{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:18:02Z","timestamp":1780669082919,"version":"3.54.1"},"reference-count":68,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K01MH114721"],"award-info":[{"award-number":["K01MH114721"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["P2CHD050924"],"award-info":[{"award-number":["P2CHD050924"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["U01AI096299"],"award-info":[{"award-number":["U01AI096299"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Psychiatric comorbidity, the presence of two or more mental health disorders, has been associated with suboptimal HIV treatment outcomes. Little is known about the prevalence of psychiatric comorbidity among people with HIV (PWH) in sub-Saharan Africa.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We conducted interviews with PWH initiating HIV care in Cameroon between June 2019 and March 2020. Depression, anxiety, post-traumatic stress disorder (PTSD), and harmful drinking were dichotomized to represent those with and without symptoms of each. Psychiatric comorbidity was defined as having symptoms of two or more disorders assessed. Moderate or severe household hunger, high anticipatory HIV-related stigma, low social support, and high number of potentially traumatic events were hypothesized as correlates of psychiatric comorbidity. Bivariable log binomial regression models were used to estimate unadjusted associations between psychosocial stressors and psychiatric comorbidity.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Among 424 participants interviewed, the prevalence of psychiatric comorbidity was 16%. Among those with symptoms of at least one mental health or substance use disorder (n = 161), the prevalence of psychiatric comorbidity was 42%. The prevalence of psychiatric comorbidity was 33%, 67%, 76%, and 81% among those with symptoms of harmful drinking, depression, anxiety, and PTSD, respectively. Among individuals with symptoms of a mental health or substance use disorder, a high number of potentially traumatic events (prevalence ratio (PR) 1.71 [95% CI 1.21, 2.42]) and high anticipatory HIV-related stigma (PR 1.45 [95% CI 1.01, 2.09]) were associated with greater prevalence of psychiatric comorbidity.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Psychiatric comorbidity was common among this group of PWH in Cameroon. The effectiveness and implementation of transdiagnostic or multi-focus mental health treatment approaches in HIV care settings should be examined.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0270042","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T17:32:22Z","timestamp":1656610342000},"page":"e0270042","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["Psychiatric comorbidity and psychosocial stressors among people initiating HIV care in Cameroon"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4321-125X","authenticated-orcid":true,"given":"Angela M.","family":"Parcesepe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0355-4477","authenticated-orcid":true,"given":"Lindsey M.","family":"Filiatreau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter Vanes","family":"Ebasone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastase","family":"Dzudie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian W.","family":"Pence","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milton","family":"Wainberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"Yotebieng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Anastos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Pefura-Yone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Nsame","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rogers","family":"Ajeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Nash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"issue":"2","key":"pone.0270042.ref001","doi-asserted-by":"crossref","first-page":"123","DOI":"10.2989\/AJAR.2009.8.2.1.853","article-title":"The mental health of people living with HIV\/AIDS in Africa: a systematic review","volume":"8","author":"R. Brandt","year":"2009","journal-title":"Afr J AIDS Res"},{"issue":"8","key":"pone.0270042.ref002","doi-asserted-by":"crossref","first-page":"2509","DOI":"10.1007\/s10461-017-1829-z","article-title":"Depression and ART Initiation Among HIV Serodiscordant Couples in Kenya and Uganda","volume":"21","author":"J Velloza","year":"2017","journal-title":"AIDS Behav"},{"issue":"8","key":"pone.0270042.ref003","doi-asserted-by":"crossref","first-page":"2101","DOI":"10.1007\/s10461-011-0087-8","article-title":"Depression, alcohol use and adherence to antiretroviral therapy in sub-Saharan Africa: a systematic review","volume":"16","author":"E Nakimuli-Mpungu","year":"2012","journal-title":"AIDS Behav"},{"issue":"4","key":"pone.0270042.ref004","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1007\/s10461-007-9312-x","article-title":"Alcohol