Psychiatric Context of Acute/Early HIV Infection. The NIMH Multisite Acute HIV Infection Study: IV

AIDS and Behavior (Impact Factor: 3.49). 12/2009; 13(6):1061-1067. DOI: 10.1007/s10461-009-9585-3
Source: PubMed

ABSTRACT Acute/early HIV infection is a period of high risk for HIV transmission. Better understanding of behavioral aspects during
this period could improve interventions to limit further transmission. Thirty-four participants with acute/early HIV infection
from six US cities were assessed with the Mini International Diagnostic Interview, Beck Depression Inventory II, State-Trait
Anxiety Inventory, Brief COPE, and an in-depth interview. Most had a pre-HIV history of alcohol or substance use disorder
(85%); a majority (53%) had a history of major depressive or bipolar disorder. However, post-diagnosis coping was predominantly
adaptive, with only mild to moderate elevations of anxious or depressive mood. Respondents described challenges managing HIV
in tandem with pre-existing substance abuse problems, depression, and anxiety. Integration into medical and community services
was associated with adaptive coping. The psychiatric context of acute/early HIV infection may be a precursor to infection,
but not necessarily a barrier to intervention to reduce forward transmission of HIV among persons newly infected.

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Available from: Jenny Higgins, Feb 16, 2014