Psychiatric aspects of AIDS

Nichols, Stuart E.

doi:10.1016/s0033-3182(83)73107-5

Cited by 85 publications

(14 citation statements)

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“…AIDS had a profound adverse effect on almost all aspects of the respondents' lives. Some of these adverse effects have been documented in the literature (see Forstein, 1984;Malyon & Pinka, 1983;Nichols, 1983).…”

Section: Journal Of Psychosocial Oncologymentioning

confidence: 96%

Psychosocial Aspects of AIDS and AIDS-Related Complex

Donlou

Wolcott

Gottlieb³

et al. 1985

Journal of Psychosocial Oncology

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Section: Journal Of Psychosocial Oncologymentioning

confidence: 96%

Psychosocial Aspects of AIDS and AIDS-Related Complex

Donlou

Wolcott

Gottlieb³

et al. 1985

Journal of Psychosocial Oncology

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“…1–3 The HIV/AIDS Costs and Services Utilization Study (HCSUS), a U.S. survey of a national probability sample of PLWHA in care, found that nearly half (48%) of participants had a probable diagnosis of a mental disorder and 35% screened positive for depression. 4 The most common psychiatric diagnoses among PLWHA are mood and anxiety disorders, particularly major depression and other depressive disorders.…”

Section: Background and Rationale (Summary In Box 1)mentioning

confidence: 99%

Assessing the effect of Measurement-Based Care depression treatment on HIV medication adherence and health outcomes: Rationale and design of the SLAM DUNC Study

Pence¹,

Williams²,

Modi³

et al. 2012

Contemporary Clinical Trials

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Depression affects 20–30% of people living with HIV/AIDS (PLWHA) in the US and predicts greater sexual risk behaviors, lower antiretroviral (ARV) medication adherence, and worse clinical outcomes. Yet little experimental evidence addresses the critical clinical question of whether depression treatment improves ARV adherence and clinical outcomes in PLWHA with depression. The Strategies to Link Antidepressant and Antiretroviral Management at Duke, UAB, and UNC (SLAM DUNC) Study is a randomized clinical effectiveness trial funded by the National Institute for Mental Health. The objective of SLAM DUNC is to test whether a depression treatment program integrated into routine HIV clinical care affects ARV adherence. PLWHA with depression (n=390) are randomized to enhanced usual care or a depression treatment model called Measurement-Based Care (MBC). MBC deploys a clinically supervised Depression Care Manager (DCM) to provide evidence-based antidepressant treatment recommendations to a non-psychiatric prescribing provider, guided by systematic and ongoing measures of depressive symptoms and side effects. MBC has limited time requirements and the DCM role can be effectively filled by a range of personnel given appropriate training and supervision, enhancing replicability. In SLAM DUNC, MBC is integrated into HIV care to support HIV providers in antidepressant prescription and management. The primary endpoint is ARV adherence measured by unannounced telephone-based pill counts at 6 months with follow-up to 12 months and secondary endpoints including viral load, health care utilization, and depressive severity. Important outcomes of this study will be evidence of the effectiveness of MBC in treating depression in PLWHA and improving HIV-related outcomes.

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“…As women reckon with the realities of death, some of the feelings that they experience include dependence, fear, sadness, vulnerability, distrust, depression, hopelessness and anger (KublerRoss, 1969;Nichols, 1983Nichols, , 1985. According to Dunbar and Mueller (1995), women might feel a lack of self-efficacy, a sense of helplessness, and self-loathing, each of which can lead to self-destructive behaviors.…”

Section: Women With Visible and Invisible Disabilitiesmentioning

confidence: 99%