       Document 0153
 DOCN  M9630153
 TI    An assessment of rates of psychiatric morbidity and functioning in HIV
       disease.
 DT    9603
 AU    McDaniel JS; Fowlie E; Summerville MB; Farber EW; Cohen-Cole SA; Grady
       Health System Infectious Disease Program, Department of; Psychiatry and
       Behavioral Sciences, Emory University School of; Medicine, Atlanta,
       Georgia 30308, USA.
 SO    Gen Hosp Psychiatry. 1995 Sep;17(5):346-52. Unique Identifier : AIDSLINE
       MED/96107601
 AB    This study examined demography, rates of psychopathology, and functional
       impairment in HIV-seropositive women and men in a large, urban, public
       outpatient infectious disease clinic. Fifty-three percent of the women
       and 70% of the men met Structural Clinical Interview for DSM-III-R
       criteria for psychiatric disorders. Current mood disorders were the most
       frequent diagnoses, followed by psychoactive substance abuse/dependence
       disorders and psychotic disorders. Seventy-six percent of the women and
       90% of the men had previous psychiatric histories, including 59% of the
       women and 55% of the men who had psychiatric histories prior to their
       knowledge of HIV seroconversion. Depressed subjects reported significant
       impairment in physical, social, and role functioning. Similarly,
       impairment in physical functioning was highly correlated with
       self-reported anxiety symptoms. These data suggest considerable past and
       current psychiatric comorbidity in HIV-infected individuals seeking
       medical care, and draw attention to the need for recognition and
       aggressive psychiatric treatment, particularly for those depressed and
       anxious patients with impaired functioning.
 DE    Activities of Daily Living  Adaptation, Psychological  Adult
       Comorbidity  Female  Health Services Needs and Demand  Human  HIV
       Seropositivity/COMPLICATIONS/*PSYCHOLOGY  Interview, Psychological  Male
       Mental Disorders/DIAGNOSIS/*EPIDEMIOLOGY/PSYCHOLOGY/VIROLOGY  Middle Age
       *Quality of Life  Support, Non-U.S. Gov't  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

