explore  lessons  learned  from   natural  disasters  and  HIV  risk,  continuity  of  care,   ART  maintenance,  and  existential  issues.  Trauma-­‐ inducing  events  like  rape,  domestic  violence,  and   victimization  of  women  are  common  after  natural   disasters,  as  are  traumatic  effects  of  homelessness     -­‐  They  expect  to  find  a  synergetic  relationship   between  earthquake  sequelae  and  stigma  on  HIV   care  delivery,  given  historical  stigma-­‐induced   barriers  to  HIV  care  globally     The  Impact  of  Disaster  on   HIV  in  Haiti  and  Priority   Areas  Related  to  the   Haitian  Crisis