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Psychiatric Disorders 

Psychiatric Disorders
Chapter:
Psychiatric Disorders
Author(s):

J. Hampton Atkinson

, Nichole A. Duarte

, and Glenn J. Treisman

DOI:
10.1093/med/9780195399349.003.0073
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date: 26 May 2019

This chapter reviews the epidemiology, clinical course, impact, and treatment of the most prevalent behavioral and psychiatric syndromes associated with HIV infection. These psychiatric conditions can broadly be classified either as primary, meaning the syndrome preceded the date of infection, or secondary, suggesting that the condition is directly or indirectly attributable to HIV itself, to cofactors associated with HIV infection, or to HIV treatments. The most prevalent primary disorders are mood disorders (major depression and bipolar disorder), alcohol and substance abuse (particularly abuse of injection drugs and stimulants), schizophrenia, and personality disorders. The most prevalent secondary conditions are mood syndromes (either depressive or manic) and deliria. Primary disorders may be associated with increased risk of infection, whereas both primary and secondary disorders may impact life-quality, functioning, medical compliance, and perhaps survival.

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