Psychosocial and behavioral correlates of depression among HIV-infected pregnant women

Nancy T. Blaney, M. Isabel Fernandez, Kathleen A. Ethier, Tracey E. Wilson, Emmanuel Walter, Linda J. Koenig, Mary Jo O'Sullivan

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

This study addressed two aims: (1) to assess the level of depressive symptoms among pregnant, HIV-infected racial and ethnic minority women and (2) to identify potentially modifiable factors associated with prenatal depression in order to foster proactive clinical screening and intervention for these women. Baseline interview data collected from HIV-infected women participating in the Perinatal Guidelines Evaluation Project were analyzed. Participants were from prenatal clinics in four areas representative of the U.S. HIV/AIDS epidemic among women. Of the final sample (n = 307), 280 were minorities (218 blacks [African American and Carribean], 62 Hispanic). Standardized interviews assessed potential psychosocial factors associated with pregnancy-related depression and psychological distress (life stressors, inadequate social support, and ineffective coping skills) in a population for whom little work has been done. Depressive symptomatology was considerable, despite excluding somatic items in order to avoid confounding from prenatal or HIV-related physical symptoms. The psychosocial factors significantly predicted the level of prenatal depressive symptoms beyond the effects of demographic and health-related factors. Perceived stress, social isolation, and disengagement coping were associated with greater depression, positive partner support with lower depression. These findings demonstrate that psychosocial and behavioral factors amenable to clinical intervention are associated with prenatal depression among women of color with HIV. Routine screening to identify those currently depressed or at risk for depression should be integrated into prenatal HIV-care settings to target issues most needing intervention.

Original languageEnglish
Pages (from-to)405-415
Number of pages11
JournalAIDS Patient Care and STDs
Volume18
Issue number7
StatePublished - Jul 1 2004
Externally publishedYes

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Pregnant Women
HIV
Depression
Psychology
Interviews
Social Isolation
Prenatal Care
Psychological Adaptation
Hispanic Americans
Social Support
African Americans
Acquired Immunodeficiency Syndrome
Color
Demography
Guidelines
Pregnancy
Health
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Leadership and Management
  • Nursing(all)

Cite this

Blaney, N. T., Fernandez, M. I., Ethier, K. A., Wilson, T. E., Walter, E., Koenig, L. J., & O'Sullivan, M. J. (2004). Psychosocial and behavioral correlates of depression among HIV-infected pregnant women. AIDS Patient Care and STDs, 18(7), 405-415.

Psychosocial and behavioral correlates of depression among HIV-infected pregnant women. / Blaney, Nancy T.; Fernandez, M. Isabel; Ethier, Kathleen A.; Wilson, Tracey E.; Walter, Emmanuel; Koenig, Linda J.; O'Sullivan, Mary Jo.

In: AIDS Patient Care and STDs, Vol. 18, No. 7, 01.07.2004, p. 405-415.

Research output: Contribution to journalArticle

Blaney, NT, Fernandez, MI, Ethier, KA, Wilson, TE, Walter, E, Koenig, LJ & O'Sullivan, MJ 2004, 'Psychosocial and behavioral correlates of depression among HIV-infected pregnant women', AIDS Patient Care and STDs, vol. 18, no. 7, pp. 405-415.
Blaney NT, Fernandez MI, Ethier KA, Wilson TE, Walter E, Koenig LJ et al. Psychosocial and behavioral correlates of depression among HIV-infected pregnant women. AIDS Patient Care and STDs. 2004 Jul 1;18(7):405-415.
Blaney, Nancy T. ; Fernandez, M. Isabel ; Ethier, Kathleen A. ; Wilson, Tracey E. ; Walter, Emmanuel ; Koenig, Linda J. ; O'Sullivan, Mary Jo. / Psychosocial and behavioral correlates of depression among HIV-infected pregnant women. In: AIDS Patient Care and STDs. 2004 ; Vol. 18, No. 7. pp. 405-415.
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