use, depressive symptoms and the receipt of antiretroviral therapy in southwest Uganda","volume":"12","author":"P Martinez","year":"2008","journal-title":"AIDS Behav"},{"issue":"6","key":"pone.0270042.ref005","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1001\/archpsyc.62.6.617","article-title":"Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication","volume":"62","author":"RC Kessler","year":"2005","journal-title":"Arch Gen Psychiatry"},{"issue":"3","key":"pone.0270042.ref006","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1001\/jamapsychiatry.2018.3658","article-title":"Exploring Comorbidity Within Mental Disorders Among a Danish National Population","volume":"76","author":"O Plana-Ripoll","year":"2019","journal-title":"JAMA Psychiatry"},{"issue":"4","key":"pone.0270042.ref007","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1001\/jamapsychiatry.2017.4602","article-title":"Epidemiology of Adult DSM-5 Major Depressive Disorder and Its Specifiers in the United States","volume":"75","author":"DS 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Prior to HIV Testing and the Effect on Linkage to Care Among HIV-Infected Adults in South Africa.","volume":"23","author":"JM Belus","year":"2019","journal-title":"AIDS Behav"},{"issue":"10","key":"pone.0270042.ref011","doi-asserted-by":"crossref","first-page":"e0224515","DOI":"10.1371\/journal.pone.0224515","article-title":"Depression and anxiety among pregnant women living with HIV in Kilimanjaro region, Tanzania.","volume":"14","author":"JS Ngocho","year":"2019","journal-title":"PloS One"},{"issue":"4","key":"pone.0270042.ref012","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1080\/09540121.2010.507756","article-title":"Posttraumatic stress and depressive symptoms among people living with HIV in the Gambia","volume":"23","author":"S Klis","year":"2011","journal-title":"AIDS Care"},{"issue":"1","key":"pone.0270042.ref013","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s12981-020-00291-2","article-title":"Food insecurity and the risk of depression in people 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depression, and suicidal status among people living with HIV\/AIDS","volume":"18","author":"C Zeng","year":"2018","journal-title":"BMC Public Health"},{"issue":"7","key":"pone.0270042.ref017","doi-asserted-by":"crossref","first-page":"e25341","DOI":"10.1002\/jia2.25341","article-title":"A longitudinal study of associations between HIV-related stigma, recent violence and depression among women living with HIV in a Canadian cohort study","volume":"22","author":"CH Logie","year":"2019","journal-title":"J Int AIDS Soc"},{"issue":"10","key":"pone.0270042.ref018","doi-asserted-by":"crossref","first-page":"3155","DOI":"10.1007\/s10461-018-2072-y","article-title":"Incidence and Persistence of Depression Among Women Living with and Without HIV in South Africa","volume":"22","author":"G Spies","year":"2018","journal-title":"A Longitudinal Study. AIDS Behav"},{"issue":"12","key":"pone.0270042.ref019","doi-asserted-by":"crossref","DOI":"10.1002\/jia2.25654","article-title":"Examining the relationship between physical and sexual violence and psychosocial health in young people living with HIV in rural South Africa","volume":"23","author":"LM Filiatreau","journal-title":"J Int AIDS Soc"},{"issue":"1","key":"pone.0270042.ref020","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1080\/09540121.2018.1533222","article-title":"Mental health in South African adolescents living with HIV","volume":"31","author":"N West","year":"2019","journal-title":"AIDS Care"},{"issue":"4","key":"pone.0270042.ref021","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s11904-015-0288-2","article-title":"A Review of Recent Literature on Trauma Among Individuals Living with HIV.","volume":"12","author":"S LeGrand","year":"2015","journal-title":"Curr HIV\/AIDS 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Behav"},{"issue":"9","key":"pone.0270042.ref025","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"K Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"issue":"1\u20133","key":"pone.0270042.ref026","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.jad.2012.05.056","article-title":"Validity of an interviewer-administered patient health questionnaire-9 to screen for depression in HIV-infected patients in Cameroon","volume":"143","author":"BW Pence","year":"2012","journal-title":"J Affect Disord"},{"issue":"2","key":"pone.0270042.ref027","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s11606-008-0846-z","article-title":"Validity\/reliability of PHQ-9 and PHQ-2 depression scales among adults living with HIV\/AIDS in western Kenya","volume":"24","author":"PO Monahan","year":"2009","journal-title":"J Gen Intern Med"},{"issue":"10","key":"pone.0270042.ref028","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1080\/09540121.2013.764385","article-title":"Sensitivity