Psychiatric Issues in the Management of Patients With HIV Infection
Approximately 1 million persons are now infected with human immunodeficiency virus (HIV) in the United States. Evidence exists that psychiatric disorders are common in patients with HIV and that these patients may not receive optimal care because their psychiatric disorders are a barrier to medical...
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| Veröffentlicht in: | JAMA : the journal of the American Medical Association 2001-12, Vol.286 (22), p.2857-2864 |
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| container_title | JAMA : the journal of the American Medical Association |
| container_volume | 286 |
| creator | Treisman, Glenn J Angelino, Andrew F Hutton, Heidi E |
| description | Approximately 1 million persons are now infected with human immunodeficiency
virus (HIV) in the United States. Evidence exists that psychiatric disorders
are common in patients with HIV and that these patients may not receive optimal
care because their psychiatric disorders are a barrier to medical care, communication
with clinicians, and adherence to medical recommendations. We describe herein
a complex case seen at The Johns Hopkins Hospital with several psychiatric
conditions that are common in our HIV clinic population. We describe the collaborative
treatment of the patient by a multidisciplinary team including both medical
and mental health practitioners. We briefly describe a coherent diagnostic
and treatment approach to patients in HIV clinics and the supporting rationale
from the literature. We discuss the need for comprehensive evaluation, a multidisciplinary
treatment team, and therapeutic optimism. |
| doi_str_mv | 10.1001/jama.286.22.2857 |
| format | Article |
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virus (HIV) in the United States. Evidence exists that psychiatric disorders
are common in patients with HIV and that these patients may not receive optimal
care because their psychiatric disorders are a barrier to medical care, communication
with clinicians, and adherence to medical recommendations. We describe herein
a complex case seen at The Johns Hopkins Hospital with several psychiatric
conditions that are common in our HIV clinic population. We describe the collaborative
treatment of the patient by a multidisciplinary team including both medical
and mental health practitioners. We briefly describe a coherent diagnostic
and treatment approach to patients in HIV clinics and the supporting rationale
from the literature. We discuss the need for comprehensive evaluation, a multidisciplinary
treatment team, and therapeutic optimism.</description><identifier>ISSN: 0098-7484</identifier><identifier>EISSN: 1538-3598</identifier><identifier>DOI: 10.1001/jama.286.22.2857</identifier><identifier>PMID: 11735762</identifier><identifier>CODEN: JAMAAP</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Adult ; Adult and adolescent clinical studies ; Antidepressive Agents - therapeutic use ; Attention Deficit Disorder with Hyperactivity - complications ; Biological and medical sciences ; Depressive Disorder, Major - complications ; Depressive Disorder, Major - drug therapy ; Desipramine - therapeutic use ; Endocarditis, Bacterial - complications ; Endocarditis, Bacterial - therapy ; Female ; HIV ; HIV Infections - complications ; HIV Infections - psychology ; HIV Infections - therapy ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; Medical sciences ; Mental Competency ; Mental disorders ; Mood Disorders - complications ; Organic mental disorders. Neuropsychology ; Patients ; Personality Disorders - complications ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy ; Substance-Related Disorders - complications ; Substance-Related Disorders - rehabilitation ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids</subject><ispartof>JAMA : the journal of the American Medical Association, 2001-12, Vol.286 (22), p.2857-2864</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright American Medical Association Dec 12, 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a329t-b51dc832f55b0731dc2d892522ce7e08b960f1464b6b8a1de201115675ac83333</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jama/articlepdf/10.1001/jama.286.22.2857$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.286.22.2857$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,315,782,786,3342,27931,27932,76497,76500</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13410143$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11735762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Treisman, Glenn J</creatorcontrib><creatorcontrib>Angelino, Andrew F</creatorcontrib><creatorcontrib>Hutton, Heidi E</creatorcontrib><title>Psychiatric Issues in the Management of Patients With HIV Infection</title><title>JAMA : the journal of the American Medical Association</title><addtitle>JAMA</addtitle><description>Approximately 1 million persons are now infected with human immunodeficiency
virus (HIV) in the United States. Evidence exists that psychiatric disorders
are common in patients with HIV and that these patients may not receive optimal
care because their psychiatric disorders are a barrier to medical care, communication
