The impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa

Andrea K Daniels,1 Rudolph L Van Niekerk2 1School of Community Psycho-social Research (COMPRES), Faculty of Health Sciences, North West University, Potchefstroom, South Africa; 2Department of Human Movement Science, Faculty of Health Sciences, University of Fort Hare, Alice, South Africa Introducti...

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Autores principales:	Daniels AK, Van Niekerk RL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Antiretroviral Treatment (ART) Body Self-image Depression Functional Cognition Lipodystrophy Therapeutic movement Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/1699e6325c424a898541785361fa0eee
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spelling	oai:doaj.org-article:1699e6325c424a898541785361fa0eee2021-12-02T07:43:55ZThe impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa1179-1373https://doaj.org/article/1699e6325c424a898541785361fa0eee2018-07-01T00:00:00Zhttps://www.dovepress.com/the-impact-of-a-therapeutic-exercise-intervention-on-depression-and-bo-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Andrea K Daniels,1 Rudolph L Van Niekerk2 1School of Community Psycho-social Research (COMPRES), Faculty of Health Sciences, North West University, Potchefstroom, South Africa; 2Department of Human Movement Science, Faculty of Health Sciences, University of Fort Hare, Alice, South Africa Introduction: Attitudes, responses, and reactions of HIV-positive women in three sub-Saharan African regions toward a therapeutic exercise intervention, aimed to determine the presence of depression and low body self-image, were captured. This provided insight into body satisfaction and desire to exercise (Stage 1, n=60), body self-image and depression (Stage 2, n=60), and overall concerns around the often adverse side effects of antiretroviral treatment (ART). A program of therapeutic (specialty) exercise was developed for the experimental design (Stage 2), to quantify the psychological side effects of these variables. Methodology: Stage 1 constituted a qualitative exploration into attitudes and perceptions around ART, toxicity, health concerns, metabolic irregularities (lipodystrophy), body shape and size dissatisfaction, and cultural attitudes toward exercise. This stage deployed brief informal face-to-face interviews, based on the World Health Organization (WHO)/United Nations Fund for Population Activities (UNFPA) AIDS Inventory, in three sub-Saharan African regions (including provincial and district hospitals, nongovernmental organizations, voluntary counseling and testing/HIV and testing centers, and primary care outpatient clinics). Stage 2 of the study comprised a quantitative experimental design, conducted on a sample of HIV-positive women (mean age=39.0 years; mean years on ART=5.5; 86% black) in three selected HIV outpatient clinics in Johannesburg, South Africa. Data analysis: The collated data sets from both stages of the research were presented, analyzed, and interpreted (thematic analyses [Stage 1] and statistical analyses [Stage 2]) using the body self-image questionnaire and Beck’s depression inventory. Results: Stage 1 outlined participants’ concerns and reports around 1) body shape and size, including long-term effects of ART and 2) attitudes toward exercise, as a function of HIV status. Stage 2 represented pre- and posttest statistics, showing low statistical means for both the experiment and the control groups, with statistical significance for four out of nine items of subscales of body self-image questionnaire. Keywords: antiretroviral treatment, ART, body self-image, depression, functional cognition, lipodystrophy, therapeutic movement Daniels AKVan Niekerk RLDove Medical PressarticleAntiretroviral Treatment (ART)Body Self-imageDepressionFunctional CognitionLipodystrophyTherapeutic movementImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 10, Pp 133-144 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Antiretroviral Treatment (ART) Body Self-image Depression Functional Cognition Lipodystrophy Therapeutic movement Immunologic diseases. Allergy RC581-607
spellingShingle	Antiretroviral Treatment (ART) Body Self-image Depression Functional Cognition Lipodystrophy Therapeutic movement Immunologic diseases. Allergy RC581-607 Daniels AK Van Niekerk RL The impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa
description	Andrea K Daniels,1 Rudolph L Van Niekerk2 1School of Community Psycho-social Research (COMPRES), Faculty of Health Sciences, North West University, Potchefstroom, South Africa; 2Department of Human Movement Science, Faculty of Health Sciences, University of Fort Hare, Alice, South Africa Introduction: Attitudes, responses, and reactions of HIV-positive women in three sub-Saharan African regions toward a therapeutic exercise intervention, aimed to determine the presence of depression and low body self-image, were captured. This provided insight into body satisfaction and desire to exercise (Stage 1, n=60), body self-image and depression (Stage 2, n=60), and overall concerns around the often adverse side effects of antiretroviral treatment (ART). A program of therapeutic (specialty) exercise was developed for the experimental design (Stage 2), to quantify the psychological side effects of these variables. Methodology: Stage 1 constituted a qualitative exploration into attitudes and perceptions around ART, toxicity, health concerns, metabolic irregularities (lipodystrophy), body shape and size dissatisfaction, and cultural attitudes toward exercise. This stage deployed brief informal face-to-face interviews, based on the World Health Organization (WHO)/United Nations Fund for Population Activities (UNFPA) AIDS Inventory, in three sub-Saharan African regions (including provincial and district hospitals, nongovernmental organizations, voluntary counseling and testing/HIV and testing centers, and primary care outpatient clinics). Stage 2 of the study comprised a quantitative experimental design, conducted on a sample of HIV-positive women (mean age=39.0 years; mean years on ART=5.5; 86% black) in three selected HIV outpatient clinics in Johannesburg, South Africa. Data analysis: The collated data sets from both stages of the research were presented, analyzed, and interpreted (thematic analyses [Stage 1] and statistical analyses [Stage 2]) using the body self-image questionnaire and Beck’s depression inventory. Results: Stage 1 outlined participants’ concerns and reports around 1) body shape and size, including long-term effects of ART and 2) attitudes toward exercise, as a function of HIV status. Stage 2 represented pre- and posttest statistics, showing low statistical means for both the experiment and the control groups, with statistical significance for four out of nine items of subscales of body self-image questionnaire. Keywords: antiretroviral treatment, ART, body self-image, depression, functional cognition, lipodystrophy, therapeutic movement
format	article
author	Daniels AK Van Niekerk RL
author_facet	Daniels AK Van Niekerk RL
author_sort	Daniels AK
title	The impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa
title_short	The impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa
title_full	The impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa
title_fullStr	The impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa
title_full_unstemmed	The impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa
title_sort	impact of a therapeutic exercise intervention on depression and body self-image in hiv-positive women in sub-saharan africa
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/1699e6325c424a898541785361fa0eee
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The impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa

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