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Psychiatric Illnesses in Patients with HIV Infection and AIDS Referred to the Liaison Psychiatrist

Published online by Cambridge University Press:  02 January 2018

Ram Seth*
Affiliation:
Bethlem Royal and Maudsley Hospital
Kenneth Granville-Grossman
Affiliation:
St Mary's Hospital, Praed Street, London W2 1NY
David Goldmeier
Affiliation:
St Mary's Hospital, Praed Street, London W2 1NY
Sean Lynch
Affiliation:
St Mary's Hospital, Praed Street, London W2 1NY
*
The Dulwich Hospital, North Wing (East Home), St Francis∗ Road, London SE22 8DF

Abstract

All referrals made to the liaison psychiatric service for HIV and AIDS patients over one year were reviewed. ICD–9 and CDC diagnoses were applied to each case at presentation. Sixty HIV-positive patients were assessed, of whom 35 had affective disorder, which was significantly associated with CDC group IV disease (AIDS). Adjustment reaction was seen in nine patients, paranoid states in six, dementia in four, personality changes in four and paranoid schizophrenia in two. CT scans of the brain were performed on 23 of the patients: 17 of these showed abnormalities. The proportion of registered AIDS patients who were referred was five times the proportion of HIV patients.

Type
Papers
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

Angst, J., Merikangas, K. & Scheidegger, P. (1990) Recurrent brief depression: a new subtype of affective disorder. Journal of Affective Disorder, 19, 8798.CrossRefGoogle ScholarPubMed
Bartrop, R., Luckhurst, E., Lazarus, L., et al (1977) Depressed lymphocyte function after bereavement. Lancet, i, 834836.CrossRefGoogle Scholar
Buhrich, N., Cooper, D. A. & Freed, E. (1988) HIV infection associated with symptoms indistinguishable from functional psychoses. British Journal of Psychiatry, 153, 649653.CrossRefGoogle Scholar
Goethe, K. E., Mitchell, J. W., Marshall, D. W., et al (1989) Neuropsychological and neurological function of human immunodeficiency virus seropositive asymptomatic individuals. Archives of Neurology, 46, 129133.CrossRefGoogle ScholarPubMed
Goldmeier, D. & Granville-Grossman, K. (1988) The clinical psychiatry of human immunodeficiency virus (HIV) infection. Recent Advances in Clinical Psychiatry, 6, 1049.Google Scholar
Guiloff, R. J., Fuller, G. N., Roberts, A., et al (1988) Nature, incidence and prognosis of neurological involvement in the acquired immunodeficiency syndrome in central London. Postgraduate Medical Journal, 64, 919925.CrossRefGoogle ScholarPubMed
Holmes, V. F., Fernandez, F. & Levy, J. K. (1989) Psychostimulant response in AIDS-related complex. Journal of Clinical Psychiatry, 50, 58.Google ScholarPubMed
Kovner, R., Perecman, E., Lazar, W., et al (1989) Relation of personality and attentional factors to cognitive deficits in human immunodeficiency virus-infected subjects. Archives of Neurology, 46, 274280.CrossRefGoogle ScholarPubMed
Lantos, P. L., McLaughlin, J. E., Scholtz, C. L., et al (1989) Neuropathology of the brain in HIV infection. Lancet, 39, 6669.Google Scholar
Lloyd, A., Wakefield, D., Robertson, P., et al (1988) Antibodies to HIV are produced within the central nervous system of all subjects with all categories of HIV infection. Australian and New Zealand Journal of Medicine, 18, 854860.CrossRefGoogle ScholarPubMed
Marzuk, P. M., Tierney, H., Tardiff, K., et al (1988) Increased risk of suicide in persons with AIDS. Journal of the American Medical Association, 259, 13331337.CrossRefGoogle ScholarPubMed
McDonald, E. M., Mann, A. H. & Thomas, H. C. (1987) Interferons as mediators of psychiatric morbidity: an investigation in a trial of recombinant interferon in hepatitis-B carriers. Lancet, ii, 11751178.CrossRefGoogle Scholar
Navia, B. A., Cho, E. S., Petita, C. K., et al (1986) The AIDS Dementia complex — II. Neuropathology. Annals of Neurology, 19, 525535.CrossRefGoogle ScholarPubMed
Parisi, A., De Perri, G., Strossel, M., et al (1989) Usefulness of computerised electroencephalography in diagnosing, staging and monitoring AIDS-Dementia complex. AIDS, 3, 209214.CrossRefGoogle ScholarPubMed
Portegies, P., Epstein, L. G., Hung, S. T. A., et al (1989a) Human immunodeficiency virus type-1 antigen in cerebrospinal fluid. Correlation with clinical neurological status. Archives of Neurology, 46, 261264.CrossRefGoogle Scholar
Portegies, P., De Gans, J., Lange, J. M. A., et al (1989b) Declining incidence of AIDS dementia complex after introduction of zidovudinet treatment. British Medical Journal, 299, 819822.CrossRefGoogle ScholarPubMed
Sato, P. A., Chin, J. & Mann, J. M. (1989) Review of AIDS and HIV infection: global epidemiology and statistics. AIDS, 3 (suppl. 1), s301s307.CrossRefGoogle ScholarPubMed
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. Geneva: WHO.Google Scholar
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