Depressive Symptoms Among HIV-Positive Pregnant Women in Thailand
Version of Record online: 23 NOV 2009
© 2009 Sigma Theta Tau International
Journal of Nursing Scholarship
Volume 41, Issue 4, pages 344–350, December 2009
How to Cite
Ross, R., Sawatphanit, W. and Zeller, R. (2009), Depressive Symptoms Among HIV-Positive Pregnant Women in Thailand. Journal of Nursing Scholarship, 41: 344–350. doi: 10.1111/j.1547-5069.2009.01302.x
- Issue online: 23 NOV 2009
- Version of Record online: 23 NOV 2009
- Accepted: June 3, 2009
- Depressive symptoms;
- HIV-positive pregnant women;
Purpose: To examine predictors of depressive symptoms among human immunodeficiency virus (HIV)-positive, pregnant women in Thailand.
Design: Correlational, cross-sectional study.
Methods: Data were collected at prenatal clinics in five hospitals in Thailand from January 2004 to January 2006. One hundred twenty-seven HIV-positive pregnant women completed questionnaires in Thai on depressive symptoms, self-esteem, emotional support, physical symptoms, and demographics. Simultaneous multiple regression was used to analyze predictors of depressive symptoms.
Findings: Seventy-eight percent of the 127 participants reported depressive symptoms to some degree. Physical symptoms (β= .192, p<.05) were positively associated with depressive symptoms, but self-esteem (β=−.442, p<.001), emotional support (β=−.193, p<.01), and financial status (β=−.209, p<.01) were negatively correlated with depressive symptoms.
Conclusions: The study results have added new knowledge about depressive symptoms and their predictors in HIV-positive pregnant women in Thailand.
Clinical Relevance: Depressive symptoms have been associated with faster progression to acquired immunodeficiency syndrome among HIV-positive individuals. The high rate of depression in our study suggests that HIV-positive pregnant women in Thailand should all be screened for depressive symptoms. Causes of physical symptoms should be identified and treated. Emotional support and self-esteem should be strengthened for HIV-positive pregnant Thai women.