American Journal of Applied Psychology
ISSN (Print): 2333-472X ISSN (Online): 2333-4738 Website: https://www.sciepub.com/journal/ajap Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Applied Psychology. 2017, 5(1), 18-24
DOI: 10.12691/ajap-5-1-4
Open AccessArticle

Association between Psychological Wellbeing and Antiretroviral Therapy Adherence in North-Central, Nigeria

Modupe Oladunni Taiwo1, and Funmi-Togonu Bickersteth1

1Department of Psychology Obafemi Awolowo University, Ile-Ife, Nigeria

Pub. Date: January 23, 2017

Cite this paper:
Modupe Oladunni Taiwo and Funmi-Togonu Bickersteth. Association between Psychological Wellbeing and Antiretroviral Therapy Adherence in North-Central, Nigeria. American Journal of Applied Psychology. 2017; 5(1):18-24. doi: 10.12691/ajap-5-1-4

Abstract

Psychological wellbeing of antiretroviral patients in Nigeria is under researched despite being a critical success factor in ART adherence. Using a sample of antiretroviral therapy patients (n=641) from six clinics in North central Nigeria in a cross sectional mixed method approach, we examined the domain of psychological wellbeing that is associated with ART adherence. ART adherence was 88%. Environmental mastery (84.4%), Autonomy (73.2%) and Self-acceptance (65.4%) were associated with higher ART adherence. Among sociodemographic characteristics, only states of residence (X2 = 26.0841, p<.05) was significant. Cognitive behavioural therapy by a skilled psychologist is crucial for empowering ART patients to maintain optimal ART adherence.

Keywords:
antiretroviral adherence HIV/AIDS north central Nigeria psychological wellbeing

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Adegoke, O. A., & Zerish, Z. N. (2013). The complex nature of adherence in the management of HIV/AIDS as a chronic medical condition. Diseases (1), 18-35.
 
[2]  Afolabi M.O., Ijadunola K.T., Fatusi A.O & Olasode OA. (2009). Determinants of adherence to antiretroviral drugs among people living with HIV/AIDS in the Ife-Ijesa zone of Osun state, Nigeria. African Journal of Primary Health Care and Family Medicine. 1(1), Art. #6, 6 pages.
 
[3]  Allen, C., Simon, Y., Edwards, J., & Simeon, D. (2011). Adherence to antiretroviral therapy by people accessing services from non-governmental HIV support organizations in three Caribbean countries. West Indian Medical Journal. 60(3), 269-275.
 
[4]  Alvarez-Uria, Naik, Pakam and Midde. (2013). Factors associated with attrition, mortality, and loss to follow up after antiretroviral therapy initiation: data from an HIV cohort study in India. Glob Health Action, 6, 21682.
 
[5]  Andersen, Magidson, O’Cleirigh, Remmert, Kagee et al., (2016). A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa. J Health Psychol.
 
[6]  Aransiola, J., Imoyera, W., Olowookere, S., & Zarowsky, C. (2014). Living well with HIV in Nigeria? Stigma and survival challenges preventing optimum benefit from an ART clinic. Global Health Promotion.
 
[7]  Bailey, S. C., Oramasionwu, C. U., & Wolf, M. S. (2013). Rethinking Adherence: A Health Literacy–Informed Model of Medication Self-Management. Journal of Health Communication, 18(sup1), 20-30.
 
[8]  Baltazary, G., Akarro, R. R., & Mussa, A. S. (2011). Some factors associated with non-adherence to antiretroviral therapy (ART) in people living with HIV/AIDS (PLHA) in Tanzania: a case study of Dar es Salaam region. East African Journal of Public Health, 8(4), 237-246.
 
[9]  Bere, Nyamayaro, Magidson, Chibanda, Chingono et al., (2016). Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/AIDS in Zimbabwe: Nzira Itsva. Journal of Health Psychology.
 
[10]  Bravo, P., Edwards, A., Rollnick, S., & Elwyn, G. (2010). Tough decisions faced by people living with HIV: a literature review of psychosocial problems. AIDS Review, 12(2), 76-88.
 
[11]  Chijioke, A.N., Osaro, E., Oseikhuemen A.E, & Chris. I. A. (2006). Adherence to ART among HIV-Infected Subjects in a Resource-Limited Setting in the Niger Delta of Nigeria. Africa Journal Health Science; 13: (3-4) 13-17.
 
[12]  Cohen, Chen, McCauley, Gamble, Hosseinipour et al., (2016). Antiretroviral Therapy for the Prevention of HIV-1 Transmission. New England Journal of Medicine.
 
[13]  Duong, Piroth, Grappin, Forte, Peytavin et al., (2015). Evaluation of the Patient Medication Adherence Questionnaire as a tool for self-reported adherence assessment in HIV-infected patients on antiretroviral regimens. HIV clinical trials.
 
[14]  Edward, J. M., Jean, B. N., Iain, B., James, O., Amir, A., Sonal, S., & David, R. B. (2009). Adherence to Antiretroviral Therapy in Sub-Saharan Africa and North America: A Meta-analysis. American Medical Association, 296(6), 679-690.
 
[15]  Efficace, Breccia, Cottone, Okumura, Doro et al., (2016). Psychological well-being and social support in chronic myeloid leukemia patients receiving lifelong targeted therapies. Journal of Supportive Care in Cancer, 1-8.
 
[16]  Fawzi, Ng, Kanyanganzi, Kirk, Bizimana et al., (2016). Mental Health and Antiretroviral Adherence Among Youth Living With HIV in Rwanda. Pediatrics, e20153235.
 
