Building resilience: a mental health intervention for Tanzanian youth living with HIV
Building resilience: a mental health intervention for Tanzanian youth living with HIV
复制标题
DOI：
10.1080/09540121.2018.1527008
复制
发表时间：
2018-01-01
影响因子：
1.7
通讯作者：
O'Donnell, Karen E.
中科院分区：
文献类型：
--
作者：
Dow, Dorothy E.;Mmbaga, Blandina T.;O'Donnell, Karen E.
尽管感染艾滋病毒的青年人数不断增加，但几乎没有制定干预措施来满足他们独特的心理健康需求并促进复原力。根据我们先前的需求评估，制定了心理健康干预措施Sauti ya Vijana（青年之声），以满足已确定的心理健康需求并促进复原力。干预措施强调了确定和应对压力事件的复原力战略，支持牢固的家庭和社会关系，并通过减少耻辱规划安全和健康的生活环境，规划披露，并灌输对未来的希望。围绕这三个复原力领域，举办了十次小组会议（其中两次是青年/护理人员联合会议）和两次个人会议。在坦桑尼亚，正在接受抗逆转录病毒治疗和艾滋病毒青少年诊所就诊的艾滋病毒感染者（平均年龄17.4岁）被随机分为干预组或常规治疗组。经过培训的小组领导人主持了干预会议。记录了小组领导人近乎完美的计划忠诚度和青年对干预的一致接受。SYV成功地促进了青年的韧性，衡量青年报告利用新的应对技能，改善同伴和照顾者的关系，减少耻辱，并提高信心，积极生活，根据他们的个人价值观。
Despite a growing population of youth living with HIV, few interventions have been developed to address their unique mental health needs and to promote resilience. Based on our prior needs assessment, a mental health intervention, Sauti ya Vijana (The Voice of Youth), was developed to address identified mental health needs and promote resilience. The intervention emphasized resilience strategies for identifying and coping with stressful events, supporting strong familial and social relationships, and planning for a safe and healthy living environment through stigma reduction, planning for disclosure, and instilling hope for the future. Ten group sessions (two of which were joint youth/caregiver sessions) and two individual sessions were developed around these three resilience domains. Youth living with HIV (average age 17.4 years), who were receiving antiretroviral therapy and attending HIV adolescent clinic in Tanzania were randomized to intervention or treatment as usual. Trained group leaders led the intervention sessions. Near perfect program fidelity by the group leaders and unanimous acceptance of the intervention by the youth was documented. SYV successfully promoted youth resilience as measured by youth-reported utilization of new coping skills, improved peer and caregiver relationships, reduced stigma, and improved confidence to live positively according to their personal values.