Impact of childhood trauma on functionality and quality of life in HIV-infected women

Zyrhea C.E. Troeman, Georgina Spies, Mariana Cherner, Sarah L. Archibald, Christine Fennema-Notestine, Rebecca J. Theilmann, Bruce Spottiswoode, Dan J. Stein, Soraya Seedat*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Background: While there are many published studies on HIV and functional limitations, there are few in the context of early abuse and its impact on functionality and Quality of Life (QoL) in HIV.Methods: The present study focused on HIV in the context of childhood trauma and its impact on functionality and Quality of Life (QoL) by evaluating 85 HIV-positive (48 with childhood trauma and 37 without) and 52 HIV-negative (21 with childhood trauma and 31 without) South African women infected with Clade C HIV. QoL was assessed using the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), the Patient's Assessment of Own Functioning Inventory (PAOFI), the Activities of Daily Living (ADL) scale and the Sheehan Disability Scale (SDS). Furthermore, participants were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Childhood Trauma Questionnaire (CTQ).Results: Subjects had a mean age of 30.1 years. After controlling for age, level of education and CES-D scores, analysis of covariance (ANCOVA) demonstrated significant individual effects of HIV status and childhood trauma on self-reported QoL. No significant interactional effects were evident. Functional limitation was, however, negatively correlated with CD4 lymphocyte count.Conclusions: In assessing QoL in HIV-infected women, we were able to demonstrate the impact of childhood trauma on functional limitations in HIV.

Original languageEnglish
Article number84
JournalHealth and Quality of Life Outcomes
Volume9
DOIs
StatePublished - 30 Sep 2011
Externally publishedYes

Funding

FundersFunder number
HIV Neurobehavioral Research Center
HNRC
National Institute of Mental HealthP30MH062512
Center for AIDS Research, University of Washington
Medical Research Council
Department of Science and Technology, Ministry of Science and Technology, India
National Research Foundation of Korea

    Keywords

    • Childhood trauma
    • Functionality
    • Hiv
    • Quality of life

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