Mental health disorders and determinants among adolescents living with HIV: a first national estimation in Togo (The MIND-HIV study), 2025 - Scorecard - MDSpire
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Mental health disorders and determinants among adolescents living with HIV: a first national estimation in Togo (The MIND-HIV study), 2025
Clinical Scorecard: Assessment of Mental Health Conditions and Influencing Factors in HIV-Positive Adolescents: A National Analysis from Togo (The MIND-HIV Study), 2025
At a Glance
Category
Detail
Condition
Depression and mental health disorders among adolescents living with HIV (ALHIV)
Key Mechanisms
Increased vulnerability to depression due to chronic HIV infection, stigma, lack of social support, and isolation
Target Population
Adolescents aged 10 to 19 years living with HIV in Togo
Care Setting
HIV care facilities across Togo, including public and private health centers
Key Highlights
Depression prevalence among ALHIV ranges widely from 11.4% to 45.8%, often higher than in general adolescent populations.
Female adolescents living with HIV are more vulnerable to depression compared to males.
Togo faces significant structural challenges in mental health care, including a severe shortage of mental health professionals and lack of organized adolescent mental health services.
Guideline-Based Recommendations
Diagnosis
Screen ALHIV routinely for depression and other mental health disorders using validated tools.
Consider sociodemographic and psychosocial factors such as gender, social support, and stigma in assessment.
Management
Integrate mental health services within HIV care programs to provide holistic care.
Develop locally tailored interventions addressing stigma, social isolation, and gender-specific vulnerabilities.
Monitoring & Follow-up
Regularly monitor mental health status during HIV treatment follow-up visits.
Track changes in depressive symptoms and psychosocial factors over time to adjust care plans.
Risks
High risk of depression among ALHIV due to chronic illness and stigma.
Limited access to mental health professionals increases risk of untreated mental health conditions.
Patient & Prescribing Data
Adolescents aged 10 to 19 years living with HIV in Togo
Mental health interventions should be integrated with HIV treatment; however, current infrastructure and specialist availability are insufficient to meet needs.
Clinical Best Practices
Employ multi-stage stratified random sampling for representative data collection in national studies.
Use multidisciplinary validated questionnaires to assess mental health in ALHIV.
Prioritize capacity building for mental health professionals and training of healthcare staff in adolescent mental health.
