Effectiveness of Metacognitive Therapy in Treatment of Major Depressive Disorder Among HIV Patients: Selected Hospitals in Machakos County, Kenya
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Date
2023
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Publisher
Daystar University, School of Applied Human Sciences
Abstract
This scientific inquiry examined the effectiveness of metacognitive therapy (MCT) in treatment of major depressive disorder (MDD) among HIV patients attending selected hospitals in Machakos County, Kenya. The prevalence of MDD, worrying and ruminating behaviors in HIV patients attending selected hospitals were determined. The study also sought to establish the risk factors for depression, and the predictor factors to alcohol use among HIV patients. Further, the relationship between MDD, ruminating and worrying behaviors were examined. This scientific inquiry applied quasiexperimental research design, with both control and experimental groups, and pre-test and post-test at 3 months and 6 months. Convenience sampling was used to recruit 80 females aged between 20 and 50 years. This study employed quantitative data collection methods. Univariate, bivariate and multivariate statistical analysis were computed. Results showed that MDD (35.5%) worrying (34.8%), and ruminating (37.1%) behaviors were highly prevalent among HIV patients attending selected hospitals. Also, results indicated that strong family support, age, financial constraint, marital status, attending religious service, unemployment, and health status were risks factors of MDD (p’s˂0.05). Being single (0.049), divorced (0.016), attending religious service (0.020), poor health status (0.038), and not being in the workforce (0.018) were predictors for alcohol use in the study population. This study found strong evidence of MCT effectiveness in reduction of MDD symptoms (p=0.0001). Based on these findings, it was suggested that part of comprehensive care package of HIV interventions in clinical settings in Kenya should include screening for depressive symptoms, alcohol use, and subsequent psychotherapy
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Keywords
metacognitive therapy, major depressive disorder, HIV patients
Citation
Njiru, L. M., (2023). Effectiveness of Metacognitive Therapy in Treatment of Major Depressive Disorder Among HIV Patients: Selected Hospitals in Machakos County, Kenya. Daystar University, School of Applied Human Sciences