Prospective study of psychiatric morbidity in HIV-seropositive women without AIDS

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Abstract

Prospective studies of psychiatric morbidity in HIV-seropositive women without AIDS have not been previously reported. As part of a 5-year longitudinal study, psychiatric diagnoses are described in 20 employed, educated women who are not intravenous drug abusers. This population is markedly different from the urban, minority, intravenous drug dependent groups previously studied and may be more representative of women who acquire the virus through heterosexual contact. Heterosexual transmission was the rule; 20% had HIV-seropositive spouses. All women were largely asymptomatic and in the early stages of infection. Mean length of knowledge of seropositivity was 14.4 months. Fifty percent were found to have an Axis I diagnosis (35% if minor diagnoses are excluded). None developed major depression or became dependent on drugs; 5% abused alcohol. Fifteen percent exhibited subtle signs of cognitive decline. Suicidal behavior and psychiatric hospitalization were absent. Sexual functioning was disrupted in a majority, with 20% meeting criteria for new onset hypoactive sexual desire disorder. Consistently “safe sex” practices were adhered to in 40%; in spite of intensive and repeated HIV education, 60% engaged in unprotected intercourse after knowledge of seropositivity. Progression of HIV infection was found to be three times faster than in a comparable male sample.

References (32)

  • ME James

    HIV seropositivity diagnosed during pregnancy: Psychosocial characterization of patients and their adaptation

    Gen Hosp Psychiatry

    (1988)
  • LR Jaffe et al.

    Anal intercourse and knowledge of acquired immunodeficiency syndrome among minority-group female adolescents

    J Pediatrics

    (1988)
  • Centers for Disease Control

    AIDS Weekly Surveillance Report-United States

    (December 26, 1988)
  • CA Raymond

    Pilot project: Preventing further AIDS spread among women, general heterosexual population

    JAMA

    (1988)
  • S Landesman et al.

    Serosurvey of human immunodeficiency virus infection in parturients: Implications for human immunodeficiency virus testing programs of pregnant women

    JAMA

    (1987)
  • MB Kleiman et al.

    Heterosexuals and the acquired immunodeficiency syndrome: Estimating the prevalence of seropositivity among Florida females

    J Florida Med Assoc

    (1987)
  • C Del Tempelis et al.

    Human immunodeficiency virus infection in women in the San Francisco Bay area

    JAMA

    (1987)
  • Centers for Disease Control

    Trends in human immunodeficiency virus infection among civilian applicants for military service—United States, October 1985–March 1988

    MMWR

    (1988)
  • L Hays et al.

    Psychological themes in patients with acquired immune deficiency syndrome

    Am J Psychiatry

    (1986)
  • KM Evans

    The female AIDS patient

    Health Care Women Int

    (1987)
  • P Selwyn et al.

    Prospective study of human immunodeficiency virus infection and pregnancy outcomes in intravenous drug users

    JAMA

    (1989)
  • Koonin L, Ellerbrock T, Atrash H, et al: Pregnancy-associated deaths due to AIDS in the United States. JAMA 261:...
  • DS Burke et al.

    Measurement of the false positive rate in a screening program for human immunodeficiency virus infections

    N Engl J Med

    (1988)
  • M Hamilton

    A rating scale for depression

    J Neurol Neurosurg Psychiatry

    (1960)
  • M Hamilton

    The assessment of anxiety states by rating

    Br J Med Psychol

    (1959)
  • ML Selzer et al.

    A self-administered short Michigan Alcoholism Screening Test (MAST)

    J Stud Alcohol

    (1975)
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