Using Psychiatric Symptomatology to Assess Risk for HIV Infection in Individuals with Severe Mental Illness

Wu, Eileen; Rothbard, Aileen B.; Blank, Michael B.

doi:10.1007/s10597-011-9402-0

Cited by 12 publications

(9 citation statements)

References 23 publications

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“…This is consistent with a recent study that examined the association of HIV risk and psychiatric symptom severity by using the Colorado Symptom Index and found a 47% increased risk for HIV among persons with scores of 30 or greater (a criterion score for severe psychiatric symptoms) compared with those with scores lower than 30. 47 Although psychiatric severity appeared to be associated with HIV infection, we did not find any differences in HIV prevalence when stratified by service setting, indicating that persons receiving care in more acute treatment settings (e.g., inpatient units) were not more likely to be HIV-infected. Our findings suggest that specific neurocognitive or psychiatric symptoms may be associated with HIV prevalence independent of treatment needs at the time of testing.…”

Section: Discussioncontrasting

confidence: 58%

A Multisite Study of the Prevalence of HIV With Rapid Testing in Mental Health Settings

et al. 2014

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Objectives We estimated HIV prevalence and risk factors among persons receiving mental health treatment in Philadelphia, Pennsylvania, and Baltimore, Maryland, January 2009 to August 2011. Methods We used a multisite, cross-sectional design stratified by clinical setting. We tested 1061 individuals for HIV in university-based inpatient psychiatric units (n = 287), intensive case-management programs (n = 273), and community mental health centers (n = 501). Results Fifty-one individuals (4.8%) were HIV-infected. Confirmed positive HIV tests were 5.9% (95% confidence interval [CI] = 3.7%, 9.4%) for inpatient units, 5.1% (95% CI = 3.1%, 8.5%) for intensive case-management programs, and 4.0% (95% CI = 2.6%, 6.1%) for community mental health centers. Characteristics associated with HIV included Black race, homosexual or bisexual identity, and HCV infection. Conclusions HIV prevalence for individuals receiving mental health services was more than 4 times as high as in the general population. We found a positive association between psychiatric symptom severity and HIV infection, indicating that engaging persons with mental illness in appropriate mental health treatment may be important to HIV prevention. These findings reinforce recommendations for routine HIV testing in all clinical settings to ensure that HIV-infected persons receiving mental health services are identified and referred to timely infectious disease care.

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Section: Discussioncontrasting

confidence: 58%

A Multisite Study of the Prevalence of HIV With Rapid Testing in Mental Health Settings

et al. 2014

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“…34 Mentally ill individuals are more likely than others to engage in high-risk behaviors associated with HIV transmission, including unprotected sexual intercourse, injection drug use, and sex with multiple partners. 35,36 Recognition of these risk factors may prompt patients to seek and for providers to offer HIV testing. However, regardless of risk behaviors, persons with mental illness were more likely to report having had an HIV test than those without mental illness.…”

Section: Discussionmentioning

confidence: 99%

HIV Testing Among Adults with Mental Illness in the United States

Yehia

Cui

Thompson

et al. 2014

AIDS Patient Care and STDs

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“…The authors have found that a tool score ≥30 was associated with a 47 % increased risk for HIV infection [48].…”

Section: Risk Factors For Hiv Infection In People With Depressionmentioning

confidence: 99%

Depression in HIV Infected Patients: a Review

Nanni

Caruso

Mitchell

et al. 2014

Curr Psychiatry Rep

419

281

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Depression is the most common neuropsychiatric complication in HIV-infected patients and may occur in all phases of the infection. Accurately, diagnosing major depressive disorder in the context of HIV is an ongoing challenge to clinicians and researchers, being complicated by the complex biological, psychological, and social factors associated with the HIV illness. Evidences exist to support the importance of improving the identification of depressive symptoms and their adequate treatment. Depression has long been recognized as a predictor of negative clinical outcomes in HIV-infected patients, such as reducing medication adherence, quality of life, and treatment outcome, and possibly worsening the progression of the illness and increasing mortality. By analyzing the most relevant studies (MEDLINE, EMBASE, PsycLit, Cochrane Library), the review discusses the epidemiology and the main clinical features of depression in HIV-infected patients, the causal pathways linking depression and HIV infection, the validity of screening tools, and the efficacy of different treatment approaches, including psychosocial interventions, psychopharmacology as well as HIV-specific health psychology health service models.

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Using Psychiatric Symptomatology to Assess Risk for HIV Infection in Individuals with Severe Mental Illness

Cited by 12 publications

References 23 publications

A Multisite Study of the Prevalence of HIV With Rapid Testing in Mental Health Settings

A Multisite Study of the Prevalence of HIV With Rapid Testing in Mental Health Settings

HIV Testing Among Adults with Mental Illness in the United States

Depression in HIV Infected Patients: a Review

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