[17]  Houston, Mikrut, Guy, Fominaya, Tatum et al; (2016). Another look at depressive symptoms and antiretroviral therapy adherence: The role of treatment self-efficacy. Journal of Health Psychology, 21(10), 2138-2147.
 
[18]  Jung, C.G. (1964). Man and his Symbols, New York, N.Y.: Anchor Books, Doubleday.
 
[19]  Kambai Avong, van Wyk, Njab, Abimiku, Ndembi et al.,(2015). Adherence to Anti-Retroviral Therapy in North Central Nigeria. Current HIV research, 13(4), 268-278.
 
[20]  Kretchy, Owusu-Daaku and Danquah. (2014). Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence. International journal of mental health systems, 8(1), 1.
 
[21]  Liu, Floud, Pirie, Green, Peto et al., (2016). Does happiness itself directly affect mortality? The prospective UK Million Women Study. The Lancet, 387(10021), 874-881.
 
[22]  Maiese, Johnson, Bancroft, Goolsby Hunter and Wu. (2016). Quality of Life of HIV-infected Patients Who Switch Antiretroviral Medication Due to Side Effects or Other Reasons. Current Medical Research and Opinion, 1-24.
 
[23]  Maslow, A. H. (1968). Toward a Psychology of Being. New York: D. Van Nostrand Company
 
[24]  NACA report (2015). accessed in July 2016 from https://naca.gov.ng/article/hiv-epidemic-nigeria.
 
[25]  Neugarten, B. L., Havighaurst, & Tobin, S. S. (1968). “Personality and Patterns of Aging”. In Neugarten (Ed.), Middle Age and Aging (pp. 173-180). Chicago: University of Chicago press.
 
[26]  Ntoumanis, Thøgersen-Ntoumani, Deci, Ryan et al., (2012). Self-determination theory applied to health contexts a meta-analysis. Perspectives on Psychological Science, 7(4), 325-340.
 
[27]  Okely and Gale. (2016). Well-being and chronic disease incidence: The English longitudinal study of ageing. Psychosomatic Medicine, 78(3), 335.
 
[28]  Reda, A., Biadgilign, and Sibhatu. (2012). Determinants of Adherence to Antiretroviral Therapy among HIV-Infected Patients in Africa. AIDS Research and Treatment, 1-8.
 
[29]  Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719-727.
 
[30]  Sauceda, Wiebe and Simoni. (2016). Childhood sexual abuse and depression in Latino men who have sex with men: Does resilience protect against nonadherence to antiretroviral therapy? Journal of Health Psychology, 21(6), 1096-1106.
 
[31]  Schaecher, K. L. (2013). The importance of treatment adherence in HIV. American Journal of AIDS Management and Care, 19 (12 Suppl), s231-237.
 
[32]  Sow, Toure, Coume, Dia and Traore. (2012). Predictors of ART adherence among HIV infected individuals in Dakar Senegal. Journal of Medicine and Medical Sciences, 3(4), 212-216.
 
[33]  Taiwo, Idoko, Welty, Otoh, Job et al., (2010). Assessing the viorologic and adherence benefits of patient-selected HIV treatment partners in a resource-limited setting. JAIDS Journal of Acquired Immune Deficiency Syndromes, 54(1), 85-92.
 
[34]  UNAIDS (2011) Political Declaration on HIV/AIDS; 2011, available at: http://www.unaids.org/en/aboutunaids/unitednationsdeclarationsandgoals/2011highlevelmeetingonaids/.
 
[35]  UNAIDS (2013). 'Global Report: UNAIDS Report on the Global AIDS Epidemic. Retrieved in June 2015 from http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2.
 
[36]  UNAIDS, World Health Organization and UNICEF. Epidemiological fact sheets on HIV/AIDS and sexually transmitted infections in Nigeria [homepage on the Internet]. 2004. Available from: http://data.unaids.org/ Publications/Fact-Sheets01/nigeria_en.pdf.
 
[37]  UNDP Human Development Report (2013): accessible from http://hdrstats.undp.org/en/countries/country_fact_sheets/cty_fs_NGA.html.
 
[38]  Vian, DeSilva, Cabral, Williams, Gifford et al., (2016). The role of motivation in predicting antiretroviral therapy adherence in China. Journal of Health Psychology, 1359105316672922.
 
[39]  Vo, Hoffman, Nash, El-Sadr, Tymejczyk et al.,(2016). Gender Differences and Psychosocial Factors Associated with Quality of Life Among ART Initiators in Oromia, Ethiopia. AIDS Behaviour, 1-10.
 
[40]  Wanjohi. (2009). Factors that influence non-adherence to antiretroviral therapy among HIV and AIDS patients in Central Province, Kenya. A research thesis submitted in partial fulfillment of the requirement of Degree of Master of Public Health (Epidemiology and Disease Control) in the School of Health Sciences of Kenyatta University.
 
[41]  Watson, D., Clark, L.A., & Tellengen, A. (1988). Development and Validation of brief measures of positive and negative affect: the PANAS Scales. Journal of personality and Social Psychology, 54, 1063-1070.
 
[42]  WHO (2010). 'Towards Universal Access: Scaling up priority HIV/AIDS interventions in the health sector'. Accessed on 5 February 2013 from www.avert.org.
 
[43]  WHO (2013, June) 'Global update on HIV treatment 2013: Results, Impact and Opportunities', accessed in June 2015 from http://www.avert.org/universal-access-hiv-treatment.htm#footnote1_d7kzm9s.
 
[44]  Zuurmond. E.B. (2008). Adherence to ARVs-Challenges and successes. A consultation with CAFOD partners and members of the Catholic HIV and AIDS Network (CHAN), 5(3), 8.