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Young South African Women on Antiretroviral Therapy Perceptions of a Psychological Counselling Program to Reduce Heavy Drinking and Depression

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  • Petal Petersen Williams

    (Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Francie van Zyl Drive, Tygerberg 7505, South Africa
    Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7700, South Africa)

  • Carrie Brooke-Sumner

    (Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Francie van Zyl Drive, Tygerberg 7505, South Africa
    Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7700, South Africa)

  • John Joska

    (HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7700, South Africa)

  • James Kruger

    (Western Cape Department of Health., 8 Riebeeck Street, Cape Town 8000, South Africa)

  • Lieve Vanleeuw

    (Health Systems Research Unit, South African Medical Research Council, Francie van Zyl Drive, Tygerberg 7505, South Africa)

  • Siphokazi Dada

    (Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Francie van Zyl Drive, Tygerberg 7505, South Africa)

  • Katherine Sorsdahl

    (Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7700, South Africa)

  • Bronwyn Myers

    (Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Francie van Zyl Drive, Tygerberg 7505, South Africa
    Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7700, South Africa)

Abstract

Young women in South Africa remain most at risk for HIV infection. Several factors contribute to the high incidence rate in this population, including hazardous drinking and depression. Addressing common mental disorders (CMDs) such as depression and alcohol use disorders is key to effective HIV treatment. We explored the experiences and perceptions of young South African women on antiretroviral therapy (ART) of a lay health worker (LHW)-delivered psychosocial intervention based on motivational interviewing (MI) and problem-solving therapy (PST) to reduce heavy drinking and depression. We conducted 27 in-depth interviews with young women (aged 18–35) recruited from 16 primary care clinics in the Western Cape province of South Africa. Discussion topics included young women’s life experiences leading to their enrollment in the program, their perceptions of the counselling sessions and the quality of their interaction with the counsellor. Qualitative data were analyzed using a framework approach. The findings highlighted the impact adverse life experiences and stressful life circumstances have on young women’s use of alcohol and symptoms of depression and the effect this has on ART adherence. The findings suggest that women found the intervention components that helped them develop strategies for coping with their past experiences, managing current life stressors, and regulating negative thoughts and emotions most beneficial. Taken together, these findings confirm the acceptability of LHW-delivered MI-PST counselling for this population, but suggest that the relevance of the MI-PST intervention for this highly vulnerable population could be further enhanced by including a focus on psychological trauma.

Suggested Citation

  • Petal Petersen Williams & Carrie Brooke-Sumner & John Joska & James Kruger & Lieve Vanleeuw & Siphokazi Dada & Katherine Sorsdahl & Bronwyn Myers, 2020. "Young South African Women on Antiretroviral Therapy Perceptions of a Psychological Counselling Program to Reduce Heavy Drinking and Depression," IJERPH, MDPI, vol. 17(7), pages 1-16, March.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2249-:d:337601
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    References listed on IDEAS

    as
    1. Sikkema, Kathleen J. & Choi, Karmel W. & Robertson, Corne & Knettel, Brandon A. & Ciya, Nonceba & Knippler, Elizabeth T. & Watt, Melissa H. & Joska, John A., 2018. "Development of a coping intervention to improve traumatic stress and HIV care engagement among South African women with sexual trauma histories," Evaluation and Program Planning, Elsevier, vol. 68(C), pages 148-156.
    2. Claire van der Westhuizen & Bronwyn Myers & Megan Malan & Tracey Naledi & Marinda Roelofse & Dan J Stein & Sa’ad Lahri & Katherine Sorsdahl, 2019. "Implementation of a screening, brief intervention and referral to treatment programme for risky substance use in South African emergency centres: A mixed methods evaluation study," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-20, November.
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    Cited by:

    1. Xianbing Song & Shanshan Wang & Rui Wang & Huiqiong Xu & Zhicheng Jiang & Shuqin Li & Shichen Zhang & Yuhui Wan, 2020. "Mediating Effects of Specific Types of Coping Styles on the Relationship between Childhood Maltreatment and Depressive Symptoms among Chinese Undergraduates: The Role of Sex," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    2. Bronwyn Myers & Charles D. H. Parry & Neo K. Morojele & Sebenzile Nkosi & Paul A. Shuper & Connie T. Kekwaletswe & Katherine R. Sorsdahl, 2020. "“Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    3. Bronwyn Myers & Tara Carney & Jennifer Rooney & Samantha Malatesta & Laura F. White & Charles D. H. Parry & Tara C. Bouton & Elizabeth J. Ragan & Charles Robert Horsburgh & Robin M. Warren & Karen R. , 2021. "Alcohol and Tobacco Use in a Tuberculosis Treatment Cohort during South Africa’s COVID-19 Sales Bans: A Case Series," IJERPH, MDPI, vol. 18(10), pages 1-9, May.
    4. Bronwyn Myers & Felicia A. Browne & Tara Carney & Tracy Kline & Courtney Peasant Bonner & Wendee M. Wechsberg, 2021. "The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South ," IJERPH, MDPI, vol. 18(21), pages 1-13, October.

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