[Incidence and etiology of psychotic disorders in HIV infected patients].
There are numerous case reports on psychoses in AIDS patients and, although more seldom, also in HIV-positive patients in early stages of infection; however, systematic investigations on the frequency, e.g., relevant for the indication of an HIV test in psychiatric patients, are missing. For this study, 1046 HIV-positive patients were examined regarding psychoses. A total of 301 patients (28.8%) were HIV-positive but asymptomatic, and 380 patients (36.2%) had the lymphadenopathy syndrome. One hundred thirty-two patients (12.6%) suffered from an AIDS-related complex and 233 patients (22.3%) from AIDS. Of these 1046 patients, only 9 (0.9%) suffered from psychoses. One patient with a paranoid-hallucinatory syndrome was asymptomatic; one in the lymphadenopathy syndrome was manic. The other 7 patients were all in late stages of the infection. A causal relationship between HIV infection and psychosis and probable in only 3 patients. These data do not indicate a markedly elevated prevalence of psychosis in HIV-positive or AIDS patients.
Niederecker
M
M
Psychiatrische Klinik, Universität München.
Naber
D
D
Riedel
R
R
Perro
C
C
Goebel
F D
FD
D015526:AIDS Dementia Complex / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D015658:HIV Infections / Q000145:classification / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D010348:Patient Care Team