Psychiatric Aspects of AIDS

An Overview
  • David G. Ostrow

Abstract

The pace of the new acquired immune deficiency syndrome (AIDS) discoveries and clinical complications is such that those actively involved in AIDS clinical research might feel caught in a vortex of events, many of which appear to be out of control. During the past 9 years, since the syndrome called AIDS was first described, I have attempted to observe and understand the response of the general public and various groups to the AIDS epidemic. The experimental work on which many of these observations is based is an ongoing study of approximately 1000 gay and bisexual men at high risk of AIDS. These men comprise the Chicago cohort of a Multicenter AIDS Cohort Study (MACS), which is funded by the National Institute of Allergic and Infectious Diseases (NIAID) and the National Cancer Institute (NCI). The aim of the MACS is to describe the natural history and epidemiology of AIDS and human immunodeficiency virus (HIV), formerly known as HTLV-III or LAV-related disease. In Chicago, 95% of the MACS cohort is also participating in a National Institute of Mental Health (NIMH)-funded study of the psychosocial consequences of being at high risk of AIDS. In this chapter I present some models incorporating organizing principles to help us understand the context in which AIDS impacts on behavior. They are presented here in the hope that such organizing concepts may help us to impact in a constructive fashion on the psychological and social consequences of AIDS.

Keywords

Human Immunodeficiency Virus Acquire Immune Deficiency Syndrome Multicenter AIDS Cohort Study Psychiatric Effect Human Immunodeficiency Virus Antibody 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Curran JW: The epidemiology and prevention of AIDS. Ann Intern Med 103: 657–662, 1985.PubMedCrossRefGoogle Scholar
  2. 2.
    Ostrow DG, Eller M, Joseph JG: Epidemic control measures for AIDS: A psychosocial and historical discussion of policy alternatives, in Carliss IB and Pittman-Lindeman M. (eds.): AIDS: Principles, Practices and Politics. New York: Hemisphere Publishing, 1988, pp. 19–31.Google Scholar
  3. 3.
    Ostrow DG, Altman NL, Wallemark C-B, et al: Patterns of homosexual behavior, 1979–1983, in Proceedings of the conjoint STD Meeting. Montreal, International STD Research Society, 1984, p 12.Google Scholar
  4. 4.
    Ostrow DG, Emmons CA, Altman NL, et al: Sexual behavior change and persistence in homosexual men, in Proceedings of the First International AIDS Conference. Atlanta, U.S. Public Health Service, 1985, p 71.Google Scholar
  5. 5.
    Joseph JG, Montgomery SB, Emmons CA, et al: Magnitude and determinants of behavioral risk reduction: Longitudinal analysis of a cohort at risk of AIDS. Psychology and Health 7: 73–96, 1987.Google Scholar
  6. 6.
    Fox R, Odaka N, Brookmeyer, et al: Effect of HIV antibody disclosure on subsequent sexual activity in homosexual men. AIDS 1: 241–246, 1987.PubMedGoogle Scholar
  7. 7.
    Ostrow DJ: A psychiatric overview of AIDS. Int J Neurosci 32: 647–659, 1987.PubMedCrossRefGoogle Scholar
  8. 8.
    Ostrow DG: Issues and analysis: Psychiatric implications of AIDS. Masters Psychiatry 1: 21–23, 1985.Google Scholar
  9. 9.
    Ostrow DG, Monjan A, Joseph J, et al: HIV-related symptoms and psychological functioning in a cohort of homosexual men. Am. J. Psychiatry 146: 737–742, 1989.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • David G. Ostrow
    • 1
  1. 1.Midwest AIDS Biobehavioral Research Center, Institute for Social Research, and Department of PsychiatryUniversity of Michigan School of MedicineAnn ArborUSA

Personalised recommendations