Abstract

BackgroundPsychological treatments improve depressive symptoms in people living with HIV/AIDS (PLWHA). Adaptation of treatments should be based on explanatory models of depression and other elements within the given context.AimThis study aimed to examine explanatory models of depression and acceptable approaches for implementation of group IPT in Northwest Ethiopia.MethodsQualitative data were collected from April to May 2019 from case managers, adherence supporters and service users using focus group discussion and analysed thematically.ResultsPLWHA attributed depression to psychosocial problems, spiritual factors and biological factors. Depression had several impacts at individual and family level. Group-based interpersonal therapy (IPT) was acceptable if provided by trained peer counselors.ConclusionThe current study findings informed how to conduct feasibility and acceptability trials of group IPT in the HIV population in Ethiopia.

Highlights

  • A number of psychological treatments show benefits for improving depressive symptoms among different groups of people [1, 2]

  • Adaptation of the World Health Organization (WHO) group interpersonal therapy for people living with HIV/AIDS in Northwest Ethiopia

  • The views expressed in this publication are those of the author(s) and not necessarily those of Academy of Sciences (AAS), NEPAD Agency, Wellcome Trust or the UK government

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Summary

Introduction

A number of psychological treatments show benefits for improving depressive symptoms among different groups of people [1, 2]. When they are implemented in different settings, they may not appear as effective as they were during their development [2,3,4,5]. This indicates the need for dynamic adaptation and contextualization of psychological treatments when they are replicated in different settings [2, 4]. Adaptation of treatments should be based on explanatory models of depression and other elements within the given context

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