and specificity of clinician administered screening instruments in detecting depression among HIV-positive individuals in Uganda.","volume":"25","author":"D Akena","year":"2013","journal-title":"AIDS Care"},{"issue":"10","key":"pone.0270042.ref029","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"RL Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"key":"pone.0270042.ref030","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.jad.2016.03.006","article-title":"Validation of screening tools for depression and anxiety disorders in a primary care population with high HIV prevalence in Zimbabwe","volume":"198","author":"D Chibanda","year":"2016","journal-title":"J Affect Disord"},{"issue":"4","key":"pone.0270042.ref031","doi-asserted-by":"crossref","first-page":"e0125096","DOI":"10.1371\/journal.pone.0125096","article-title":"Diagnostic Validity of the Generalized Anxiety Disorder\u20147 (GAD-7) among Pregnant Women","volume":"10","author":"QY Zhong","year":"2015","journal-title":"PloS One"},{"issue":"3","key":"pone.0270042.ref032","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.jad.2010.07.010","article-title":"Validity of the GAD-7 scale as an outcome measure of disability in patients with generalized anxiety disorders in primary care","volume":"128","author":"MA Ruiz","year":"2011","journal-title":"J Affect Disord"},{"issue":"6","key":"pone.0270042.ref033","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1002\/jts.22059","article-title":"The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation","volume":"28","author":"CA Blevins","year":"2015","journal-title":"J Trauma Stress"},{"issue":"1","key":"pone.0270042.ref034","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1186\/s12888-018-1688-9","article-title":"Validation of the posttraumatic stress disorder checklist\u20145 (PCL-5) in a primary care population with high HIV prevalence in Zimbabwe","volume":"18","author":"R Verhey","year":"2018","journal-title":"BMC Psychiatry"},{"issue":"1","key":"pone.0270042.ref035","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1186\/s12888-018-1839-z","article-title":"The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq","volume":"18","author":"H Ibrahim","year":"2018","journal-title":"BMC Psychiatry"},{"issue":"10","key":"pone.0270042.ref036","doi-asserted-by":"crossref","first-page":"e0161645","DOI":"10.1371\/journal.pone.0161645","article-title":"Psychometric Validation of the English and French Versions of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5).","volume":"11","author":"AR Ashbaugh","year":"2016","journal-title":"PloS One"},{"key":"pone.0270042.ref037","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.jad.2014.08.004","article-title":"Psychometric properties of the 7-item Generalized Anxiety Disorder scale in antepartum women from Ghana and C\u00f4te d\u2019Ivoire","volume":"169","author":"D Barthel","year":"2014","journal-title":"J Affect Disord"},{"issue":"6","key":"pone.0270042.ref038","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1360-0443.1993.tb02093.x","article-title":"Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption\u2014II","volume":"88","author":"JB Saunders","year":"1993","journal-title":"Addiction (Abingdon, England)."},{"issue":"6","key":"pone.0270042.ref039","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1093\/alcalc\/agh197","article-title":"Validation of the alcohol use disorders identification test (AUDIT) as a screening tool for alcohol-related problems among Nigerian university students.","volume":"40","author":"AO Adewuya","year":"2005","journal-title":"Alcohol Alcoholism"},{"issue":"3","key":"pone.0270042.ref040","first-page":"318","article-title":"The Alcohol Use Disorders Identification Test (AUDIT): Exploring the Factor Structure and Cutoff Thresholds in a Representative Post-Conflict Population in Northern Uganda","volume":"52","author":"AH Blair","year":"2017","journal-title":"Alcohol Alcoholism"},{"key":"pone.0270042.ref041","first-page":"2011","author":"T Ballard"},{"issue":"1","key":"pone.0270042.ref042","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1207\/s15327752jpa5201_2","article-title":"The Multidimensional Scale of Perceived Social Support","volume":"52","author":"GD Zimet","year":"1988","journal-title":"J Pers Assess"},{"key":"pone.0270042.ref043","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1186\/1471-244X-14-180","article-title":"Validation of the multi-dimensional scale of perceived social support (MSPSS) and the relationship between social support, intimate partner violence and antenatal depression in Malawi","volume":"14","author":"RC Stewart","year":"2014","journal-title":"BMC Psychiatry"},{"issue":"Suppl 1","key":"pone.0270042.ref044","first-page":"S35","article-title":"Adaptation of the multidimensional scale of perceived social