Biopsychosocial Aspects Of Hiv And Aids
AIDS is a severe, chronic, multiorgan, multisystem illness with multiple and severe comorbid psychiatric and other medical illnesses. AIDS is also a prevalent illness that presents with psychiatric responses to illness, is associated with psychiatric illness because of the affinity of HIV for brain and neural tissue, and occurs with comorbid psychiatric illness as well as other medical illnesses. In many ways, AIDS and other manifestations of HIV infection can be seen as a paradigm of a complex...
Conclusions Qdr
A biopsychosocial approach to psychiatric consultation can provide a way to get to know the patient in the context of family, society, and community. This approach is a valuable asset to the comprehensive care of a person with HIV and AIDS. Bender L 1938 . A Visual Motor Gestalt Test and Its Clinical Use. New York American Orthopsychiatry Association. Blank MB, Mandell DS, Aiken L, Hadley TR 2002 . Co-occurrence of HIV and serious mental illness among Medicaid recipients. Psychiatr Serv 53...
Chief Complaint and History of Present Illness
The psychiatrist elicits the patient's chiefcomplaint in his or her own words and follows with the history of the present illness, including the onset, course, progression, and medications if any, along with the current medical and psychiatric symptoms and illness chronology. It is important for establishment of rapport to allow the patient to tell the story of the illness in his or her words with minimal interruption or intrusion except for occasional redirection. Although the psychiatrist may...
Info Qpx
22 Table4.2 . Rates found in seroprevalence studies where blood was drawn for HIV antibody testing generally are more reliable than those found in prevalence studies that relied on patient knowledge of their HIV status or on what had been recorded in the medical record still, generalizability of seroprevalence to other patient populations is limited. All seroprevalence studies were conducted on the East Coast, most in New York City. Rates established elsewhere in the United States were...
Pathobiology
The manipulation and hijacking of cellular processes is an essential viral survival strategy, since viruses rely on the cell machinery of the infected host for their replication. An impressive 8 of the human genome is composed of sequences of viral origin, suggesting that humans and viruses share a lengthy common history Lander et al., 2001 . Humans have evolved sophisticated defenses in the form of innate and acquired immunity Stevenson, 2003 . The HIV pandemic illustrates that the virus has...
Conclusions
HAART has transformed HIV infection into a treatable disease. For the vast majority of infected people living in resource-limited regions, however, this transformation has not been completely realized. Knowledge of HIV-1 status remains essential for targeted prevention and early access to care. Life expectancy of persons with AIDS who do have access to care and adhere to therapeutic regimens now approaches that of the general population Sackoff et al., 2006 . Future challenges include the...
Contributors
Naomi AdLer, B.A. Center for AIDS Prevention Studies University of California at San Francisco San Francisco, CA New York University School of Medicine Cesar A. Alfonso, M.D. Assistant Professor of Clinical Psychiatry Department of Psychiatry Columbia University College of Physicians and Surgeons Attending Psychiatrist Department of Psychiatry Lenox Hill Hospital New York, NY Andrew F. Angelino, M.D. Assistant Professor Department of Psychiatry and Behavioral Sciences Johns Hopkins University...