Psychological interventions for post-traumatic stress disorder in people living with HIV in Resource poor settings: a systematic review
Psychological interventions for Post-Traumatic Stress Disorder (PTSD) appear to be effective and need to be scaled up after being adapted to the local cultural context and should be guided by recommended treatment guidelines for LMIC settings, such as those found in the mhGAP, the treatment guidelines for mental, neurological and substance use disorders for non-specialised health settings that are commonly found in LMIC, where up to 75% of those affected have restricted or no access to care.
This review investigated interventions targeting Post-Traumatic Stress Syndrome (PTSS) or PTSD in people living with HIV (PLWH). Trauma experiences were mainly conceptualized as child sexual abuse or AIDS-related bereavement. All randomized controlled studies were carried out with marginalized populations in resource poor settings in a high-income country. Rigorously evaluated studies are scarce and interventions, though promising, have not been scaled up. There are few intervention studies in low and middle-income countries.