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Titolo:
Importance of mental health assessment in HIV-infected outpatients
Autore:
Zinkernagel, C; Taffe, P; Rickenbach, M; Amiet, R; Ledergerber, B; Volkart, AC; Rauchfleisch, U; Kiss, A; Werder, V; Vernazza, P; Battegay, M;
Indirizzi:
Univ Basel Hosp, Outpatient Dept Internal Med, Basel Ctr HIV Res, CH-4031 Basel, Switzerland Univ Basel Hosp Basel Switzerland CH-4031 es, CH-4031 Basel, Switzerland Univ Lausanne, Coordinat & Data Ctr, Swiss HIV Cohort Study, CH-1015 Lausanne, Switzerland Univ Lausanne Lausanne Switzerland CH-1015 CH-1015 Lausanne, Switzerland Cantonal Hosp St Gallen, Dept Internal Med, St Gallen, Switzerland Cantonal Hosp St Gallen St Gallen Switzerland d, St Gallen, Switzerland Univ Zurich Hosp, Div Infect Dis & Hosp Epidemiol, CH-8091 Zurich, Switzerland Univ Zurich Hosp Zurich Switzerland CH-8091 CH-8091 Zurich, Switzerland Univ Basel, Inst Clin Physiol, Basel, Switzerland Univ Basel Basel Switzerland sel, Inst Clin Physiol, Basel, Switzerland Univ Basel, Outpatient Dept Psychiat, Basel, Switzerland Univ Basel Basel Switzerland tpatient Dept Psychiat, Basel, Switzerland Univ Basel Hosp, Dept Internal Med, Div Psychosomat, CH-4031 Basel, Switzerland Univ Basel Hosp Basel Switzerland CH-4031 at, CH-4031 Basel, Switzerland
Titolo Testata:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
fascicolo: 3, volume: 28, anno: 2001,
pagine: 240 - 249
SICI:
1525-4135(20011101)28:3<240:IOMHAI>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; HUMAN-IMMUNODEFICIENCY-VIRUS; MEDICAL OUTCOMES; ANTIRETROVIRAL THERAPY; DEPRESSIVE SYMPTOMS; SOCIAL SUPPORT; PREVALENCE; DISORDERS; ANXIETY; IMPACT;
Keywords:
HIV; highly active antiretroviral therapy; anxiety; depression; MOS; health-related quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Battegay, M Univ Basel Hosp, Outpatient Dept Internal Med, Basel Ctr HIV Res, Petersgraben 4, CH-4031 Basel, Switzerland Univ Basel Hosp Petersgraben4 Basel Switzerland CH-4031 land
Citazione:
C. Zinkernagel et al., "Importance of mental health assessment in HIV-infected outpatients", J ACQ IMM D, 28(3), 2001, pp. 240-249

Abstract

HIV infection, even when well controlled, may be associated with importantmental health problems. We sought to investigate anxiety, depression, and health-related quality of life using screening measurements in patients with HIV infection and to examine their dependency on biosocial parameters relating to HIV. Prospective clinical, virologic, and immunologic data were obtained in a cross-sectional study within the Swiss HIV Cohort Study. Four self-reported questionnaires were used in 397 HIV-infected individuals. The scores for anxiety and depression were high as measured by the Hospital Anxiety and Depression Scale (HADS) and the State Trait Anxiety Inventory (STAI). Half the population scored < 75 on a visual analog scale (VAS) Patientswere also affected in their quality of life as measured by the HIV MedicalOutcome Study (HIV-MOS). Almost all scores were significantly worse for intravenous drug users compared with other transmission groups. People who were employed, with a higher education or with higher CD4 count tended to score better, whereas those who had been hospitalized within the last 6 months, infected for a longer time, with higher viral load, or loss of weight scored significantly worse. A multivariate analysis showed higher education, being employed, low viral load, female gender, and shorter HIV disease duration to be associated with better scores. This study highlights the importance of mental health assessment regardless of HIV-disease parameters.

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Documento generato il 17/01/20 alle ore 21:13:05