The Psychological effects of disclosing a positive HIV diagnosis:a preliminary investigations

Abstract

The aim and objective of this investigation is to explore, on a preliminary basis, the psychological and social effects on a sample of women of having disclosed their positive HIV diagnosis. The study was conducted in KwaZulu-Natal, South Africa. A convenience sampling approach was used to collect the sample. Inclusion criteria included female, older than 18, with a positive HIV status. Participants’ disclosure of a positive HIV status (defined as having voluntarily disclosed to sexual partners, intimate or immediate family, extended family and or friends) was a key inclusion criterion. Semi-structured interviews were used in the collection of data. Interviews were audio-recorded and transcribed verbatim. Through collaboration with other trained researchers, the data was analyzed and interpreted using investigator triangulation. The independent clinicians identified and established the categories, themes or recurring processes separately using content analysis. The themes in the transcripts as well as from the literature review were utilized as a guide. The results of this study suggest that there are various factors that influence whether disclosure of a positive HIV diagnosis takes place, largely based on the initial adjustment to the positive HIV diagnosis, the individual’s socio-cultural context and the weighing of potential reactions (whether positive or negative) that disclosing a positive HIV diagnosis can induce. The psychological effects of disclosing a positive HIV diagnosis that were identified in this study were anger, fear of stigma/discrimination, shock and disbelief and a false sense of acceptance of the diagnosis. The social effects of disclosing a positive HIV diagnosis were satisfaction with support received following disclosure. However lack of partner support as well as experiences with stigma/discrimination were identified following disclosure.