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psychological and emotional comorbidity in hiv patients

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OBJECTIVE: This consensus document is an update of psychiatric and psychological disorders guidelines in HIV-patientes, from the standpoint of care. METHODS: This document has been approved by expert panel of SPNS, SEP, GESIDA and SEIP, after reviewing the results of efficacy and safety of clinical trials, cohort and pharmacokinetic studies published in biomedical journals (PubMed and Embase) or presented at conferences. The strength of recommendation and gradation of their evidence are based onthe GRADE system...
January 2016: Enfermedades Infecciosas y Microbiología Clínica
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HIV Patient care should include psychological and psychiatric care, which is necessary for early detection thereof. Should suicidal ideation occur, refer the patient to a psychiatric unit. Pharmacological treatment is recommended when there is comorbidity with moderate or severe depression. You should look for the aetiology of neuropsychiatric disorder before using psychoactive drugs in HIV patients. The overall management of the health of HIV adolescents should include an assessment of mental health, environmental stressors and support systems...
January 2016: Enfermedades Infecciosas y Microbiología Clínica
Tilman Schulte, Eva M Müller-Oehring, Edith V Sullivan, Adolf Pfefferbaum
Alcoholism and HIV-1 infection each affect components of selective attention and cognitive control that may contribute to deficits in emotion processing based on closely interacting fronto-parietal attention and frontal-subcortical emotion systems. Here, we investigated whether patients with alcoholism, HIV-1 infection, or both diseases have greater difficulty than healthy controls in resolving conflict from emotional words with different valences. Accordingly, patients with alcoholism (ALC, n = 20), HIV-1 infection (HIV, n = 20), ALC + HIV comorbidity (n = 22), and controls (CTL, n = 16) performed an emotional Stroop Match-to-Sample task, which assessed the contribution of emotion (happy, angry) to cognitive control (Stroop conflict processing)...
May 2011: Journal of the International Neuropsychological Society: JINS
Nwarbébé Barnabas Njozing, Kerstin E Edin, Anna-Karin Hurtig
The World Health Organization has recommended collaborative activities between TB and HIV programmes with routine counseling and testing for HIV among TB patients in order to improve the uptake of HIV services. We carried out qualitative research interviews with 21 TB patients in four selected TB and HIV/AIDS treatment centres in the Northwest Region of Cameroon to explore the facilitators and barriers to HIV testing. The desire to be healthy and live longer from knowing one's status inspired by the anticipated support from loved ones, faith in a supreme being, influence and trust in the medical authority, encouraged HIV testing...
December 2010: SAHARA J: Journal of Social Aspects of HIV/AIDS Research Alliance
Christina N Cordeiro, Alex Clarke, Paul White, Bran Sivakumar, Juling Ong, Peter E M Butler
This study examines the utility of the aesthetic and reconstructive categorization for making treatment decisions in patients seeking facial surgery. A total of 360 patients with aesthetic or combined functional aesthetic deficits were included. Validated psychological scales were used as outcome measures. All subjects showed clinically significant levels of appearance-related distress, with highest levels in the aesthetic and lowest levels in the functionally impaired group. Significant gender differences were not found on any psychological measures...
September 2010: Annals of Plastic Surgery
Abiodun O Adewuya, Mohammed O Afolabi, Bola A Ola, Olorunfemi A Ogundele, Adeola O Ajibare, Bamidele F Oladipo, Ibiyemi Fakande
OBJECTIVE: Despite the fact that two-thirds of all the people with HIV live in sub-Saharan Africa, little is known about the emotional state and quality of life (QOL) of subjects with HIV in this region. The objective of this study was to evaluate the association between clinical depression and quality of life in a group of HIV sero-positive subjects in Nigeria. METHODS: Subjects with HIV infection (n = 87) completed a questionnaire detailing sociodemographic and HIV related variables...
2008: International Journal of Psychiatry in Medicine
Huanguang Jia, Constance R Uphold, Yu Zheng, Samuel Wu, G John Chen, Kimberly Findley, Pamela W Duncan
This is the third study in a line of research which is designed to increase scientific understanding of the predictors of health-related quality of life (HRQOL) among men with HIV infection using data collected in large, prospective cohort study. Building on two prior investigations, this study examined the time-dependent relationships of psychosocial and clinical variables (active coping strategies, social support, CD4 cell count, comorbidity, and duration of HIV infection) and 10 HRQOL dimensions at two time points (baseline and 12 months)...
August 2007: Quality of Life Research
P Leiberich, M Brieger, K Schumacher, P Joraschky, E Olbrich, H Loew, K Tritt
Preserving health-related quality of life (QOL) is an important approach with HIV-positive patients. In a longitudinal study over 3 years, with three measurements each 18 months, we examined 56 of these patients for the influence of distress and coping (assessed by interviews) on physical, cognitive-emotional, and social QOL (using the SEL questionnaire). The patients were 32.9 years old on average, with 28.3 months since diagnosis. Seventy percent were male, 82% asymptomatic, 14% with ARC, and 4% with AIDS...
September 2005: Der Nervenarzt
L K Brown, J R Schultz, J T Parsons, R B Butler, A D Forsberg, S M Kocik, G King, M Manco-Johnson, L Aledort
PURPOSE: To determine the factors associated with the adoption or maintenance of consistent safer sexual behaviors among human immunodeficiency virus-positive adolescents and young adults with hemophilia. METHODS: One hundred eleven adolescents at 10 hemophilia care sites participated in an intervention program designed to increase safer sexual behaviors (abstinence, condom use, or nonpenetrative behavior). The theory-based intervention spanned 1 year. Adolescents attended individual sessions, small group activities, and an intensive group retreat...
August 2000: Pediatrics
C F Ryan, J M White
This study used the SF-36 general health questionnaire to measure the health status of heroin users at entry to a public methadone maintenance programme. Their results were compared to those from the general population and from three clinical groups: patients with minor medical, major medical and psychiatric problems. One hundred consecutive clients were interviewed in the first week on the programme using the SF-36 health questionnaire. Data were also gathered on their drug use, use of medical services and HIV risk behaviour...
January 1996: Addiction
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