| Psychiatric morbidity on entry to an HIV primary care clinic. | |
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MedLine Citation:
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PMID: 8853738 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To ascertain the prevalence and predictors of psychiatric distress in an inner-city HIV primary care clinic. DESIGN: Cross-sectional study. SETTING: Inner-city adult HIV clinic. PARTICIPANTS: A series of 222 HIV-infected patients newly presenting to the medical clinic for evaluation over a 1-year period. OUTCOME MEASURES: A screening method, based on the General Health Questionnaire (GHQ) and the Beck Depression Inventory (BDI), whose sensitivity, specificity and positive predictive value for psychiatric diagnosis were previously established in this clinic. RESULTS: Fifty-two per cent of participants scored above the screening threshold (i.e., scored > 14 on the BDI or > 6 on the GHQ). A comorbid substance use condition was the most powerful and consistent predictor of psychiatric distress (P < 0.05). Limited education and current unemployment contributed to higher scores on the BDI or the GHQ (P < 0.05). However, HIV illness variables and psychiatric personal or family histories were not significant predictors of psychiatric distress (P > 0.05 in all cases). CONCLUSIONS: Rates of psychiatric distress in inner-city adult HIV clinics are much higher than in the general population or than in other outpatient medical clinics. They are also not associated with what most clinicians perceive as traditional risk groups such as psychiatric histories and social disadvantage. These findings support the position that easy access to psychiatric care is essential to HIV clinics. |
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Authors:
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C G Lyketsos; H Hutton; M Fishman; J Schwartz; G J Treisman |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: AIDS (London, England) Volume: 10 ISSN: 0269-9370 ISO Abbreviation: AIDS Publication Date: 1996 Aug |
Date Detail:
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Created Date: 1996-12-31 Completed Date: 1996-12-31 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8710219 Medline TA: AIDS Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1033-9 Citation Subset: IM; X |
Affiliation:
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AIDS Psychiatry Service, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult HIV Infections / complications* Humans Male Middle Aged Morbidity Psychotic Disorders / complications*, epidemiology Risk Factors |
| Grant Support | |
ID/Acronym/Agency:
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MH 52507/MH/NIMH NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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