Causal Pathways Between Severe Mental Illness and Behaviors Related to HIV: Patient Perspectives.
Causal Pathways Between Severe Mental Illness and Behaviors Related to HIV: Patient Perspectives.
Community Ment Health J. 2019 Sep 18;:
Authors: Sahota PC, Cakouros BE, Russell R, Hassler M, Blank MB, Barg FK
Abstract
The purpose of this study was to identify causal pathways between HIV infection and severe mental illness. Data were collected through open-ended, semi-structured interviews. An integrated approach to the analysis, using inductive and deductive coding, was used to identify patterns among respondents. Standardized instruments were used to characterize the sample in terms of risk behaviors, physical and mental functioning and depression. Twenty-six men and women with a diagnosis of HIV and unipolar depression (nā=ā11) or schizophrenia/schizoaffective versus bipolar disorder (nā=ā15) participated. For persons with unipolar depression, the HIV diagnosis often preceded depressive symptoms. For persons with schizophrenia/schizoaffective versus bipolar disorder, mania and psychosis symptoms often preceded HIV. Substance use, incarceration and adverse childhood experiences were common across diagnoses. Attention to the directionality of effects between mental illness and HIV has important implications for anticipatory guidance for infectious disease specialists, primary care providers and public health practitioners as well as policymakers.
PMID: 31535348 [PubMed - as supplied by publisher]
Source: Community Mental Health Journal - Category: Psychiatry Authors: Sahota PC, Cakouros BE, Russell R, Hassler M, Blank MB, Barg FK Tags: Community Ment Health J Source Type: research
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