Factors associated with severity of depression and high-risk sexual behavior among persons diagnosed with human immunodeficiency virus (HIV) infection.
Whereas some people appear to cope after learning that they have human immunodeficiency virus (HIV) infection, others experience depression and suicidal ideation. In this study, 142 persons with HIV infection were administered the Center for Epidemiological Studies Depression Scale (CES-D). High levels of depression were predicted by lower perceived social support, attributions that health was influenced more by chance, high-risk sexual behavior practices, and greater number of HIV illness symptoms and greater duration of time knowing of one's own positive serostatus. Ongoing high-risk sexual behavior practices were predicted by higher levels of recreational drug use and of depression. These findings highlight the need for improved mental health services for persons with HIV conditions.
Department of Psychiatry and Mental Health Sciences, Medical College of Wisconsin, Milwaukee 53226.
J A
JA
Kelly
D A
DA
Murphy
G R
GR
Bahr
J J
JJ
Koob
M G
MG
Morgan
S C
SC
Kalichman
L Y
LY
Stevenson
T L
TL
Brasfield
B M
BM
Bernstein
J S
JS
St Lawrence
D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D003866:Depressive Disorder / Q000209:etiology*; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012309:Risk-Taking; D012720:Severity of Illness Index; D012725:Sexual Behavior; D012944:Social Support