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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:JAMA : the journal of the American Medical Association 2001-12, Vol.286 (22), p.2857-2864
Hauptverfasser: Treisman, Glenn J, Angelino, Andrew F, Hutton, Heidi E
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 2864
container_issue 22
container_start_page 2857
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
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_journals_211397079</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>194450</ama_id><sourcerecordid>95981387</sourcerecordid><originalsourceid>FETCH-LOGICAL-a329t-b51dc832f55b0731dc2d892522ce7e08b960f1464b6b8a1de201115675ac83333</originalsourceid><addsrcrecordid>eNpFkE1PwzAMhiMEYmNwhwuKkDh2xPlokiOqgFUaYgc-jlXapizT2o4mO-zfE7Sh-WJbfuzXNkLXQKZACDysTGumVKVTSqMT8gSNQTCVMKHVKRoTolUiueIjdOH9ikQDJs_RCEAyIVM6RtnC76qlM2FwFc6931qPXYfD0uJX05lv29ou4L7BCxNcDD3-cmGJZ_knzrvGVsH13SU6a8za26uDn6CP56f3bJbM317y7HGeGEZ1SEoBdaUYbYQoiWQxobXSVFBaWWmJKnVKGuApL9NSGagtJQAgUilMbIs2QXf7uZuh_4mLhmLVb4cuShYUgGlJpI7Q7QHalq2ti83gWjPsiv-TI3B_AIyvzLoZTFc5f-QYBwL8T-1mz8UfH6uac0HYLxU7a24</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>211397079</pqid></control><display><type>article</type><title>Psychiatric Issues in the Management of Patients With HIV Infection</title><source>MEDLINE</source><source>American Medical Association Journals</source><creator>Treisman, Glenn J ; Angelino, Andrew F ; Hutton, Heidi E</creator><creatorcontrib>Treisman, Glenn J ; Angelino, Andrew F ; Hutton, Heidi E</creatorcontrib><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><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$$H</linktohtml><link.rule.ids>64,315,781,785,3341,27929,27930,76494,76497</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;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. Aids</subject><issn>0098-7484</issn><issn>1538-3598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1PwzAMhiMEYmNwhwuKkDh2xPlokiOqgFUaYgc-jlXapizT2o4mO-zfE7Sh-WJbfuzXNkLXQKZACDysTGumVKVTSqMT8gSNQTCVMKHVKRoTolUiueIjdOH9ikQDJs_RCEAyIVM6RtnC76qlM2FwFc6931qPXYfD0uJX05lv29ou4L7BCxNcDD3-cmGJZ_knzrvGVsH13SU6a8za26uDn6CP56f3bJbM317y7HGeGEZ1SEoBdaUYbYQoiWQxobXSVFBaWWmJKnVKGuApL9NSGagtJQAgUilMbIs2QXf7uZuh_4mLhmLVb4cuShYUgGlJpI7Q7QHalq2ti83gWjPsiv-TI3B_AIyvzLoZTFc5f-QYBwL8T-1mz8UfH6uac0HYLxU7a24</recordid><startdate>20011212</startdate><enddate>20011212</enddate><creator>Treisman, Glenn J</creator><creator>Angelino, Andrew F</creator><creator>Hutton, Heidi E</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope></search><sort><creationdate>20011212</creationdate><title>Psychiatric Issues in the Management of Patients With HIV Infection</title><author>Treisman, Glenn J ; Angelino, Andrew F ; Hutton, Heidi E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a329t-b51dc832f55b0731dc2d892522ce7e08b960f1464b6b8a1de201115675ac83333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Attention Deficit Disorder with Hyperactivity - complications</topic><topic>Biological and medical sciences</topic><topic>Depressive Disorder, Major - complications</topic><topic>Depressive Disorder, Major - drug therapy</topic><topic>Desipramine - therapeutic use</topic><topic>Endocarditis, Bacterial - complications</topic><topic>Endocarditis, Bacterial - therapy</topic><topic>Female</topic><topic>HIV</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - psychology</topic><topic>HIV Infections - therapy</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Mental Competency</topic><topic>Mental disorders</topic><topic>Mood Disorders - complications</topic><topic>Organic mental disorders. 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 &amp; 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 &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; 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>
fulltext fulltext
identifier ISSN: 0098-7484
ispartof JAMA : the journal of the American Medical Association, 2001-12, Vol.286 (22), p.2857-2864
issn 0098-7484
1538-3598
language eng
recordid cdi_proquest_journals_211397079
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
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T01%3A20%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Psychiatric%20Issues%20in%20the%20Management%20of%20Patients%20With%20HIV%20Infection&rft.jtitle=JAMA%20:%20the%20journal%20of%20the%20American%20Medical%20Association&rft.au=Treisman,%20Glenn%20J&rft.date=2001-12-12&rft.volume=286&rft.issue=22&rft.spage=2857&rft.epage=2864&rft.pages=2857-2864&rft.issn=0098-7484&rft.eissn=1538-3598&rft.coden=JAMAAP&rft_id=info:doi/10.1001/jama.286.22.2857&rft_dat=%3Cproquest_pubme%3E95981387%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=211397079&rft_id=info:pmid/11735762&rft_ama_id=194450&rfr_iscdi=true