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Psychosocial Status of 192 Out-Patients with HIV Infection and AIDS

Published online by Cambridge University Press:  02 January 2018

Michael B. King*
Affiliation:
Institute of Psychiatry, Denmark Hill, London SE5 8AF

Abstract

One hundred and ninety-two out-patients with HIV infection were interviewed in a standardised manner at two London hospitals. Almost all had revealed their diagnosis to others, one-quarter receiving negative reactions from confidants. Thirty-one per cent had significant psychiatric problems, almost half of whom reported emotional problems before HIV infection. Twenty-two per cent complained of difficulties with memory or concentration, of whom 12.5% had objective cognitive impairment on brief assessment. Excessive health ruminations were an important indicator of more extensive psychological problems. This degree of psychological distress is in keeping with reports for patients with other medical conditions, and overall, patients appeared to have adapted well, despite the obvious stigma and poor prognosis of their condition.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

Boardman, A. P. (1987) The general health questionnaire and the detection of emotional disorder by general practitioners: a replicated study. British Journal of Psychiatry, 151, 373381.CrossRefGoogle ScholarPubMed
Bradbeer, C. (1987) HIV and sexual lifestyle. British Medical Journal, 294, 56.CrossRefGoogle ScholarPubMed
Brettle, R. P., Bisset, K., Burns, S., et al (1987) Human immunodeficiency virus and drug misuse: the Edinburgh experience. British Medical Journal, 295, 421424.CrossRefGoogle ScholarPubMed
Brew, B. J., Sidtis, J. J., Rosenblum, M. et al (1988) AIDS dementia complex. Journal of the Royal College of Physicians of London, 22, 140144.Google ScholarPubMed
Bridges, K. W. & Goldberg, D. P. (1984) Psychiatric illness in inpatients with neurological disorders; patients' views on discussion of emotional problems with neurologists. British Medical Journal, 289, 656658.CrossRefGoogle ScholarPubMed
Buhrich, N. & Cooper, D. A. (1987) Requests for psychiatric consultation concerning 22 patients with AIDS and ARC. Australian and New Zealand Journal of Psychiatry, 21, 346353.CrossRefGoogle ScholarPubMed
Carne, C. A. & Adler, M. W. (1986) Neurological manifestations of human immunodeficiency virus infection. British Medical Journal, 293, 462463.CrossRefGoogle ScholarPubMed
Catalan, J., Bradley, M., Gallwey, J., et al (1981) Sexual dysfunction and psychiatric morbidity in patients attending a clinic for sexually transmitted diseases. British Journal of Psychiatry, 138, 292296.CrossRefGoogle ScholarPubMed
Davies, A. D. M., Davies, C. & Delpo, M. C. (1986) Depression and anxiety in patients undergoing diagnostic investigations for head and neck cancers. British Journal of Psychiatry, 149, 491493.CrossRefGoogle ScholarPubMed
Deuchar, N. (1984) AIDS in New York City with particular reference to the psychosocial aspects. British Journal of Psychiatry, 145, 612619.CrossRefGoogle Scholar
Dilley, J. W., Ochitill, H. N., Perl, M., et al (1985) Findings in psychiatric consultations with patients with acquired immune deficiency syndrome. American Journal of Psychiatry, 142, 8286.Google ScholarPubMed
Dunea, G. (1987) AIDS update. British Medical Journal, 295, 492493.CrossRefGoogle ScholarPubMed
Fenton, T. W. (1987) Practical problems in the management of AIDS-related psychiatric disorder. Journal of the Royal Society of Medicine, 80, 271274.CrossRefGoogle ScholarPubMed
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. Oxford: Oxford University Press.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., et al (1970) A standardised psychiatric interview for use in community surveys. British Journal of Preventative and Social Medicine, 24, 1823.Google ScholarPubMed
Goldthorpe, J. & Hope, K. (1974) The Social Grading of Occupations: A New Approach and Scale. London: Oxford University Press.Google Scholar
Grant, I. G., Atkinson, J. H., Hesselink, J. R., et al (1987) Evidence for early central nervous system involvement in the acquired immunodeficiency syndrome (AIDS) and other human immunodeficiency virus (HIV) infections. Annals of Internal Medicine, 107, 828836.CrossRefGoogle ScholarPubMed
Green, J. P. (1987) AIDS and employment. The safety, confidentiality and discrimination issues. Occupational Health Review, 5, 26.Google Scholar
Hoffman, R. S. (1984) Neuropsychiatric complications of AIDS. Psychosomatics, 25, 393400.CrossRefGoogle ScholarPubMed
Holland, J. C. & Tross, S. (1985) The psychosocial and neuropsychiatric sequelae of the acquired immunodeficiency syndrome and related disorders. Annals of Internal Medicine, 103, 760764.CrossRefGoogle ScholarPubMed
Joffe, R. T., Rubinow, D. R., Squillace, K., et al (1986) Neuropsychiatric aspects of AIDS. Psychopharmacology Bulletin, 22, 684688.Google ScholarPubMed
King, M. B. (1988) AIDS and the general practitioner: the views of patients with HIV infection and AIDS. British Medical Journal, 297, 182184.CrossRefGoogle ScholarPubMed
MacGuire, G. P., Julier, D. L., Hawton, K. E., et al (1974) Psychiatric morbidity and referral on two general medical wards. British Medical Journal, i, 268270.CrossRefGoogle Scholar
McKusick, L. (1986) What To Do About AIDS. California: University of California Press.CrossRefGoogle Scholar
Miller, D. (1987) HIV counselling: some practical problems and issues. Journal of the Royal Society of Medicine, 80, 278281.CrossRefGoogle ScholarPubMed
Miller, D. & Green, J. (1985) Psychological support and counselling for patients with acquired immune deficiency syndrome (AIDS). Genitourinary Medicine, 61, 273278.Google ScholarPubMed
Miller, D., Weber, J. & Green, J. (1986) The Management of AIDS Patients. London: MacMillan Press.CrossRefGoogle Scholar
Nichols, S. E. (1985) Psychosocial reactions of persons with the acquired deficiency syndrome. Annals of Internal Medicine, 103, 765767.CrossRefGoogle Scholar
Ostrow, D. G., Joseph, J., Monjan, A., et al (1986) Psychosocial aspects of AIDS risk. Psychopharmacology Bulletin, 22, 678683.Google ScholarPubMed
Redder, J. R. & Goldberg, D. P. (1970) A survey by questionnaire of psychiatric disturbance in patients attending a venereal diseases clinic. British Journal of Venereal Diseases, 46, 5861.Google Scholar
Snider, W. D., Simpson, D. M., Nielson, S., et al (1983) Neurological complications of acquired immune deficiency syndrome: analysis of 50 patients. Annals of Neurology, 14, 403418.CrossRefGoogle ScholarPubMed
Thomas, C. S., Toone, B. K., El Komy, A., et al (1985) HLTV-III and psychiatric disturbance. Lancet, ii, 395396.CrossRefGoogle Scholar
Thompson, C., Isaacs, G., Supple, D. et al (1986) AIDS: dilemmas for the psychiatrist. Lancet, i, 269270.CrossRefGoogle Scholar
Winkelstein, W., Samuel, M., Padian, N. S., et al (1987) The San Francisco men's health study: III. Reduction in human immunodeficiency virus transmission among homosexual/bisexual men, 1982–86 American Journal of Public Health, 77, 685689.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 (ICD–9). Geneva: WHO.Google Scholar
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