Document 2929
 DOCN  M94A2929
 TI    Psychiatric disorders in HIV patients: hospitalized vs.
       non-hospitalized.
 DT    9412
 AU    Prenzlauer SL; Bialer PA; Bogdonoff L; Kato KS; Wilets I; Beth Israel
       Med Ctr, NY, NY 10003.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):192 (abstract no. PB0197). Unique
       Identifier : AIDSLINE ICA10/94369646
 AB    OBJECTIVE: To determine the prevalence of psychiatric disorders in
       inpatient PWA's (IPWA) v outpatient (OPWA), and inpatient HIV+
       asymptomatic (IHIV+) patients v outpatient (OHIV+). METHOD: Psychiatric
       consultations were performed on 675 IPWA and IHIV+ and 155 OPWA and
       OHIV+ from 1989-93. Diagnoses were based upon DSMIIIR criteria and
       confirmed by the authors; patients without confirmed diagnoses were
       excluded from analysis. Comparisons between IPWA and OPWA and between
       IHIV+ and OHIV+ were analyzed by chi square and ANOVA. RESULTS: Final
       sample sizes: IPWA N = 433, OPWA N = 91, IHIV+ N = 116, OHIV+ N = 55.
       Demographic comparisons revealed fewer women among inpatients (27% vs
       34%, p < 0.05) and fewer black patients among outpatients (14% v 28%, p
       < 0.01), otherwise age, sex and ethnicity were similar in all groups.
       Diagnoses of dementia (22.4% v 8.8%, p < 0.01) and delirium (28.9% v
       12.1%, p < 0.01) were more frequent in IPWA compared to OPWA.
       Conversely, adjustment disorder (31.9% v 13.2%, p < 0.01), major
       depression (16.5% v 1.4%, p < 0.01), and personality disorder (31.9% v
       18.7%, p < 0.01) were all more frequent in OPWA compared to IPWA.
       Excluding dementia, which was not diagnosed in HIV+, a similar pattern
       of diagnostic frequencies was found when comparing OHIV+ and IHIV+:
       Adjustment disorder (38.2% v 12.9%, p < 0.01); major depression (10.9% v
       1.7%, p < 0.05); personality disorder (49.1% v 31.9%, p < 0.05). The
       prevalence of a substance use disorder was high in both IHIV+ (63.8%)
       and OHIV+ (49.1%) but not significantly different. CONCLUSIONS: 1.
       Organic mental disorders, such as dementia and delirium were more
       frequent among HIV infected inpatients compared to outpatients
       regardless of disease stage. Outpatients, who were less acutely ill,
       were more likely to suffer from adjustment disorders, depression, or
       underlying personality disorder. 3. Substance use was high in both
       inpatients and outpatients and required specialized treatment.
 DE    Adult  AIDS Dementia Complex/DIAGNOSIS/*EPIDEMIOLOGY/PSYCHOLOGY
       Cross-Sectional Studies  Female  *Hospitalization  Human  HIV
       Infections/DIAGNOSIS/*EPIDEMIOLOGY/PSYCHOLOGY  Incidence  Male  Mental
       Disorders/DIAGNOSIS/EPIDEMIOLOGY/PSYCHOLOGY  New York/EPIDEMIOLOGY
       Organic Mental Disorders/DIAGNOSIS/*EPIDEMIOLOGY/PSYCHOLOGY  MEETING
       ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).