Romero TJM

Language: Spanish
References: 14
Page: 25-31
PDF size: 143.96 Kb.

ABSTRACT

Material and methods. Observational, transverse and comparative study. The sample to study considers patient that entered to the room of Infectology of Adults of the Military Central Hospital, they were divided in two groups, a group considered with HIV/AIDS and a group control without HIV/AIDS with other infectious diseases. To these patients they were applied scales of depression evaluation and anxiety. The used statistical analysis was the descriptive statistic and for the comparison of the groups the test of Mann-Whitney.
Results. The prevalence among the group HIV/AIDS and anxiety, according to the Scale of Anxiety of Hamilton was of 90% of the group with HIV/AIDS (n = 36 of 40) and 87.5% of the group comparative control (n = 35 of 40) (p = 0.050). The prevalence among the group with HIV/AIDS and the depression, according to the Scale of Depression of Hamilton was of the 90% of the patient one of the group with HIV/AIDS and 82% in the group comparative control (p = 0.002).
Conclusions. The patients with HIV/AIDS of the room of Infectology of the Military Central Hospital sample a high prevalence of anxiety and depression; however, the intensity is most evident in the group with HIV/AIDS. This study suggests the deliberate evaluation of anxiety and depression in all the patients with confirmed recent diagnosis of HIV/AIDS, future investigations will also be focused to identify the factors of risk that predispose to the anxiety and depression in our population.

REFERENCES

1. Greene WC. The molecular biology of human immunodeficiency virus type 1 infection. N Engl J Med 1991; 324: 308-17.

2. HIV/AIDS Surveillance Report. Atlanta, Centers for Disease Control and Prevention, 1997; 9(2).

3. Rodin G, Voshart K. Depression in the medically ill: an overview. Am J Psychiatry 1986; 143: 696-705.

4. Katon W, Shulberg H. Epidemiology of depression in primary care. Gen Hosp Psychiatry 1992; 14: 237-47.

5. Fukunishi I, Matsumoto T, Neigishi M, Hayashi M, Hosaka T, Moriya H. Somatic complaints associated with depressive symptoms in HIV-positive patients. Psychother Psychosom 1997; 66: 248-51.

6. Dew MA, Becker JT, Sanchez J, Caldararo R, López OL, Wess J, Dorst SK, Banks G. Prevalence and predictors of depressive, anxiety, and substance use disorder in HIV-infected and uninfected men: a longitudinal evaluation. Psychol Med 1997; 27: 395-409.

7. Rabkin JG, Ferrando SJ, Jacobsberg LB, Fishman B. Prevalence of axis I disorders in an AIDS cohort: a cross-sectional, controlled study. Compr Psychiatry 1997; 38: 146-54.

8. Chuang HT, Jason GW, Pajurkova EM, Gill MJ. Psychiatric morbidity in patients with HIV infection. Can J Psychiatry 1992; 37: 109-15.

9. Davis RF, Metzger DS, Meyers K, McLellan AT, Mulvaney FD, Navaline HA, Woody GE. Long-term changes in psychological symptomatology associated with HIV status among male injecting drug users. AIDS 1995; 15: 73-9.

10. Cassem ND. Manual de psiquiatría en hospitales generales; cuarta edición. España: Harcourt Brace; 1998, p. 37-220.

11. Roberts JE, Ciesla JA, Direnfeld DM, Hewitt R. Vulnerability to psychological distress among HIV-positive individuals: the roles of acute stressful life events and neuroticism. Can J Psychiatry 2001; 30: 241-57.

12. Perry SW, Jacobsberg L, Fishman B, Weiler P, Gold J, Frances A. Psychological responses to serological testing for HIV. AIDS 1990; 4: 145-52.

13. Cleary PD, Singer E, Rogers TF, Avorn J, Van Devanter N, Soumerai S, Perry S, Pindyck J. Sociodemographic and behavioral characteristics of HIV antibody-positive blood donors. Am J Public Heath 1988; 78: 953-7.

14. Jacobsen PB, Perry SW, Hirsch D. Behavioral and psychological responses to HIV antibody testing. J Consult Clin Psychol 1990; 58: 31-7.