Evidence map›Paper›PMID 31188865›Full record

ArticlePloS one2019

Post-test adverse psychological effects and coping mechanisms amongst HIV self-tested individuals living in couples in urban Blantyre, Malawi.

Moses Kelly Kumwenda, Elizabeth Lucy Corbett, Augustine Talumba Choko, Jeremiah Chikovore, Kruger Kaswaswa, Mphatso Mwapasa, Rodrick Sambakunsi, Tore Jarl Gutteberg, Stephen Gordon, Alister Munthali and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Psychosocial support for HIV serodiscordant couples.Health psychology and behavioral medicine · 2022
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 4 countries.

Moses Kelly KumwendaMalawi Liverpool Wellcome Trust, Blantyre, Malawi.ORCID 0000-0003-3091-7330
Elizabeth Lucy CorbettMalawi Liverpool Wellcome Trust, Blantyre, Malawi.ORCID 0000-0002-3552-3181
Augustine Talumba ChokoMalawi Liverpool Wellcome Trust, Blantyre, Malawi.
Jeremiah ChikovoreSocial Aspects of Public Health Research Programme, Human Sciences Research Council, Durban, South Africa.
Kruger KaswaswaHelse Nord TB initiative, College of Medicine, Blantyre, Malawi.
Mphatso MwapasaHelse Nord TB initiative, College of Medicine, Blantyre, Malawi.
Rodrick SambakunsiMalawi Liverpool Wellcome Trust, Blantyre, Malawi.
Tore Jarl GuttebergUniversity of Tromso, The Arctic University of Norway, Tromsø, Norway.
Stephen GordonMalawi Liverpool Wellcome Trust, Blantyre, Malawi.
Alister MunthaliCentre for Social Research, Chancellor College, Zomba, Malawi.
Nicola DesmondMalawi Liverpool Wellcome Trust, Blantyre, Malawi.
University of Liverpool · GBHuman Sciences Research Council · ZALondon School of Hygiene & Tropical Medicine · GBUniversity Hospital of North Norway · NOUniversity of Malawi · MW

Funding

Wellcome Trust
6 · The paper itself

Abstract

introductionMandatory face-to-face counselling is necessary during HIV testing but difficult to implement within the context of HIV self-testing. We investigated adverse psychological effects and coping mechanisms following HIV-positive and HIV-discordant test results amongst self-tested individuals living in couples in urban Blantyre, Malawi.

methodsQualitative data from 35 in-depth interviews with self-tested individuals living in couples for more than 3 months were collected and analysed using thematic content analysis.

resultsAdverse psychological effects seemed to mostly occur among individuals learning for the first-time that they were HIV-positive or living in HIV-discordant relationship. Irrespective of test outcomes, women living in couples expressed difficulty making important decisions about the future of their relationships while men seemed to shoulder the emotional burden associated with feeling or being seen as responsible for introducing HIV into the relationship. Post-test psychosocial support and ascertained positive behaviour change of the perceived index partner allowed some couples to overcome adverse psychological effects linked to test results.

conclusionSelf-tested individuals living in couples may lack collective coping capability to collaboratively manage post-test adverse events after new HIV-positive or HIV-discordant results. Psychosocial support seemed to enable couples to foster both an individual and a collective ability to manage adverse psychological effects within the context of a couple. More research is needed to ascertain the magnitude of the deficiency of collective coping competency in couples following an HIV test.

Indexed as

Adaptation, PsychologicalAdultAgedCounselingFamily CharacteristicsFemaleHIV InfectionsHumansMalawiMaleMass ScreeningMiddle AgedSexual PartnersYoung Adult

Identifiers

PMID31188865
PMCPMC6561556
OpenAlexW2950089129

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.