"Pain in my heart": Understanding perinatal depression among women living with HIV in Malawi
Public Deposited- Creator
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LeMasters, K.
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
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Dussault, J.
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
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Barrington, C.
- Affiliation: Gillings School of Global Public Health, Department of Health Behavior
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Bengtson, A.
- Other Affiliation: Brown University
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Gaynes, B.
- Affiliation: School of Medicine, Department of Psychiatry
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Go, V.
- Affiliation: Gillings School of Global Public Health, Department of Health Behavior
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Hosseinipour, M.C.
- Affiliation: School of Medicine, Department of Medicine
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Kulisewa, K.
- Other Affiliation: University of Malawi
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Kutengule, A.
- Affiliation: School of Medicine, UNC Project-Malawi
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Meltzer-Brody, S
- Affiliation: School of Medicine, Department of Psychiatry
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Midiani, D
- Other Affiliation: Ministry of Health
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Mphonda, S
- Affiliation: School of Medicine, UNC Project-Malawi
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Udedi, M
- Other Affiliation: University of Malawi
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Pence, B
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
- Abstract
- Background Perinatal depression (PND) can interfere with HIV care engagement and outcomes. We examined experiences of PND among women living with HIV (WLWH) in Malawi. Methods 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. Results 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. Conclusions 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.
- Date of publication
- 2020
- Keyword
- prenatal care
- Article
- Malawi
- narrative
- disease duration
- adult
- human
- social stigma
- Human immunodeficiency virus infected patient
- suicidal ideation
- qualitative research
- Adult
- Pregnancy Complications, Infectious
- disease burden
- complication
- Female
- screening test
- pregnancy complication
- antiretrovirus agent
- Human immunodeficiency virus infection
- HIV Infections
- psychology
- semi structured interview
- cultural factor
- urban rural difference
- Edinburgh Postnatal Depression Scale
- physical disease
- deductive reasoning
- pregnancy
- marriage
- social support
- clinical article
- Surveys and Questionnaires
- Pregnancy
- perinatal depression
- mental health care
- emotional stress
- educational status
- mental disease
- family size
- female
- employment status
- Depression
- questionnaire
- depression
- inductive reasoning
- Humans
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- License
- Attribution 4.0 International
- Journal title
- PLoS ONE
- Journal volume
- 15
- Journal issue
- 6-Jun
- Language
- English
- Version
- Publisher
- Funder
- National Institutes of Health, NIH
- National Institute of Mental Health, NIMH: R34MH116806
- Fogarty International Center, FIC: D43- D43TW010060
- Center for AIDS Research, University of North Carolina at Chapel Hill, UNC CFAR
- Center for AIDS Research, Emory University, CFAR
- P30 AI 050410
- ISSN
- 1932-6203
- Publisher
- Public Library of Science
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