The effect of post-traumatic stress disorder on HIV disease progression following hurricane Katrina
Identifieur interne : 001C53 ( Main/Exploration ); précédent : 001C52; suivant : 001C54The effect of post-traumatic stress disorder on HIV disease progression following hurricane Katrina
Auteurs : Kathleen H. Reilly [États-Unis] ; Rebecca A. Clark [États-Unis] ; Norine Schmidt [États-Unis] ; Charles C. Benight [États-Unis] ; Patricia Kissinger [États-Unis]Source :
- AIDS Care : (Print) [ 0954-0121 ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Santé publique, Santé mentale, Homme.
English descriptors
- KwdEn :
Abstract
Post-traumatic stress disorder (PTSD) is a common psychological outcome of any disaster. The purpose of this study was to examine the effects of PTSD on disease progression among HIV-infected persons in metropolitan New Orleans post-hurricane Katrina. One-year post-storm, a convenience sample of 145 HIV-infected patients who returned to care at the HIV Outpatient Program clinic in New Orleans were interviewed. Clinical factors pre and one and two years post-disaster were abstracted from medical records and compared by PTSD status. Of the 145 participants, 37.2% had PTSD. Those with PTSD were more likely than those without PTSD to have detectable plasma viral loads at both follow-up time points post-disaster and more likely to have CD4 cell counts < 200/mm3 two years post-disaster. They were also more likely to have had medication interruptions immediately post-disaster. Our findings corroborate the findings of others that PTSD accelerates HIV disease progression. Disaster planners should consider the special counseling and medication safeguards needs of HIV-infected persons.
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The purpose of this study was to examine the effects of PTSD on disease progression among HIV-infected persons in metropolitan New Orleans post-hurricane Katrina. One-year post-storm, a convenience sample of 145 HIV-infected patients who returned to care at the HIV Outpatient Program clinic in New Orleans were interviewed. Clinical factors pre and one and two years post-disaster were abstracted from medical records and compared by PTSD status. Of the 145 participants, 37.2% had PTSD. Those with PTSD were more likely than those without PTSD to have detectable plasma viral loads at both follow-up time points post-disaster and more likely to have CD4 cell counts < 200/mm<sup>3</sup> two years post-disaster. They were also more likely to have had medication interruptions immediately post-disaster. Our findings corroborate the findings of others that PTSD accelerates HIV disease progression. Disaster planners should consider the special counseling and medication safeguards needs of HIV-infected persons.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Colorado</li><li>Louisiane</li></region></list><tree><country name="États-Unis"><region name="Louisiane"><name sortKey="Reilly, Kathleen H" sort="Reilly, Kathleen H" uniqKey="Reilly K" first="Kathleen H." last="Reilly">Kathleen H. Reilly</name></region><name sortKey="Benight, Charles C" sort="Benight, Charles C" uniqKey="Benight C" first="Charles C." last="Benight">Charles C. Benight</name><name sortKey="Clark, Rebecca A" sort="Clark, Rebecca A" uniqKey="Clark R" first="Rebecca A." last="Clark">Rebecca A. Clark</name><name sortKey="Kissinger, Patricia" sort="Kissinger, Patricia" uniqKey="Kissinger P" first="Patricia" last="Kissinger">Patricia Kissinger</name><name sortKey="Schmidt, Norine" sort="Schmidt, Norine" uniqKey="Schmidt N" first="Norine" last="Schmidt">Norine Schmidt</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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