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Health and mood among HIV-positive outpatients attending an ART Clinic of a University Hospital.

Health and mood among HIV-positive outpatients attending an ART Clinic of a University Hospital.
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Costa D, Mendes A, Abreu W,


Costa D, Mendes A, Abreu W, (click to view)

Costa D, Mendes A, Abreu W,

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Journal of clinical nursing 2016 8 15() doi 10.1111/jocn.13342

Abstract
AIMS AND OBJECTIVES
To evaluate how individuals at different stages of infection with HIV perceive their health status and its association with mood states.

BACKGROUND
With the introduction of Highly Active Antiretroviral Therapy in 1996, the quality of life of people living with HIV has improved. However, the literature emphasises the negative effects of the disease on the mental health of individuals suffering from this condition and the high incidence of depression among infected individuals. Although people diagnosed and living with HIV are overwhelmed by emotions, we found that various emotional manifestations are understudied within this group of patients.

DESIGN
A cross-sectional study was conducted in an outpatient unit of a University Hospital (antiretroviral therapy clinic), with a consecutive sample composed of 152 patients.

METHODS
Data were collected through a questionnaire used to assess the sociodemographic and clinical characteristics, the Short Form (36) Health Survey, and the Profile of Mood States scale.

RESULTS AND CONCLUSIONS
The health status negatively affects the role at the emotional and mental health dimensions. The participants showing a worse health condition than in the previous year had higher levels of tension/anxiety, depression/dejection, fatigue/inertia and confusion/bewilderment. The stage of disease and the profile of mood state emerged as independent phenomena.

RELEVANCE TO CLINICAL PRACTICE
The results of this study indicate that nurses worldwide should be aware of the emotional aspects (negative emotions strongly impact health) related to the subjective perception of a worsening health status, regardless of the stage of the disease.

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