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HIV Infection: Psychiatric Findings in the Netherlands

Published online by Cambridge University Press:  02 January 2018

Herman N. Sno*
Affiliation:
University Department of Psychiatry, Academic Medical Centre, Amsterdam, The Netherlands
Jitschak G. Storosum
Affiliation:
University Department of Psychiatry, Academic Medical Centre, Amsterdam, The Netherlands
Jan A. Swinkels
Affiliation:
University Department of Psychiatry, Academic Medical Centre, Amsterdam, The Netherlands
*
Academic Medical Centre, Psychiatric Outpatient Clinic, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands

Abstract

A psychiatric consultation was requested in 51 in-patient cases of HIV infection. Reasons for referral included counselling, the evaluation of depressive symptoms, and the treatment of delirium. The most common DSM–III diagnoses included: delirium (n = 13), major depressive disorders (n = 12), dementia (n = 5), and adjustment disorders with depressive or anxious mood (n = 5). The psychiatric treatment of patients with HIV infection does not differ fundamentally from that of other medically ill patients with similar psychiatric symptoms. However, the psychiatric treatment of patients with HIV infection can be hampered by the fear of contagion, negative attitudes towards homosexuals and drug users, and overidentification or avoidance reactions.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists, 1989 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn). Washington, DC: APA.Google Scholar
Baer, J. W., Hall, J. M., Holm, K., et al (1987) Challenges in developing an inpatient psychiatric program for patients with AIDS & ARC. Hospital and Community Psychiatry, 38, 12991303.Google Scholar
Bijkerk, H. (1988) AIDS 1982–1987. Nederlands Tijdschrift voor Geneeskunde, 132, 878880.Google Scholar
Buhrich, N., Cooper, D. A. & Freed, E. (1988) HIV infection associated with symptoms indistinguishable from functional psychosis. British Journal of Psychiatry, 152, 649653.CrossRefGoogle ScholarPubMed
Centers for Disease Control (1986) Classification system for HTLV–III/LAV infections. Morbidity and Mortality Weekly Report, 35, 34339.Google Scholar
Cummings, M. A., Rapaport, M. & Cummings, K. L. (1985) A psychiatric staff response to AIDS (letter). American Journal of Psychiatry, 142, 523.Google Scholar
Danner, S. A., Eeftinck Schattenkerk, J. K. M., Lange, J. M. A., et al (1987) Ziekteverschijnselen en klinisch beloop bij de eerste honderd patiënten met AIDS. Nederlands Tijdschrift voor Geneeskunde, 131, 14741479.Google Scholar
Detmer, W. M. & Lu, F. U. (1986) Neuropsychiatric complications of AIDS: a literature review. International Journal of Psychiatry in Medicine, 16, 2129.CrossRefGoogle ScholarPubMed
Dilley, J. W., Ochitill, H. N., Perl, M., et al (1985) Findings in psychiatric consultations with patients with AIDS. American Journal of Psychiatry, 142, 8286.Google Scholar
Dilley, J. W., Shelp, E. E. & Batki, S. L. (1986) Psychiatric and ethical issues in the care of patients with AIDS. Psychosomatics, 27, 562566.CrossRefGoogle ScholarPubMed
Douglas, C. J., Kalman, C. M. & Kalman, T. P. (1985) Homophobia among physicians and nurses: an empirical study. Hospital and Community Psychiatry, 36, 13091311.Google ScholarPubMed
Faulstich, M. E. (1987) Psychiatric aspects of AIDS. American Journal of Psychiatry, 144, 551556.Google Scholar
Fenton, T. W. (1987) AIDS-related psychiatric disorder. British Journal of Psychiatry, 151, 579588.Google Scholar
Halstead, S., Riccio, M., Harlow, P., et al (1988) Psychosis associated with HIV infection. British Journal of Psychiatry, 153, 618623.Google Scholar
Hengeveld, M. W., Rooymans, H. G. M. & Vecht-Van den Bergh, R. (1984) Psychiatric consultations in a Dutch university hospital: a report on 1814 referrals, compared with a literature review. General Hospital Psychiatry, 6, 271279.CrossRefGoogle Scholar
Holland, J. C. & Tross, S. (1985) The psychosocial and neuropsychiatric sequelae of AIDS and related disorders. Annals of Internal Medicine, 103, 760764.CrossRefGoogle ScholarPubMed
Houweling, H., Jager, J. C., Coutinho, R., et al (1987) Epidemiologic van AIDS en HIV-infecties in Nederland; huidige situatie en prognose voor de periode 1987–1990. Nederlands Tijdschrift voor Geneeskunde, 131, 818824.Google ScholarPubMed
Ostrow, D. G. & Gayle, T. C. (1986) Psychosocial and ethical issues of AIDS health care programs. Quality Review Bulletin, 12, 284294.Google Scholar
Perry, S. W. & Tross, S. (1984) Psychiatric problems of AIDS-inpatients at the New York Hospital: preliminary report. Public Health Report, 99, 200205.Google Scholar
Perry, S. W. & Markowitz, J. (1986) Psychiatric interventions for AIDS spectrum disorders. Hospital and Community Psychiatry, 37, 10011006.Google ScholarPubMed
Prummel, M. F., ten Berge, R. J. M., Barraclough, H., et al (1983) Kaposi-sarcoom en dodelijke opportunistische infecties bij een homoseksuele man met een deficient immunapparaat. Nederlands Tijdschrift voor Geneeskunde, 127, 820824.Google Scholar
Schmidt, U. & Miller, D. (1988) Two cases of hypomania in AIDS. British Journal of Psychiatry, 152, 839842.Google Scholar
Snider, W. D., Simpson, D. M., Nielsen, S., et al (1983) Neurological complications of AIDS: analysis of 50 patients. Annals of Neurology, 14, 403418.Google Scholar
Weisman, H. W., Harvey, E., Nielnaltow, M. D., et al (1987) Psychiatric consultation to AIDS-patients, 1981–1986: a consultation liaison perspective. The psychiatry of HIV infection. British Medical Journal, 295, 228229.Google Scholar
Wolcott, D. L. (1986) Psychosocial aspects of AIDS and the primary care physician. Annals of Allergy, 57, 95102.Google Scholar
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