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Psychological stress and depression in older patients with intravenous drug use and human immunodeficiency virus infection : implications for intervention

Identifieur interne : 000328 ( PascalFrancis/Corpus ); précédent : 000327; suivant : 000329

Psychological stress and depression in older patients with intravenous drug use and human immunodeficiency virus infection : implications for intervention

Auteurs : N. Singh ; C. Squier ; C. Sivek ; M. M. Wagener ; V. L. Yu

Source :

RBID : Pascal:97-0297344

Descripteurs français

English descriptors

Abstract

We aim to assess the age-related differences in psychological stress and depression in patients with human immunodeficiency virus (HIV) infection. Prospective, longitudinal, observational study of patients with HIV followed at a university affiliated VA Medical Center. Fifty-six consecutive patients with HIV infection aged 19-68 were studied. Data on demographics, living arrangements, education, employment, income, social, religious, and community support, medical status, psychological stress, depression, and coping was assessed at baseline and every 6 months. Instruments for psychological testing included Beck Depression Inventory, Profile Mood Status (POMS) scale and ways of coping scale (inventory of coping with illness scale). Sixty-nine per cent (38/56) of the patients were older than 35 years of age. Older patients exhibited significantly greater emotional and psychological stress; the mean POMS score for older patients was 56.8 as compared to 21.5 for younger patients (P=0.004). Older patients had significantly greater depression (P=0.001), higher tension and anxiety (P=0.005), greater anger and hostility (P=0.03), greater confusion and bewilderment (P=0.01), and more fatigue (P=0.003) as compared with younger patients. Older patients were significantly more likely to have intravenous drug use as an HIV risk factor (P=0.02), less likely to be employed (P=0.005), and more likely to use non-traditional therapies (P=0). Intravenous drug use was an independent predictor of psychological stress in older patients. Patients with HIV, older than 35 years of age, are significantly more likely to suffer from depression and psychological stress; intravenous drug use was an independent predictor of stress. Interventions for the treatment of depression should be especially sought in this subgroup of patients with HIV.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Int. j. STD AIDS
A05       @2 8
A06       @2 4
A08 01  1  ENG  @1 Psychological stress and depression in older patients with intravenous drug use and human immunodeficiency virus infection : implications for intervention
A11 01  1    @1 SINGH (N.)
A11 02  1    @1 SQUIER (C.)
A11 03  1    @1 SIVEK (C.)
A11 04  1    @1 WAGENER (M. M.)
A11 05  1    @1 YU (V. L.)
A14 01      @1 VA Medical Center, Infectious Disease Section @2 Pittsburgh @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut.
A20       @1 251-255
A21       @1 1997
A23 01      @0 ENG
A43 01      @1 INIST @2 22891 @5 354000065482840060
A44       @0 0000 @1 © 1997 INIST-CNRS. All rights reserved.
A45       @0 22 ref.
A47 01  1    @0 97-0297344
A60       @1 P
A61       @0 A
A64 01  1    @0 International journal of STD & AIDS
A66 01      @0 GBR
C01 01    ENG  @0 We aim to assess the age-related differences in psychological stress and depression in patients with human immunodeficiency virus (HIV) infection. Prospective, longitudinal, observational study of patients with HIV followed at a university affiliated VA Medical Center. Fifty-six consecutive patients with HIV infection aged 19-68 were studied. Data on demographics, living arrangements, education, employment, income, social, religious, and community support, medical status, psychological stress, depression, and coping was assessed at baseline and every 6 months. Instruments for psychological testing included Beck Depression Inventory, Profile Mood Status (POMS) scale and ways of coping scale (inventory of coping with illness scale). Sixty-nine per cent (38/56) of the patients were older than 35 years of age. Older patients exhibited significantly greater emotional and psychological stress; the mean POMS score for older patients was 56.8 as compared to 21.5 for younger patients (P=0.004). Older patients had significantly greater depression (P=0.001), higher tension and anxiety (P=0.005), greater anger and hostility (P=0.03), greater confusion and bewilderment (P=0.01), and more fatigue (P=0.003) as compared with younger patients. Older patients were significantly more likely to have intravenous drug use as an HIV risk factor (P=0.02), less likely to be employed (P=0.005), and more likely to use non-traditional therapies (P=0). Intravenous drug use was an independent predictor of psychological stress in older patients. Patients with HIV, older than 35 years of age, are significantly more likely to suffer from depression and psychological stress; intravenous drug use was an independent predictor of stress. Interventions for the treatment of depression should be especially sought in this subgroup of patients with HIV.
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C03 02  X  ENG  @0 Human immunodeficiency virus @2 NW @5 02
C03 02  X  SPA  @0 Human immunodeficiency virus @2 NW @5 02
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C03 09  X  ENG  @0 Intravenous administration @5 11
C03 09  X  SPA  @0 Vía intravenosa @5 11
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C07 04  X  SPA  @0 Virosis
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N21       @1 167

Format Inist (serveur)

