Document 2919 DOCN M94A2919 TI Hypocholesterolemia and psychological distress in HIV-1 disease. DT 9412 AU Shor-Posner G; Feaster D; Blaney N; Miguez-Burbano M; Goodkin K; Elsdorfer C; Baum MK; Department of Epidemiology, University of Miami School of; Medicine, FL. SO Int Conf AIDS. 1994 Aug 7-12;10(1):195 (abstract no. PB0208). Unique Identifier : AIDSLINE ICA10/94369656 AB OBJECTIVE: Altered serum lipid concentrations, (hypertriglyceridemia, hypocholesterolemia) which have been documented in HIV-1 disease, have been associated with behavioral abnormalities. The present study determined the relationship between lipid status and psychosocial behavior in 118 HIV seropositive (CDC Stages II, III n = 96; CDC Stage IV 2A n = 22) and 52 seronegative homosexual men. METHODS: Extracted serum was saponified, followed by oxidation condensation reactions to produce a fluorescing compound for triglyceride analysis. Levels of cholesterol were similarly obtained from serum extracts after reaction with Lieberman-Buchard color reagent, and read as absorbance at 630 nm (Technicon Auto Analyzer II). Psychological distress was measured with the Profile of Mood States. RESULTS: Hypocholesterolemia (< 150 mg/dl) was observed in 41% of the infected men and 24% of the controls. Analysis of variance, controlling for HIV-1 status, indicated significantly higher distress in subjects with low cholesterol as compared to subjects with serum cholesterol levels in the normal range (p < 0.026). In addition, a significant interaction between stress and hypocholesterolemia was observed in a model of psychological distress, which included stress, coping style and social support (p < .043). Hypertriglyceridemia (> 160 mg/dl), occurred in 11% of the seropositives and 19% of the seronegatives, but, was not associated with elevated distress. DISCUSSION AND CONCLUSIONS: The significant association between hypocholesterolemia and psychological distress supports the suggestion that altered lipid status may be linked to disturbances in behavior. DE Adaptation, Psychological Affect Affective Disorders/BLOOD/*ETIOLOGY Cholesterol/BLOOD/*DEFICIENCY Human Hypertriglyceridemia/PSYCHOLOGY HIV Infections/*BLOOD/PSYCHOLOGY *HIV-1 Male Social Support MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).