ArticlePloS one2018
Understanding the experience and manifestation of depression in adolescents living with HIV in Harare, Zimbabwe.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- The use of arts-based methodologies and methods with young people with complex psychosocial needs: A systematic narrative review.Health expectations : an international journal of public participation in health care and health policy · 2023Pooled it
- Towards evidence-based and inclusive models of peer support for long covid: A hermeneutic systematic review.Social science & medicine (1982) · 2023Pooled it
- "Thinking Too Much": A Systematic Review of the Idiom of Distress in Sub-Saharan Africa.Culture, medicine and psychiatry · 2021Pooled it
- Participant acceptability and clinician satisfaction of cognitive behavioural therapy and medication management algorithm compared with enhanced standard care for treatment of depression among youth with HIV.Journal of child and adolescent mental health · 2025Trial
- Trial
- Exploratory Impact of iCARE Nigeria, a Combined mHealth and Peer Navigation Intervention, on Depressive Symptoms and Substance Use Among Youth Living With HIV in Nigeria: Single-Arm Trial.JMIR formative research · 2025Trial
- Trial
- Trial
- Effects of Music and Counseling Programs on Mental Health and Antiretroviral Treatment Adherence of Adolescents and Young Adults Living With HIV in Northern Thailand, a Randomized Trial.Journal of the International Association of Providers of AIDS CareTrial
- Rethinking wellbeing measurement: Learning from a scale development study with adolescents living with HIV in Zimbabwe.PLOS global public health · 2026Article
- The influence of social support on the relationship between HIV-related stigma, mental health and suicidality among young women living with HIV in South Africa: A moderated mediation analysis.Global mental health (Cambridge, England) · 2026Article
- The trend of self-harm incidence rates among adolescents in low- and lower-middle-income countries and its associated contextual factors.Global mental health (Cambridge, England) · 2026Article
- Exploring differences in HIV stigma and treatment interruptions between young and older adults in Zimbabwe.BMC public health · 2025Article
- Mental health challenges and HIV status disclosure among children and adolescents living with HIV in Eastern Uganda.Scientific reports · 2025Article
- 'You feel like it's better to just die': Death-centric stereotypes and stigma contribute to suicide risk for adolescents living with HIV in Malawi.PLOS global public health · 2025Article
- Integrating competency-based assessment into training with peer counsellors providing support at scale to children, adolescents and young adults living with HIV in Zimbabwe: An implementation pilot case study.PLOS mental health · 2025Article
- Stigma and discrimination faced by adolescents living with HIV and experiencing depression in Malawi.BMC global and public health · 2024Article
- Article
- "I am still human and worth a life:" a qualitative study of the impacts of a community based, peer-led, treatment support model for young adults living with HIV in Zimbabwe.Frontiers in public health · 2024Article
- Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies have found that adolescents living with HIV are at risk of depression, which in turn affects adherence to medication. This study explored the experience and manifestation of depression in adolescents living with HIV in Zimbabwe in order to inform intervention development.
methodsWe conducted a body mapping exercise with 21 HIV positive 15-19 years olds who had been diagnosed with major depressive disorder. Participants created a painted map of their body to assist them in expressing their somatic and emotional experiences in qualitative interviews. The interviews were transcribed and thematically coded using NVivo 10.
resultsParticipants attributed their experiences of depression to their relationships and interactions with significant people in their lives, primarily family members and peers. A sense of being different from others was common among participants, both due to their HIV status and the impact HIV has had on their life circumstances. Participants described a longing to be important or to matter to the people in their lives. A sense of isolation and rejection was common, as well as grief and loss, including ambiguous and anticipated loss. Participants' idioms of distress included 'thinking deeply' ('kufungisisa'), 'pain', darkness, 'stress' or a lack of hope and ambiguity for the future. Suicidal ideation was described, including slow suicide through poor adherence. Supportive factors were also relational, including the importance of supportive relatives and peers, clinic staff and psychosocial support programmes.
conclusionsAn understanding of HIV positive adolescents' own narratives around depression can inform the development and integration of appropriate mental health interventions within HIV care and treatment programmes. Study findings suggest that family and peer-led interventions are potentially useful in the prevention and management of depression in adolescents living with HIV.
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