Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-22T19:21:38.187Z Has data issue: false hasContentIssue false
  • English
  • Français

Mood and Psychiatric Disturbance in HIV and AIDS: Changes Over Time

Published online by Cambridge University Press:  02 January 2018

Mary Fell ,
Stanton Newman ,
Mary Herns ,
Pauline Durrance ,
Hadi Manji ,
Sean Connolly ,
Ruth McAllister ,
Ian Weller  and
Michael Harrison
Mary Fell
Affiliation:
Department of Academic Psychiatry, University College and Middlesex School of Medicine, Middlesex Hospital, Mortimer Street, London W1N 8AA
Stanton Newman*
Affiliation:
Department of Academic Psychiatry, University College and Middlesex School of Medicine, Middlesex Hospital, Mortimer Street, London W1N 8AA
Mary Herns
Affiliation:
Department of Academic Psychiatry, University College and Middlesex School of Medicine, Middlesex Hospital, Mortimer Street, London W1N 8AA
Pauline Durrance
Affiliation:
Department of Academic Psychiatry, University College and Middlesex School of Medicine, Middlesex Hospital, Mortimer Street, London W1N 8AA
Hadi Manji
Affiliation:
Department of Neurology, University College and Middlesex School of Medicine, Middlesex Hospital, Mortimer Street, London W1N 8AA
Sean Connolly
Affiliation:
Department of Clinical Neurophysiology, University College and Middlesex School of Medicine, Middlesex Hospital, Mortimer Street, London W1N 8AA
Ruth McAllister
Affiliation:
Department of Neurology, University College and Middlesex School of Medicine, Middlesex Hospital, Mortimer Street, London W1N 8AA
Ian Weller
Affiliation:
Department of Genitourinary Medicine, University College and Middlesex School of Medicine, Middlesex Hospital, Mortimer Street, London W1N 8AA
Michael Harrison
Affiliation:
Department of Neurology, University College and Middlesex School of Medicine, Middlesex Hospital, Mortimer Street, London W1N 8AA
*
∗Correspondence
Get access Rights & Permissions [Opens in a new window]