support in a Ugandan setting.","volume":"9","author":"J Nakigudde","year":"2009","journal-title":"African Health Sciences"},{"issue":"6","key":"pone.0270042.ref045","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1007\/s10461-009-9593-3","article-title":"From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures","volume":"13","author":"VA Earnshaw","year":"2009","journal-title":"AIDS Behav"},{"issue":"5","key":"pone.0270042.ref046","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1080\/09540120412331319741","article-title":"Post-traumatic stress disorder among recently diagnosed patients with HIV\/AIDS","volume":"17","author":"BO Olley","year":"2005","journal-title":"South Africa. AIDS Care"},{"issue":"6","key":"pone.0270042.ref047","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1037\/0022-006X.59.6.906","article-title":"Cognitive-behavioral stress management intervention buffers distress responses and immunologic changes following notification of HIV-1 seropositivity","volume":"59","author":"MH Antoni","year":"1991","journal-title":"J Consult Clin Psychol"},{"issue":"4","key":"pone.0270042.ref048","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1080\/13623699.2012.743311","article-title":"Health in fragile and post-conflict states: a review of current understanding and challenges ahead","volume":"28","author":"RJ Haar","year":"2012","journal-title":"Med Confl Surviv"},{"issue":"1","key":"pone.0270042.ref049","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.socscimed.2009.09.037","article-title":"Political violence and mental health: a multi-disciplinary review of the literature on Nepal.","volume":"70","author":"WA Tol","year":"2010","journal-title":"Soc Sci Med"},{"issue":"11","key":"pone.0270042.ref050","doi-asserted-by":"crossref","first-page":"e1001757","DOI":"10.1371\/journal.pmed.1001757","article-title":"A transdiagnostic community-based mental health treatment for comorbid disorders: development and outcomes of a randomized controlled trial among Burmese refugees","volume":"11","author":"P Bolton","year":"2014","journal-title":"Thailand. 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AIDS Behav"},{"issue":"2","key":"pone.0270042.ref061","doi-asserted-by":"crossref","first-page":"e001285","DOI":"10.1136\/bmjgh-2018-001285","article-title":"\u2019Management of a spoiled identity\u2019: systematic review of interventions to address self-stigma among people living with and affected by HIV.","volume":"4","author":"M Pantelic","year":"2019","journal-title":"BMJ Global Health"},{"issue":"9","key":"pone.0270042.ref062","doi-asserted-by":"crossref","first-page":"2432","DOI":"10.1007\/s10461-019-02557-x","article-title":"Moderating Factors in an Anti-stigma Intervention for African American Women with HIV in the United States: A Secondary Analysis of the UNITY Trial","volume":"23","author":"KE Fabian","year":"2019","journal-title":"AIDS Behav"},{"issue":"Suppl 1","key":"pone.0270042.ref063","doi-asserted-by":"crossref","first-page":"S73","DOI":"10.1097\/QAD.0000000000002566","article-title":"Effects of an intervention on internalized HIV-related stigma for individuals newly entering HIV care","volume":"34","author":"I Yigit","year":"2020","journal-title":"AIDS"},{"issue":"1","key":"pone.0270042.ref064","doi-asserted-by":"crossref","first-page":"11","DOI":"10.2989\/17280583.2017.1283320","article-title":"Identifying risks for mental health problems in HIV positive adolescents accessing HIV treatment in Johannesburg.","volume":"29","author":"N Woollett","year":"2017","journal-title":"J Child Adolesc Ment Health"},{"key":"pone.0270042.ref065","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1186\/1471-244X-11-205","article-title":"Prevalence and risk factors of major depressive disorder in HIV\/AIDS as seen in semi-urban Entebbe district, Uganda","volume":"11","author":"E Kinyanda","year":"2011","journal-title":"BMC Psychiatry."},{"issue":"12","key":"pone.0270042.ref066","doi-asserted-by":"crossref","first-page":"2012","DOI":"10.1016\/j.socscimed.2012.02.033","article-title":"Food insecurity, depression and the modifying role of social support among people living with HIV\/AIDS in rural Uganda","volume":"74","author":"AC Tsai","year":"2012","journal-title":"Soc Sci Med"},{"issue":"1","key":"pone.0270042.ref067","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1007\/s10461-016-1389-7","article-title":"Social Support, Stigma and Antenatal Depression Among HIV-Infected Pregnant Women in South Africa","volume":"21","author":"K Brittain","year":"2017","journal-title":"AIDS Behav"},{"issue":"12","key":"pone.0270042.ref068","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1080\/09540121.2014.931561","article-title":"Are social support and HIV coping strategies associated with lower depression in adults on antiretroviral treatment? 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