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Health and mood among HIV ‐positive outpatients attending an ART Clinic of a University Hospital
Author(s) -
Costa Dilar,
Mendes Aida,
Abreu Wilson
Publication year - 2016
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.13342
Subject(s) - mood , anxiety , medicine , hospital anxiety and depression scale , mental health , disease , depression (economics) , outpatient clinic , clinical psychology , psychiatry , profile of mood states , quality of life (healthcare) , nursing , economics , macroeconomics , pathology
Aims and objectives To evaluate how individuals at different stages of infection with HIV perceive their health status and its association with mood states. Background With the introduction of Highly Active Antiretroviral Therapy in 1996, the quality of life of people living with HIV has improved. However, the literature emphasises the negative effects of the disease on the mental health of individuals suffering from this condition and the high incidence of depression among infected individuals. Although people diagnosed and living with HIV are overwhelmed by emotions, we found that various emotional manifestations are understudied within this group of patients. Design A cross‐sectional study was conducted in an outpatient unit of a University Hospital (antiretroviral therapy clinic), with a consecutive sample composed of 152 patients. Methods Data were collected through a questionnaire used to assess the sociodemographic and clinical characteristics, the Short Form (36) Health Survey, and the Profile of Mood States scale. Results and conclusions The health status negatively affects the role at the emotional and mental health dimensions. The participants showing a worse health condition than in the previous year had higher levels of tension/anxiety, depression/dejection, fatigue/inertia and confusion/bewilderment. The stage of disease and the profile of mood state emerged as independent phenomena. Relevance to clinical practice The results of this study indicate that nurses worldwide should be aware of the emotional aspects (negative emotions strongly impact health) related to the subjective perception of a worsening health status, regardless of the stage of the disease.