NO : PASCAL 97-0297344 INIST
ET : Psychological stress and depression in older patients with intravenous drug use and human immunodeficiency virus infection : implications for intervention
AU : SINGH (N.); SQUIER (C.); SIVEK (C.); WAGENER (M. M.); YU (V. L.)
AF : VA Medical Center, Infectious Disease Section/Pittsburgh/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.)
DT : Publication en série; Niveau analytique
SO : International journal of STD & AIDS; ISSN 0956-4624; Royaume-Uni; Da. 1997; Vol. 8; No. 4; Pp. 251-255; Bibl. 22 ref.
LA : Anglais
EA : We aim to assess the age-related differences in psychological stress and depression in patients with human immunodeficiency virus (HIV) infection. Prospective, longitudinal, observational study of patients with HIV followed at a university affiliated VA Medical Center. Fifty-six consecutive patients with HIV infection aged 19-68 were studied. Data on demographics, living arrangements, education, employment, income, social, religious, and community support, medical status, psychological stress, depression, and coping was assessed at baseline and every 6 months. Instruments for psychological testing included Beck Depression Inventory, Profile Mood Status (POMS) scale and ways of coping scale (inventory of coping with illness scale). Sixty-nine per cent (38/56) of the patients were older than 35 years of age. Older patients exhibited significantly greater emotional and psychological stress; the mean POMS score for older patients was 56.8 as compared to 21.5 for younger patients (P=0.004). Older patients had significantly greater depression (P=0.001), higher tension and anxiety (P=0.005), greater anger and hostility (P=0.03), greater confusion and bewilderment (P=0.01), and more fatigue (P=0.003) as compared with younger patients. Older patients were significantly more likely to have intravenous drug use as an HIV risk factor (P=0.02), less likely to be employed (P=0.005), and more likely to use non-traditional therapies (P=0). Intravenous drug use was an independent predictor of psychological stress in older patients. Patients with HIV, older than 35 years of age, are significantly more likely to suffer from depression and psychological stress; intravenous drug use was an independent predictor of stress. Interventions for the treatment of depression should be especially sought in this subgroup of patients with HIV.
CC : 002B06D01
FD : Etat dépressif; Virus immunodéficience humaine; Toxicomanie; SIDA; Association; Age; Stress; Homme; Voie intraveineuse
FG : Lentivirinae; Retroviridae; Virus; Virose; Infection; Immunopathologie; Immunodéficit
ED : Depression; Human immunodeficiency virus; Drug addiction; AIDS; Association; Age; Stress; Human; Intravenous administration
EG : Lentivirinae; Retroviridae; Virus; Viral disease; Infection; Immunopathology; Immune deficiency
SD : Estado depresivo; Human immunodeficiency virus; Toxicomanía; SIDA; Asociación; Edad; Stress; Hombre; Vía intravenosa
LO : INIST-22891.354000065482840060
ID : 97-0297344

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Pascal:97-0297344

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<s0>Immunopathology</s0>
<s5>45</s5>
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<s5>45</s5>
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<s5>46</s5>
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<s5>46</s5>
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<server>
<NO>PASCAL 97-0297344 INIST</NO>
<ET>Psychological stress and depression in older patients with intravenous drug use and human immunodeficiency virus infection : implications for intervention</ET>
<AU>SINGH (N.); SQUIER (C.); SIVEK (C.); WAGENER (M. M.); YU (V. L.)</AU>
<AF>VA Medical Center, Infectious Disease Section/Pittsburgh/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>International journal of STD & AIDS; ISSN 0956-4624; Royaume-Uni; Da. 1997; Vol. 8; No. 4; Pp. 251-255; Bibl. 22 ref.</SO>
<LA>Anglais</LA>
<EA>We aim to assess the age-related differences in psychological stress and depression in patients with human immunodeficiency virus (HIV) infection. Prospective, longitudinal, observational study of patients with HIV followed at a university affiliated VA Medical Center. Fifty-six consecutive patients with HIV infection aged 19-68 were studied. Data on demographics, living arrangements, education, employment, income, social, religious, and community support, medical status, psychological stress, depression, and coping was assessed at baseline and every 6 months. Instruments for psychological testing included Beck Depression Inventory, Profile Mood Status (POMS) scale and ways of coping scale (inventory of coping with illness scale). Sixty-nine per cent (38/56) of the patients were older than 35 years of age. Older patients exhibited significantly greater emotional and psychological stress; the mean POMS score for older patients was 56.8 as compared to 21.5 for younger patients (P=0.004). Older patients had significantly greater depression (P=0.001), higher tension and anxiety (P=0.005), greater anger and hostility (P=0.03), greater confusion and bewilderment (P=0.01), and more fatigue (P=0.003) as compared with younger patients. Older patients were significantly more likely to have intravenous drug use as an HIV risk factor (P=0.02), less likely to be employed (P=0.005), and more likely to use non-traditional therapies (P=0). Intravenous drug use was an independent predictor of psychological stress in older patients. Patients with HIV, older than 35 years of age, are significantly more likely to suffer from depression and psychological stress; intravenous drug use was an independent predictor of stress. Interventions for the treatment of depression should be especially sought in this subgroup of patients with HIV.</EA>
<CC>002B06D01</CC>
<FD>Etat dépressif; Virus immunodéficience humaine; Toxicomanie; SIDA; Association; Age; Stress; Homme; Voie intraveineuse</FD>
<FG>Lentivirinae; Retroviridae; Virus; Virose; Infection; Immunopathologie; Immunodéficit</FG>
<ED>Depression; Human immunodeficiency virus; Drug addiction; AIDS; Association; Age; Stress; Human; Intravenous administration</ED>
<EG>Lentivirinae; Retroviridae; Virus; Viral disease; Infection; Immunopathology; Immune deficiency</EG>
<SD>Estado depresivo; Human immunodeficiency virus; Toxicomanía; SIDA; Asociación; Edad; Stress; Hombre; Vía intravenosa</SD>
<LO>INIST-22891.354000065482840060</LO>
<ID>97-0297344</ID>
</server>
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