{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:02:47Z","timestamp":1779908567554,"version":"3.53.1"},"reference-count":40,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T00:00:00Z","timestamp":1734048000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23MH129420"],"award-info":[{"award-number":["K23MH129420"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec id=\"S2056472424007208_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Little is known about the prevalence of post-traumatic stress disorder (PTSD) in emerging adults living with HIV in low-income countries.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424007208_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>Determine prevalence of trauma exposure, prevalence of probable PTSD and conditional prevalence of probable PTSD for different traumatic events; and better understand the experiences of individuals with HIV and PTSD.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424007208_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>This mixed method study used secondary data from a cross-sectional survey of people (<jats:italic>N<\/jats:italic> = 222) aged 18 to 29 living with HIV in Zimbabwe and primary qualitative data collection. The PTSD Checklist for DSM-5 (PCL-5) and the Life Events Checklist for DSM-5 (LEC-5) were used to measure PTSD and exposure to traumatic events, both translated to Shona. In-depth interviews (<jats:italic>n<\/jats:italic> = 8) with participants who met the criteria for probable PTSD were analysed using thematic analysis.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424007208_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>In all, 68.3% [95% CI (61.4\u201374.1)] of participants reported exposure to at least one traumatic event. The observed prevalence of probable PTSD was 8.6% [95% CI (5.2\u201313.0)], most observed following exposure to fire or explosion 29.0% [95% CI (13.0\u201345.0)] and sexual assault 27.8% [95% CI (7.2\u201348.7)]. Probable PTSD was also more prevalent following multiple exposure to trauma; four and six events, <jats:italic>N<\/jats:italic> = 4 (21%) [95% CI (5.1\u20138.8)] each, two and three events <jats:italic>N<\/jats:italic> = 3 (15.7%) [95% CI (5.9\u20139.2)] each, and five events <jats:italic>N<\/jats:italic> = 1 (5.4%) [95% CI (7.5\u20139.6)]. Qualitative results indicated that HIV stigma exacerbated psychological distress from trauma.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424007208_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Despite trauma exposure being common, prevalence of probable PTSD was not high, but was higher in those with multiple exposures. Participants described coping strategies, including social support and religious thinking.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2024.720","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T07:02:10Z","timestamp":1734073330000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence of probable post-traumatic stress disorder and experiences of trauma in emerging adults living with HIV in Zimbabwe"],"prefix":"10.1192","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1309-7513","authenticated-orcid":false,"given":"Renato","family":"Silveira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sainath","family":"Eleti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Saruchera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rukudzo","family":"Mwamuka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susannah","family":"Whitwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1716-5584","authenticated-orcid":false,"given":"Melanie A.","family":"Abas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen E.","family":"Jack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"key":"S2056472424007208_ref1","unstructured":"1 UNAIDS Zimbabwe. 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Common mental disorders and barriers to adherence to HIV medications among emerging adults living with HIV using healthcare services in Harare. 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