Preventing mental health conditions in adolescents living with HIV: an urgent need for evidence
Preventing mental health conditions in adolescents living with HIV: an urgent need for evidence
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DOI：
10.1002/jia2.25556
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发表时间：
2020-09-01
影响因子：
6
通讯作者：
Ross, David A.
中科院分区：
文献类型：
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作者：
Laurenzi, Christina A.;Skeen, Sarah;Ross, David A.
随着青少年从童年向成年过渡，他们经历了重大的身体、社会和心理变化，并面临着更高的风险患上心理健康疾病和从事与健康有关的危险行为。对于感染艾滋病毒的青少年（ALHIV），这些风险可能更加明显。研究表明，这一人群可能面临更多的心理健康挑战，这些挑战涉及疾病的生物影响及其治疗、艾滋病毒感染者的心理负担以及与艾滋病毒有关的社会和环境压力。讨论向青少年提供的心理社会干预措施可以促进积极的心理健康，预防心理健康问题，并加强年轻人应对挑战和保护自己免受风险的能力。这些干预措施也可能使高危人群受益，例如ALHIV，但对此研究甚少。迫切需要更多的研究来评估旨在改善ALHIV心理健康的干预措施的效果。我们强调四个优先事项。这些措施包括：产生更多关于ALHIV预防性心理健康干预措施的证据;在ALHIV心理社会干预研究中纳入心理健康结果;开展对ALHIV人群差异敏感的干预研究，并让青少年参与干预设计和测试。结论ALHIV的促进性和预防性心理健康干预需要更强有力的研究。各项方案应了解青少年的优先事项和偏好，并对这些群体的具体需要作出反应。
Introduction As adolescents transition from childhood to adulthood, they experience major physical, social and psychological changes, and are at heightened risk for developing mental health conditions and engaging in health-related risk behaviours. For adolescents living with HIV (ALHIV), these risks may be even more pronounced. Research shows that this population may face additional mental health challenges related to the biological impact of the disease and its treatment, the psychosocial burdens of living with HIV and HIV-related social and environmental stressors. Discussion Psychosocial interventions delivered to adolescents can promote positive mental health, prevent mental health problems and strengthen young people's capacity to navigate challenges and protect themselves from risk. It is likely that these interventions can also benefit at-risk populations, such as ALHIV, yet there is little research on this. There is an urgent need for more research evaluating the effects of interventions designed to improve the mental health of ALHIV. We highlight four priorities moving forward. These include: generating more evidence about preventive mental health interventions for ALHIV; including mental health outcomes in research on psychosocial interventions for ALHIV; conducting intervention research that is sensitive to differences among ALHIV populations and involving adolescents in intervention design and testing. Conclusions More robust research on promotive and preventive mental health interventions is needed for ALHIV. Programmes should be informed by adolescent priorities and preferences and responsive to the specific needs of these groups.