with clinicians, and adherence to medical recommendations. We describe herein
a complex case seen at The Johns Hopkins Hospital with several psychiatric
conditions that are common in our HIV clinic population. We describe the collaborative
treatment of the patient by a multidisciplinary team including both medical
and mental health practitioners. We briefly describe a coherent diagnostic
and treatment approach to patients in HIV clinics and the supporting rationale
from the literature. We discuss the need for comprehensive evaluation, a multidisciplinary
treatment team, and therapeutic optimism.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Attention Deficit Disorder with Hyperactivity - complications</subject><subject>Biological and medical sciences</subject><subject>Depressive Disorder, Major - complications</subject><subject>Depressive Disorder, Major - drug therapy</subject><subject>Desipramine - therapeutic use</subject><subject>Endocarditis, Bacterial - complications</subject><subject>Endocarditis, Bacterial - therapy</subject><subject>Female</subject><subject>HIV</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - therapy</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Mental Competency</subject><subject>Mental disorders</subject><subject>Mood Disorders - complications</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Patients</subject><subject>Personality Disorders - complications</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy</subject><subject>Substance-Related Disorders - complications</subject><subject>Substance-Related Disorders - rehabilitation</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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Neuropsychology</topic><topic>Patients</topic><topic>Personality Disorders - complications</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapy</topic><topic>Substance-Related Disorders - complications</topic><topic>Substance-Related Disorders - rehabilitation</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Treisman, Glenn J</creatorcontrib><creatorcontrib>Angelino, Andrew F</creatorcontrib><creatorcontrib>Hutton, Heidi E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><jtitle>JAMA : the journal of the American Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Treisman, Glenn J</au><au>Angelino, Andrew F</au><au>Hutton, Heidi E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychiatric Issues in the Management of Patients With HIV Infection</atitle><jtitle>JAMA : the journal of the American Medical Association</jtitle><addtitle>JAMA</addtitle><date>2001-12-12</date><risdate>2001</risdate><volume>286</volume><issue>22</issue><spage>2857</spage><epage>2864</epage><pages>2857-2864</pages><issn>0098-7484</issn><eissn>1538-3598</eissn><coden>JAMAAP</coden><abstract>Approximately 1 million persons are now infected with human immunodeficiency
virus (HIV) in the United States. Evidence exists that psychiatric disorders
are common in patients with HIV and that these patients may not receive optimal
care because their psychiatric disorders are a barrier to medical care, communication
with clinicians, and adherence to medical recommendations. We describe herein
a complex case seen at The Johns Hopkins Hospital with several psychiatric
conditions that are common in our HIV clinic population. We describe the collaborative
treatment of the patient by a multidisciplinary team including both medical
and mental health practitioners. We briefly describe a coherent diagnostic
and treatment approach to patients in HIV clinics and the supporting rationale
from the literature. We discuss the need for comprehensive evaluation, a multidisciplinary
treatment team, and therapeutic optimism.</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>11735762</pmid><doi>10.1001/jama.286.22.2857</doi><tpages>8</tpages></addata></record> |
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| ispartof | JAMA : the journal of the American Medical Association, 2001-12, Vol.286 (22), p.2857-2864 |
| issn | 0098-7484 1538-3598 |
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| source | MEDLINE; American Medical Association Journals |
| subjects | Adult Adult and adolescent clinical studies Antidepressive Agents - therapeutic use Attention Deficit Disorder with Hyperactivity - complications Biological and medical sciences Depressive Disorder, Major - complications Depressive Disorder, Major - drug therapy Desipramine - therapeutic use Endocarditis, Bacterial - complications Endocarditis, Bacterial - therapy Female HIV HIV Infections - complications HIV Infections - psychology HIV Infections - therapy Human immunodeficiency virus Human viral diseases Humans Infectious diseases Medical sciences Mental Competency Mental disorders Mood Disorders - complications Organic mental disorders. Neuropsychology Patients Personality Disorders - complications Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy Substance-Related Disorders - complications Substance-Related Disorders - rehabilitation Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
| title | Psychiatric Issues in the Management of Patients With HIV Infection |
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