Browsing by Author "Andersen, L. S."

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    ‘I went back to being myself’ : acceptability of a culturally adapted task-shifted cognitive-behavioural therapy (CBT) treatment for depression (Ziphamandla) for South African HIV care settings
    (Routledge, 2019) Everitt-Penhale, B.; Kagee, A.; Magidson, J. F.; Joska, J.; Safren, S. A.; O’Cleirigh, C.; Witten, J.; Lee, J. S.; Andersen, L. S.
    ENGLISH ABSTRACT: There is a need for a culturally adapted, evidence-based, psychotherapy treatment that is effective, acceptable, and feasible for integration into primary care in South Africa. This qualitative study used exit interviews to examine participants’ experiences of an adapted cognitive-behavioural therapy treatment for adherence and depression, task-shifted and delivered by nurses in two peri-urban HIV clinics near Cape Town. Nine semi-structured exit interviews were conducted with isiXhosa-speaking females and analysed using thematic analysis. Overall, participants responded positively to the treatment, viewing it as acceptable and beneficial and as a catalyst to returning to normalcy. Results indicated that participants viewed the treatment as being effective in ameliorating their depressive symptoms and improving their adherence to ART . Additional benefits described included improvements in subjective wellbeing and social and occupational functioning. Several began or resumed employment, an important behavioural indicator of the treatment’s capacity to facilitate positive change and cost saving. Recommendations to improve the treatment included using video material and educating others about depression. These findings have positive implications regarding the acceptability and cultural applicability of the treatment for use in South Africa.
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    Mental health services for HIV/AIDS patients are long overdue
    (Health and Medical Publishing Group (HMPG), 2009-11) Andersen, L. S.; Seedat, S.
    Although progress has been made since the launch of the National Antiretroviral Treatment Programme in April 2004 in providing medical treatment to people infected with HIV, their psychosocial needs have not been similarly provided for. It is imperative that efforts to ensure the provision of ART to all individuals with HIV/AIDS in South Africa continue. However, these should be complemented by psychosocial support such as mental health services. To ensure adherence to ART and improve treatment success, it is vital to correctly identify and successfully treat individuals who are suffering from mental disorders such as depression.