Integrating mental health in global initiatives for HIV/AIDS

Freeman, Melvyn; Patel, Vikram; Collins, Pamela Y.; Bertolote, José Manoel

doi:10.1192/bjp.187.1.1

Cited by 103 publications

(89 citation statements)

References 12 publications

(11 reference statements)

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“…Su asociación al diagnóstico de infección por VIH/SIDA ha sido establecido en valores de 24,6% 19 , considerando que no sólo la infección por VIH juega un papel en su patogenia, sino que existen otros elementos que deben ser valorados 5,[19][20][21] . En el estudio fue posible realizar el diagnóstico del trastorno hipercinético, pero vale resaltar que la hiperactividad como síntoma predominante resultó frecuentemente reportada y fue importante su interferencia en el ambiente familiar y escolar.…”

Section: Discussionunclassified

“…Fue posible diagnosticar, en al menos dos casos, un trastorno de adaptación con síntomas depresivos, pero la tristeza fue un síntoma frecuente en estas edades. En los niños, la muerte de las fi guras parentales a causa de la infección, puede ser un factor importante para que se estructuren síntomas depresivos como ha sido reportado por otros estudios 19,20 ; en nuestro trabajo también fue posible constatarlo al coincidir el fallecimiento de un padre en el momento de estar realizándose la observación clínica.…”

Section: Discussionunclassified

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Evaluación neuropsicológica, factores psicosociales y co-morbilidad psiquiátrica en pacientes pediátricos infectados con el VIH

Martínez

et al. 2011

Rev. chil. infectol.

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IntroducciónE n el mundo, 2 millones de niños estaban infectados por el virus de la inmunodefi ciencia humana en el año 2008; aproximadamente 45% de las nuevas infecciones ocurrieron en personas jóvenes entre 15 y 24 años 1 . Sin tratamiento específi co, la mitad de los niños con exposición prenatal fallecen en los primeros años de la vida. Al igual que en el adulto, el tratamiento en las edades pediátricas ha experimentado notables cambios en los últimos años hacia una intervención más precoz y con terapias combinadas más potentes [2][3][4][5][6] . El tratamiento anti-retroviral (TARV) ha supuesto un cambio radical en la evolución de los niños infectados por el VIH, transformando la evolución, de ser una enfermedad mortal a corto plazo, en una elevada proporción de casos, a seguir una evolución crónica. Por lo que en la actualidad se plantean nuevos retos frente a la infección por el virus y las complicaciones asociadas a la terapéutica.El Programa de Prevención y Control del VIH/SIDA en Cuba incorporó desde el año 1986 medidas profi lácticas Evaluación neuropsicológica, factores psicosociales y co-morbilidad psiquiátrica en pacientes pediátricos infectados con el VIH Marta Castro P., Yaquelin Martínez V., Ida González N., Juana Velásquez A., Gladys Castillo I. y Lizet Sánchez V.Neuropsychological evaluation, psychosocial factors, and psychiatric comorbidity of children with HIV infection Antiretroviral therapy has marked a change in the course of HIV infection, posing new challenges to improve quality of life in pediatric patients. Objective: The goal of this paper was to identify psychosocial aspects of HIV-infected children and adolescents, and to evaluate their neuropsychological development and psychiatric comorbidity. Patients and Methods: A descriptive study was conducted, evaluating the neurocognitive performance of patients attending at the Pediatric Department of Instituto de Medicina Tropical Pedro Kourí of La Habana, Cuba, between February and July of 2008. For that purpose, interviews to the patients and their relatives were done with the application of appropriate tests for each age. Results: Twenty-three patients ages 3-17 years (57% female) were studied. Sixteen (69.5%) were infected through vertical transmission, and 7 (30.5%) through other routes. School children infected through vertical transmission showed the most symptoms. Hyperactivity, anxiety, and learning disorders were the most frequently observed symptoms as well as hyperkinetic disorders, temporary tic disorders and mental retardation. Conclusion: This study shows the neuropsychological characterization of HIV-positive children and adolescents, considering the route of acquisition of the infection and the stage of the disease. It also describes psychiatric comorbidity of HIV-infected children.Key words: HIV/AIDS, psychosocial, neuropsychological disorders, psychiatric comorbidity, family, Cuba. Palabras clave: VIH, síndrome de inmunodefi ciencia humana, psicosocial, trastornos neuropsicológicos, comorbilidad psiquiátrica, Cuba. Mart...

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Section: Discussionunclassified

Evaluación neuropsicológica, factores psicosociales y co-morbilidad psiquiátrica en pacientes pediátricos infectados con el VIH

Martínez

et al. 2011

Rev. chil. infectol.

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“…[1,2] Mental disorders are highly prevalent among people living with HIV/AIDS (PLWHA), with major depressive disorder (MDD) occurring almost twice as frequently among this group than in the general population. [3] Mental disorders may increase an individual's risk for HIV infection through increased social vulnerability, altered risk behaviour, associated substance misuse and loss of control within sexual relationships.…”

Section: Introductionmentioning

confidence: 99%

Management of mental health disorders in HIV-positive patients

Society¹

2013

S Afr J HIV Med

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“…Mental health is more than simply the absence of mental illness; it is the foundation for the well-being and effective functioning of individuals and communities (WHO, 2007). Mental illness is associated with indicators of poverty, including low levels of education, poor housing and low income, and with a range of illnesses, including HIV infection (Freeman et al, 2005). HIV infection and depression, as well as other health and social problems such as substance misuse and violence, are more prevalent and more difficult to cope with in conditions of low income, limited education and unemployment ( Desjarlais et al, 1995).…”

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confidence: 99%

Mental health promotion for the widows of injecting drug users in north-east India

Herrman¹,

Kermode

Devine

et al. 2009

Int. psychiatry

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The prevalence of HIV is high in the north-east Indian states of Manipur and Nagaland. The major route of HIV transmission is injecting drug use. Most injecting drug users (IDUs) are male and about 40% are married. The widows of IDUs are among the most disadvantaged people. Many are HIV-infected and experiencing poverty, poor health, social isolation and discrimination, all factors likely to compromise their mental health. Some widows are engaging in HIV risk behaviours, including alcohol and drug misuse, sex work and unprotected sex. There is increasing recognition of the links between poverty and mental health status and risk of HIV infection. People with poor mental health are more likely to engage in HIV risk behaviours.

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Integrating mental health in global initiatives for HIV/AIDS

Cited by 103 publications

References 12 publications

Evaluación neuropsicológica, factores psicosociales y co-morbilidad psiquiátrica en pacientes pediátricos infectados con el VIH

Evaluación neuropsicológica, factores psicosociales y co-morbilidad psiquiátrica en pacientes pediátricos infectados con el VIH

Management of mental health disorders in HIV-positive patients

Mental health promotion for the widows of injecting drug users in north-east India

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