title: Psychiatric Diagnoses among an HIV-Infected Outpatient Clinic Population.
abstract: As individuals with HIV infection are living longer, the management of psychiatric disorders has increasingly been incorporated into comprehensive care. Individuals were recruited from an outpatient HIV clinic to assess the prevalence and related associations of current psychiatric disorders and biomarkers. Of the 201 participants who completed the interviews, the median age was 43.5 years, and the majority was male and African American. Most were receiving HIV therapy and 78% of those had achieved virologic suppression. Prevalent psychiatric diagnoses included major depressive disorder, generalized anxiety, and agoraphobia. Alcohol and cocaine/crack abuse and dependence were common substance use disorders. Current receipt of HIV therapy was less common among those diagnosed with generalized anxiety disorder. Agoraphobia was the only disorder associated with unsuppressed viral load. Psychiatric and substance use disorders are highly prevalent among an urban HIV clinic population, although we identified few associations between psychiatric diagnoses and HIV diseases status.
authors.affiliation: Department of Behavioral Sciences and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO, USA eshacham@slu.edu.
authors.forename: Enbal
authors.initials: E
authors.lastname: Shacham
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St Louis, MO, USA.
authors.forename: Nur F
authors.initials: NF
authors.lastname: Önen
authors.affiliation: University of Illinois College of Medicine, Chicago, IL, USA.
authors.forename: Michael F
authors.initials: MF
authors.lastname: Donovan
authors.affiliation: Nevada State College, School of Nursing, Henderson, NV, USA.
authors.forename: Neal
authors.initials: N
authors.lastname: Rosenburg
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Alabama School of Medicine, Birmingham, AL, USA.
authors.forename: E Turner
authors.initials: ET
authors.lastname: Overton
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000209:etiology; D003866:Depressive Disorder / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders; D008875:Middle Aged; D055815:Young Adult
keywords: HIV management; HIV/AIDS; medication adherence; mental health; psychiatric disorder; psychological distress