HIV Article 4

Question 1

What evidence is shown regarding the relationship between traumatic experiences and HIV status?

Answer 1

Numerous studies have documented substantially higherprevalence of childhood sexual and physical abuse, exposure to other traumatic experiences and subsequent post traumatic stress disorder (PTSD) among both men and women living with HIV/AIDS compared with nationally representative general population samples

Question 2

How does past trauma influence adherence to ART regimen?

Answer 2

Past trauma is a barrier to effective adherence to ART regimen

Question 3

According to the article, mood and anxiety disorders are how many times more common in PLWHA than in the general population?

Answer 3

5-10 times

Question 4

Discuss some effective mental health interventions and strategies mentioned in the article that address mental health disorders in PLWHA

Answer 4

co-morbid mental health and substance abuse disorders
Interventions targeted specifically at
addressing PTSD in HIV-infected survivors of childhood sexual abuse
Antidepressant treatment

Question 5

Which of the following are NOT high priorities for future research?

      a. mental health interventions developed should be cost effective and feasible for widespread integration into HIV clinical care.
      b. intervention should identify individuals in HIV clinical setting with histories of traumatic experiences.
      c. evidence should be gathered on the cost effectiveness of such interventions so they may influence policy.
       d. training clinical coordinators in psychiatric expertise to where an on sight psychiatrist is not needed.

Answer 5

d. training clinical coordinators in psychiatric expertise to where an on sight psychiatrist is not needed.

Question 6

HIV individuals with high risk of trauma experiences are:

       a. less likely to adhere to ART
       b. have faster rate of HIV disease progression
       c. highly likely to commit suicide
       d. both a and b
       e. both b and c

Answer 6

d. both a and b

Question 7

What are some benefits of mental health treatments for PLWHA including antidepressant and group-therapy based treatment?

Answer 7

Antidepressant treatment for depressed PLWHA has also been associated with improved HIV medication adherence in retrospective observational data