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Depression, anxiety, stress, self-esteem, and internalized HIV-related stigma were assessed using Depression Anxiety Stress Scale\u201321, Rosenberg Self-Esteem Scale-10, and Thai Internalized HIV-related Stigma Scale-22. Virologic suppression status was obtained from clinical records. Group differences were examined using Independent Samples\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants without virologic suppression reported higher internalized HIV-related stigma scores than those with suppression (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and a higher prevalence of low self-esteem. Symptoms of depression, anxiety, and stress were not different.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher internalized stigma and lower self-esteem were observed among AYA-PHIV without virologic suppression in this clinic-based sample. Findings highlight the potential relevance of psychosocial support within adolescent HIV care. Larger longitudinal studies are needed to clarify pathways linking stigma, mental health, adherence, and virologic outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261451684","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T10:47:20Z","timestamp":1778928440000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Depression, Anxiety, Stress, Self-Esteem, and HIV-Related Stigma in Adolescents and Young Adults Living With Perinatally Acquired HIV in Northern Thailand"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2910-970X","authenticated-orcid":false,"given":"Chintana","family":"Khamrong","sequence":"first","affiliation":[{"name":"Research Institute for Health Sciences"},{"name":"Chiang Mai University"},{"name":"Chiang Mai University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rattika","family":"Thammalangka","sequence":"additional","affiliation":[{"name":"Chiang Mai University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalunyu","family":"Kotchawat","sequence":"additional","affiliation":[{"name":"Embrace Counseling Service and Psychological"},{"name":"Chiang Mai University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nakhon","family":"Khamrong","sequence":"additional","affiliation":[{"name":"University of Phayao"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0246-8187","authenticated-orcid":false,"given":"Linda","family":"Aurpibul","sequence":"additional","affiliation":[{"name":"Chiang Mai University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jakkrit","family":"Klaphajone","sequence":"additional","affiliation":[{"name":"Chiang Mai University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2238-4941","authenticated-orcid":false,"given":"Teerawan","family":"Teerapong","sequence":"additional","affiliation":[{"name":"Chiang Mai University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5273-4976","authenticated-orcid":false,"given":"Natthapol","family":"Kosashunhanan","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences"},{"name":"Chiang Mai University"},{"name":"Chiang Mai University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"UNICEF. 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