Psychological factors in Nepali former commercial sex workers with HIV.
This study examined perceived stress, coping style, and symptoms of anxiety and depression in HIV-positive Nepali women who were formerly commercial sex workers (CSWs). It found that the level of perceived stress was similar to that observed in a healthy female population of similar age. The primary coping style was problem-focused, with the strategy of seeking social support, accepting responsibility, and distancing. There was low prevalence of psychological symptoms. Somatic symptoms, which may be more relevant than affective symptoms in non-Western populations, were the best indicator of depression. Future studies are needed to examine culturally relevant appraisals, coping style, and