Abstract

A sample of 26 HIV seronegative, 59 HIV seropositive asymptomatic and 7 HIV seropositive symptomatic homosexual and bisexual men were assessed over two visits, a mean of 11 months apart, using the BDI, STAI, and CIS. Significant differences emerged between the symptomatic group and the other two groups. Past psychiatric history and the somatic items in the assessments accounted for some of these differences. The seropositive asymptomatic and the seronegative groups did not differ on any of the mood or psychiatric assessments, suggesting minimal effect on psychological well-being of seroconversion in the absence of symptoms.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 162 , Issue 5 , May 1993 , pp. 604 - 610
Copyright
Copyright © Royal College of Psychiatrists, 1993 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anastasi, A. (1988) Psychological testing. New York: Macmillan.Google Scholar
Atkinson, J. H., Grant, I., Kennedy, C. J., et al (1988) Prevalence of psychiatric disorders among men infected with human immunodeficiency virus. Archives of General Psychiatry, 45, 859–864.CrossRefGoogle ScholarPubMed
Beck, A. T., Ward, C. H. & Mendelson, M. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
Chuang, H. T., Devins, G. M., Hunsley, J., et al (1989) Psychosocial distress and well-being among gay and bisexual men with HIV infection. American Journal of Psychiatry, 146, 876–880.Google Scholar
Derogatis, L. R., Morrow, G. R., Fetting, J., et al (1983) The prevalence of psychiatric disorders among cancer patients. Journal of the American Medical Association, 249, 751–757.CrossRefGoogle ScholarPubMed
Detmer, W. M. & Lu, F. G. (1986-1987) Neuropsychiatric complications of AIDS: a literature review. International Journal of Psychiatry in Medicine, 16, 21–29.CrossRefGoogle Scholar
Faulstich, M. E. (1987) Psychiatric aspects of AIDS. American Journal of Psychiatry, 144, 551–556 Google Scholar
Fernandez, F. (1989) Anxiety and the neuropsychiatry of AIDS. Journal of Clinical Psychiatry, 50, 9–14.Google Scholar
Gatchel, R. J., Baum, A. & Krantz, D. S. (1989) Introduction to Health Psychology (2nd edn). New York: McGraw Hill.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, 18–23.Google Scholar
Gorman, J. M., Kertzner, R., Cooper, T., et al (1991) Glucocorticoid level and neuropsychiatric symptoms in homosexual men with HIV infection. American Journal of Psychiatry, 148, 41–45.Google Scholar
Grant, I. & Atkinson, J. H. (1990) The evolution of neuro-behavioural complictions of HIV infection. Psychological Medicine, 20, 747–754.Google Scholar
Hinton, J. (1973) Bearing cancer. British Journal of Medical Psychology, 46, 105–113.Google Scholar
Hopwood, P. (1986) Measurement of psychological morbidity in advanced breast cancer. In Psychosocial Issues in Malignant Disease (eds Watson, M. & Greer, S.), pp. 35–40. Oxford: Pergamon Press.Google Scholar
House, A., Dennis, M., Modridge, L., et al (1991) Mood disorders in the year after first stroke. British Journal of Psychiatry, 158, 83–92.Google Scholar
Institute of Psychiatry (1970) A Manual for Use in Conjunction with the General Practice Research Unit's Standardised Psychiatric Interview. London: Institute of Psychiatry.Google Scholar
Ironson, G., LaPerriere, A., Antoni, M., et al (1990) Changes in immune function and psychological measures as a function of anticipation and reaction to news of HIV-1 antibody status. Psychosomatic Medicine, 52, 247–270.Google Scholar
Kessler, R. C., O'Brien, K., Joseph, J. G., et al (1988) Effects of HIV infection, perceived health and clinical status on a cohort at risk for AIDS. Social Science and Medicine, 27, 569–578.Google Scholar
King, M. B. (1989a) Prejudice and AIDS: the views and the experiences of people with HIV infection. AIDS Care, 1, 137–143.Google Scholar
King, M. B. (1989b) Psychosocial status of 192 out-patients with HIV infection and AIDS. British Journal of Psychiatry, 154, 237–242.Google Scholar
Maj, M. (1990) Psychiatric aspects of HIV infection and AIDS. Psychological Medicine, 20, 547–563.Google Scholar
Miller, D. (1988) HIV and social psychiatry. British Medical Bulletin, 44, 130–148.Google Scholar
Miller, D. & Riccio, M. (1990) Non-organic psychiatric and psychosocial syndromes associated with HIV-1 infection and disease. AIDS, 4, 381–388.CrossRefGoogle ScholarPubMed
Misrachi, A., Zulian, C., DeWit, S., et al (1991) Patterns of psychiatric and psychosocial hospitalisations of HIV patients. VII International Conference on AIDS, Florence. Abstract no. WB2401.Google Scholar
Naber, D., Perro, C., Schick, U., et al (1990) Psychiatric symptoms and neuropsychological deficits in HIV infection. In Neuropsychopharmacology (eds Bunney, W. E., Hippius, H., Laakman, G., et al), pp. 745–755. Berlin: Springer-Verlag.Google Scholar
Newman, S. & Fell, M. (1993) Psychological and psychiatric aspects of HIV and AIDS. In Medical Management of AIDS (ed. Millar, A.). London: Springer-Verlag (in press).Google Scholar
Nunnally, J. C. (1978) Psychometric Theory. New Delhi: Tata McGraw-Hill.Google Scholar
Ostrow, D. G., Monjan, A., Joseph, J., et al (1989) HIV-related symptoms and psychological functioning in a cohort of homosexual men. American Journal of Psychiatry, 146, 737–742.Google Scholar
Perry, S. & Tross, S. (1984) Psychiatric problems of AIDS inpatients at the New York Hospital: Preliminary report. Public Health Reports, 99, 200–205.Google Scholar
Perry, S. & Tross, S., Jacobsberg, L., Fishman, B., et al (1990a) Suicidal ideation and HIV testing. Journal of the American Medical Association, 263, 679–682.Google Scholar
Perry, S. & Tross, S., Jacobsberg, L., Fishman, B., et al (1990b) Psychiatric diagnosis before serological testing for human immunodeficiency virus. American Journal of Psychiatry, 147, 89–93.Google Scholar
Perry, S. & Tross, S., Jacobsberg, L., Fishman, B., et al (1990c) Psychological responses to serological testing for HIV. AIDS, 4, 145–152.Google Scholar
Perry, S. & Tross, S., Fishman, B., Jacobsberg, L., et al (1991) Effectiveness of psychoeducational interventions in reducing emotional distress after human immunodeficiency virus antibody testing. Archives of General Psychiatry, 48, 143–147.Google Scholar
Rabkin, J. G., Williams, J. B., Remein, R. H., et al (1991) Depression, distress, lymphocyte subsets, and human immunodeficiency virus symptoms on two occasions in HIV-positive homosexual men. Archives of General Psychiatry, 48, 111–119.Google Scholar
Rundell, J., Paolucci, S., Beatty, D., et al (1988) Psychiatric illness at all stages of HIV infection. American Journal of Psychiatry, 145, 652–653.Google Scholar
Rundell, J., Paolucci, S., Beatty, D., Brown, G., McManis, S., et al (1990) Psychiatric predisposition and current psychiatric findings in HIV-infected persons. VI International Conference on AIDS, San Francisco. Abstract no. SB 3642.Google Scholar
Snaith, R. P. (1991) Measurement in psychiatry. British Journal of Psychiatry, 159, 78–82.Google Scholar
Snider, L. D., Simpson, D. M., Neilsen, S., et al (1983) Neurological complications of acquired immune deficiency syndrome: analysis of 50 patients. Annals of Neurology, 14, 403–418.Google Scholar
Speilberger, C. D., Gorsuch, R. L. & Luchene, R. E. (1970) Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists.Google Scholar
Tindell, B. & Cooper, D. A. (1991) Primary HIV infection: host responses and intervention strategies. AIDS, 5, 1–14.Google Scholar
Weisman, A. D. & Worden, J. W. (1976) The existential plight in cancer: significance of the first 100 days. International Journal of Psychiatry in Medicine, 7, 1–15.Google Scholar
Williams, J. B. W., Rabkin, J. G., Remein, R. H., et al (1991) Multidisciplinary baseline assessment of homosexual men with and without human immunodeficiency virus infection, II: standardised clinical assessment of current and lifetime psychopathology. Archives of General Psychiatry, 48, 124–130.Google Scholar
World Health Organization (1988) Global programme on AIDS: report of the consultation on the neuropsychiatric aspects of HIV infection. Geneva: WHO.Google Scholar
Zaphiropoulos, G. & Burry, H. C. (1974) Depression in rheumatoid arthritis. Annals of Rheumatic Disease, 33, 132–135.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.