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Open Journal of Psychiatry & Allied Sciences
Year : 2019, Volume : 10, Issue : 2
First page : ( 110) Last page : ( 114)
Print ISSN : 2394-2053. Online ISSN : 2394-2061.
Article DOI : 10.5958/2394-2061.2019.00022.3

Psychiatric morbidities in human immunodeficiency virus (HIV) positive patients

Srivastava Adya Shanker1, Kumar Raj2,*, Rai Madhukar3, Tripathi Maheshwar Nath4, Yadav Jai Singh5, Pandey Achyut Kumar6

1Professor, Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

2Senior Resident in Psychiatry, Central Jail, Tihar, New Delhi, India

3Professor, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

4Consultant Psychiatrist, Mahadeva Neuropsychiatry Centre, Kashi Vidyapeeth, Varanasi, Uttar Pradesh, India

5Associate Professor, Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

6Associate Professor, Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

*Correspondence: Dr. Raj Kumar, Flat No. F-25/79, Greenview Apartment, Sec. 03, Rohini, New Delhi-110085, India. rk3134@gmail.com

Online published on 28 June, 2019.

Abstract

Background

The HIV/AIDS epidemic has existed for over two decades in India. The mental health needs of people infected with HIV has to be evaluated and looked after properly by mental health professionals.

Aim and objectives

This study was carried out with the aim to find out psychiatric morbidity in patients infected with HIV so that a proper evaluation and comprehensive management can be planned to improve the overall quality of life of these people.

Methodology

One hundred patients infected with HIV attending anti-retroviral therapy (ART) clinic, before starting ART, were included in the study. They were screened for presence of psychiatric morbidity on a structured proforma containing sociodemographic details, and inclusion and exclusion criteria for the study. The diagnosis of HIV positive was based on seropositive status of ELISA for HIV and psychiatric diagnosis was based on ICD-10. Rating scales (HAM-A, HAM-D, Y-BOCS, and BPRS) were used to assess the severity of the psychiatric illness. Chi-square test, t-test, and Pearson's correlation coefficient were used for analysis of data.

Results

Majority of the patients (42%) belonged to younger age group (21–30 years). Percentage of females (59%) infected with HIV was higher than males (41%). Most of the patients (71%) belonged to lower socioeconomic status and 92% got infection through sexual contact. Psychiatric morbidity was detected in 62% of the patients-40% had depressive episode, 12% had generalized anxiety disorder, and ten per cent had adjustment disorder. A positive correlation was observed between duration of illness and HAM-D score.

Conclusion

High percentage (62%) of psychiatric morbidity in HIV positive patients indicates that piatric evaluation of HIV positive individuals must be carried out by expert mental health professionals and comprehensive management must be planned for better quality of life.

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Keywords

AIDS, Mental Health, Depression, Anxiety, Adjustment Disorders.

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