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1996-02-27
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Document 0153
DOCN M9630153
TI An assessment of rates of psychiatric morbidity and functioning in HIV
disease.
DT 9603
AU McDaniel JS; Fowlie E; Summerville MB; Farber EW; Cohen-Cole SA; Grady
Health System Infectious Disease Program, Department of; Psychiatry and
Behavioral Sciences, Emory University School of; Medicine, Atlanta,
Georgia 30308, USA.
SO Gen Hosp Psychiatry. 1995 Sep;17(5):346-52. Unique Identifier : AIDSLINE
MED/96107601
AB This study examined demography, rates of psychopathology, and functional
impairment in HIV-seropositive women and men in a large, urban, public
outpatient infectious disease clinic. Fifty-three percent of the women
and 70% of the men met Structural Clinical Interview for DSM-III-R
criteria for psychiatric disorders. Current mood disorders were the most
frequent diagnoses, followed by psychoactive substance abuse/dependence
disorders and psychotic disorders. Seventy-six percent of the women and
90% of the men had previous psychiatric histories, including 59% of the
women and 55% of the men who had psychiatric histories prior to their
knowledge of HIV seroconversion. Depressed subjects reported significant
impairment in physical, social, and role functioning. Similarly,
impairment in physical functioning was highly correlated with
self-reported anxiety symptoms. These data suggest considerable past and
current psychiatric comorbidity in HIV-infected individuals seeking
medical care, and draw attention to the need for recognition and
aggressive psychiatric treatment, particularly for those depressed and
anxious patients with impaired functioning.
DE Activities of Daily Living Adaptation, Psychological Adult
Comorbidity Female Health Services Needs and Demand Human HIV
Seropositivity/COMPLICATIONS/*PSYCHOLOGY Interview, Psychological Male
Mental Disorders/DIAGNOSIS/*EPIDEMIOLOGY/PSYCHOLOGY/VIROLOGY Middle Age
*Quality of Life Support, Non-U.S. Gov't JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).