"Pain in my heart": Understanding perinatal depression among women living with HIV in Malawi

Perinatal depression (PND) can interfere with HIV care engagement and outcomes. We examined experiences of PND among women living with HIV (WLWH) in Malawi. We screened 73 WLWH presenting for perinatal care in Lilongwe, Malawi using the Edinburgh Postnatal Depression Scale (EPDS). We conducted quali...

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Published in:PloS one 2020-06, Vol.15 (6), p.e0227935-e0227935
Main Authors: LeMasters, Katherine, Dussault, Josée, Barrington, Clare, Bengtson, Angela, Gaynes, Bradley, Go, Vivian, Hosseinipour, Mina C, Kulisewa, Kazione, Kutengule, Anna, Meltzer-Brody, Samantha, Midiani, Dalitso, Mphonda, Steve, Udedi, Michael, Pence, Brian
Format: Article
Language:English
Subjects:
Adult
Biology and Life Sciences
Care and treatment
Data collection
Depression (Mood disorder)
Depression - complications
Diseases
Drug therapy
Epidemiology
Female
Health aspects
Health screening
Heart
HIV
HIV Infections - psychology
HIV patients
HIV tests
Human immunodeficiency virus
Humans
Interviews
Low income groups
Malawi
Maternal & child health
Maternal health services
Medical diagnosis
Medicine
Medicine and health sciences
Mental depression
Mental disorders
Mental health
Narratives
Pain
Population
Postpartum depression
Postpartum period
Pregnancy
Pregnancy Complications, Infectious - psychology
Prenatal depression
Psychological aspects
Public health
Qualitative analysis
Risk factors
Setting (Literature)
Social interactions
Social support
Suicidal behavior
Surveys and Questionnaires
Women
Women patients
Womens health
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cited_by cdi_FETCH-LOGICAL-c692t-af62dcd3bc43d78d8e12803ac3dd48ee23166f813ed25e562b1e9385486e1b153
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container_issue 6
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container_title PloS one
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creator LeMasters, Katherine
Dussault, Josée
Barrington, Clare
Bengtson, Angela
Gaynes, Bradley
Go, Vivian
Hosseinipour, Mina C
Kulisewa, Kazione
Kutengule, Anna
Meltzer-Brody, Samantha
Midiani, Dalitso
Mphonda, Steve
Udedi, Michael
Pence, Brian
description Perinatal depression (PND) can interfere with HIV care engagement and outcomes. We examined experiences of PND among women living with HIV (WLWH) in Malawi. We screened 73 WLWH presenting for perinatal care in Lilongwe, Malawi using the Edinburgh Postnatal Depression Scale (EPDS). We conducted qualitative interviews with 24 women experiencing PND and analyzed data using inductive and deductive coding and narrative analysis. Women experienced a double burden of physical and mental illness, expressed as pain in one's heart. Receiving an HIV diagnosis unexpectedly during antenatal care was a key contributor to developing PND. This development was influenced by stigmatization and social support. These findings highlight the need to recognize the mental health implications of routine screening for HIV and to routinely screen and treat PND among WLWH. Culturally appropriate mental health interventions are needed in settings with a high HIV burden.
doi_str_mv 10.1371/journal.pone.0227935
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We examined experiences of PND among women living with HIV (WLWH) in Malawi. We screened 73 WLWH presenting for perinatal care in Lilongwe, Malawi using the Edinburgh Postnatal Depression Scale (EPDS). We conducted qualitative interviews with 24 women experiencing PND and analyzed data using inductive and deductive coding and narrative analysis. Women experienced a double burden of physical and mental illness, expressed as pain in one's heart. Receiving an HIV diagnosis unexpectedly during antenatal care was a key contributor to developing PND. This development was influenced by stigmatization and social support. These findings highlight the need to recognize the mental health implications of routine screening for HIV and to routinely screen and treat PND among WLWH. 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source Publicly Available Content (ProQuest); PubMed Central
subjects Adult
Biology and Life Sciences
Care and treatment
Data collection
Depression (Mood disorder)
Depression - complications
Diseases
Drug therapy
Epidemiology
Female
Health aspects
Health screening
Heart
HIV
HIV Infections - psychology
HIV patients
HIV tests
Human immunodeficiency virus
Humans
Interviews
Low income groups
Malawi
Maternal & child health
Maternal health services
Medical diagnosis
Medicine
Medicine and health sciences
Mental depression
Mental disorders
Mental health
Narratives
Pain
Population
Postpartum depression
Postpartum period
Pregnancy
Pregnancy Complications, Infectious - psychology
Prenatal depression
Psychological aspects
Public health
Qualitative analysis
Risk factors
Setting (Literature)
Social interactions
Social support
Suicidal behavior
Surveys and Questionnaires
Women
Women patients
Womens health
title "Pain in my heart": Understanding perinatal depression among women living with HIV in Malawi
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