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Association between Internalized Stigma and Depression among People Living with HIV in Thailand

Darawan Thapinta1, Kriengkrai Srithanaviboonchai2,3, Penpaktr Uthis4

  • 1Faculty of Nursing, Chiang Mai University, Chiang Mai 50200, Thailand.

International Journal of Environmental Research and Public Health
|April 23, 2022
PubMed

Insights

Internalized stigma and depression are common in people living with HIV (PLHIV). This study found a significant association between depression severity and internalized stigma, particularly impacting social relationships.

Area of Science:

  • Public Health
  • Mental Health
  • HIV/AIDS Research

Background:

  • Internalized stigma and depression are significant challenges for people living with HIV (PLHIV).
  • Understanding the relationship between these conditions is crucial for effective care.
  • Previous research highlights the prevalence of mental health issues in PLHIV.

Purpose of the Study:

  • To investigate the association between depression and internalized stigma in PLHIV.
  • To explore specific aspects of internalized stigma related to depression.
  • To inform healthcare providers about the co-occurrence of these conditions.

Main Methods:

  • A study involving 400 PLHIV in Thailand.
  • Data analysis included descriptive statistics, Mann-Whitney U test, and Spearman correlation.
  • Assessment of depression using PHQ-9 scores and internalized stigma scales.

Main Results:

  • PLHIV with mild depression showed lower social relationship stigma scores compared to those with major depressive disorder (p = 0.009).
  • Total HIV internalized stigma scores significantly correlated with depression scores in the mild depression group (r = 0.327, p = 0.004).
  • A notable association was found between depression and internalized stigma, especially concerning social relationships.

Conclusions:

  • Depression and internalized stigma are prevalent and interconnected in PLHIV.
  • Healthcare professionals should screen for depression in PLHIV experiencing internalized stigma.
  • Interventions promoting understanding and social support are necessary for PLHIV.

Keywords:
Thailanddepressioninternalized stigmapeople living with HIV

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