Título:	Adesão a tratamento, risco psicológico e distress em pessoas vivendo com HIV
Autor(es):	Costa, Aline Rosa da
E-mail do autor:	rosadacostaaline@gmail.com
Orientador(es):	Seidl, Eliane Maria Fleury
Assunto:	HIV/AIDS AIDS (Doença) - tratamento Risco psicológico Distress
Data de publicação:	12-Mai-2022
Data de defesa:	14-Fev-2022
Referência:	COSTA, Aline Rosa da. Adesão a tratamento, risco psicológico e distress em pessoas vivendo com HIV. 2022. 83 f., il. Dissertação (Mestrado em Psicologia Clinica e Cultura) — Universidade de Brasília, Brasília, 2022.
Abstract:	After four decades of the first reported cases of Acquired Immunodeficiency Syndrome (AIDS), there have been significant advances in the development of therapeutic strategies in order to promote clinical control, which triggered a decrease in morbidity and mortality from AIDS and improving the quality of life of people living with HIV (PLHIV). However, challenges persist, such as adherence to treatment and the variables intrinsic to this process. The purpose of present research was investigate the influence of sociodemographic, medicalclinical, psychological risk of non-adjustment to seropositivity and occurrence of distress on adherence to PLHIV treatment. With a cross-sectional and observational design with a quantitative approach, the sample consisted of 130 users followed up in a Specialized Assistance Service in HIV/AIDS in Goiânia city, on an outpatient or inpatient basis. Were used sociodemographic and medical-clinical questionnaires, in addition to the Questionário para Avaliação da Adesão ao Tratamento Antirretroviral (CEAT-VIH), Escala Hospitalar de Ansiedade e Depressão (HAD) and Indicador de Risco Psicológico (IRP) to assess participants. At convenience sample 63.8% were male, with a mean age of 37.6 years (SD=12.09, ranging from 18 to 66 years old). Most part had completed high school, reported income family member of less than one to three minimum wages, did not live with a partner and lived in several municipalities in the state of Goiás, Brazil. Most (82.3%) had an undetectable viral load. After preliminary and bivariate analyses, levels of adherence were significantly associated with the variables age (U= 1550.5; df=1; p < 0.05) and interruption of treatment on its own (U=933,500; df=1; p < 0.001). Analysis of the Spearman coefficient showed a moderate correlation negative between adherence and distress (ρ=-0.46; p < 0.001; shared variance=21.2%); adherence and psychological risk (ρ=-0.45; p < 0.001; shared variance=20.3%). In regression analysis (forward method), the variable that most strongly impacted adherence levels was interruption of ART on its own, explaining 21.2% of the outcome. The other variables — age and psychological risk of non-adjustment — in turn, explained 15.3% of the variance in accession. The distress variable did not enter the final model. In short, not having interrupted ART for on their own throughout the treatment history, being older and having scores indicative of absence/low psychological risk of nonadjustment seem to predict better levels of adherence, according to the results. The compatibility of the results was observed in the sociodemographic and medical-clinical data, with the epidemiological trends in addition to the confirmation of the hypotheses: PLHIV with strict adherence levels do not present relevant levels of distress and risk psychological non-adjustment; failure to discontinue ART on its own is associated with higher levels of adherence; Higher distress scores are associated with a higher risk of not adjustment to the chronic condition. Finally, the importance of adherence to the treatment of PLHIV, mainly because it is a public health problem, and its dynamics is permeated by several variables that can behave as risk or protective factors. This study has practical implications for HIV/AIDS care, alerting to the relevance of measures of care, reception and psychosocial assessment to be included in the routines of health services.
Unidade Acadêmica:	Instituto de Psicologia (IP) Departamento de Psicologia Clínica (IP PCL)
Informações adicionais:	Dissertação (mestrado) — Universidade de Brasília, Instituto de Psicologia, Programa de Pós-graduação em Psicologia Clínica e Cultura, 2022.
Programa de pós-graduação:	Programa de Pós-Graduação em Psicologia Clínica e Cultura
Licença:	A concessão da licença deste item refere-se ao termo de autorização impresso assinado pelo autor com as seguintes condições: Na qualidade de titular dos direitos de autor da publicação, autorizo a Universidade de Brasília e o IBICT a disponibilizar por meio dos sites www.bce.unb.br, www.ibict.br, http://hercules.vtls.com/cgi-bin/ndltd/chameleon?lng=pt&skin=ndltd sem ressarcimento dos direitos autorais, de acordo com a Lei nº 9610/98, o texto integral da obra disponibilizada, conforme permissões assinaladas, para fins de leitura, impressão e/ou download, a título de divulgação da produção científica brasileira, a partir desta data.
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