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The Psychosocial Impact of HIV Infection in Gay Men

A Controlled Investigation and Factors Associated with Psychiatric Morbidity

Published online by Cambridge University Press:  02 January 2018

Jose Catalan*
Affiliation:
Academic Department of Psychiatry, Charing Cross & Westminster Medical School, Westminster Hospital, Horseferry Road, London SW1
Ivana Klimes
Affiliation:
Department of Psychology, Warneford Hospital, Oxford
Alison Bond
Affiliation:
Oxford University Department of Psychiatry, Warneford Hospital, Oxford
John Gallwey
Affiliation:
The Harrison Department, Radcliffe Infirmary, Oxford
*
Correspondence

Abstract

This study aimed to establish the prevalence of psychosocial problems in gay men with HIV infection, and to identify factors associated with psychological morbidity. The study was a cross-sectional controlled investigation, which included 24 HIV seropositive and 25 seronegative gay men. Outcome measures included current psychological status and psychiatric history; coping and health beliefs; and social and sexual functioning. Seropositive subjects had worse scores on the PSE total score, and greater sexual difficulties. There were also differences in health beliefs and coping. Psychological morbidity was associated with hopelessness, previous psychiatric illness, symptomatic HIV disease, and low self-esteem.

Type
Papers
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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References

Atkinson, J. H., Grant, I., Kennedy, J., et al (1988) Prevalence of psychiatric disorders among men infected with HIV. Archives of General Psychiatry, 45, 859864.CrossRefGoogle Scholar
Beck, A., Weissman, A., Lester, D., et al (1974) Measurement of pessimism: the hopelessness scale. Journal of Consulting and Clinical Psychology, 42, 861865.CrossRefGoogle ScholarPubMed
Catalan, J. (1988) Psychosocial and neuropsychiatric aspects of HIV infection. Journal of Psychosomatic Research, 32, 237248.CrossRefGoogle ScholarPubMed
Catalan, J., Klimes, I., Bond, A., et al (1992) The psychosocial impact of HIV infection in men with haemophilia: controlled investigation and factors associated with psychiatric morbidity. Journal of Psychosomatic Research, 36, 409416.CrossRefGoogle ScholarPubMed
Catalan, J., Hawton, K. & Day, A. (1990) Couples referred to a sexual dysfunction clinic: psychological and physical morbidity. British Journal of Psychiatry, 156, 6167.CrossRefGoogle ScholarPubMed
Centers For Disease Control (1986) Classification system for human T-lymphotropic virus type III/lymphadenopathy-associated virus infection. Morbidity and Mortality Weekly Report, 35, 334339.Google Scholar
Cochrane, S. (1987) Psychosomatic distress and depressive symptoms among HIV positive, negative and untested homosexual men. Abstracts III International AIDS Conference, p. 43. Washington, DC.Google Scholar
Cooper, P., Osborne, M., Gath, D., et al (1982) Evaluation of a modified self-report measure of social adjustment. British Journal of Psychiatry, 11, 6875.CrossRefGoogle Scholar
King, M. (1988) Psychosocial status of 192 out-patient with HIV infection and AIDS. British Journal of Psychiatry, 154, 237242.CrossRefGoogle Scholar
Kobasa, S. (1979) Stressful life events, personality and health. Journal of Personality and Social Psychology, 37, 1.CrossRefGoogle ScholarPubMed
Maj, M. (1990) Psychiatric aspects of HIV infection and AIDS. Psychological Medicine, 20, 547563.CrossRefGoogle Scholar
McNair, D. & Lorr, M. (1964) An analysis of mood in neurotics. Journal of Abnormal and Social Psychology, 69, 620627.CrossRefGoogle ScholarPubMed
Miller, D. & Riccio, M. (1990) Non-organic psychiatric and psychosocial syndromes associated with HIV-1 infection and disease. AIDS, 4, 381388.CrossRefGoogle ScholarPubMed
Nie, N. (1983) Statistical Package for Social Scientists (SPSS–X). Chicago: McGraw-Hill.Google Scholar
Ostrow, D., Joseph, J., Monjan, A., et al (1986) Psychosocial aspects of AIDS risk. Psychopharmacological Bulletin, 22, 678683.Google ScholarPubMed
Rosenbaum, A. (1980) Schedule for assessing self-control behaviour: preliminary findings. Behaviour Therapy, 11, 109121.CrossRefGoogle Scholar
Rosenberg, M. (1965) Society and the Adolescent Self-image. New York: Princeton University Press.Google Scholar
Wallston, K. & Wallston, B. (1978) Development of the multidimensional health locus of control scales. Health Education Monographs, 6, 160170.CrossRefGoogle Scholar
Williams, J., Rabkin, J., Remien, R., et al (1991) Multidisciplinary baseline assessment of homosexual men with HIV infection–II. Standardized clinical assessment of current and lifetime prevalence. Archives of General Psychiatry, 48, 124130.CrossRefGoogle Scholar
Wing, J., Cooper, J. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
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