Psychological trauma exposure and co-morbid psychopathologies in HIV+Men and Women.
Title | Psychological trauma exposure and co-morbid psychopathologies in HIV+Men and Women. |
Publication Type | Journal Article |
Year of Publication | 2015 |
Authors | Fellows, RP, Spahr, NA, Byrd, DA, Mindt, MRivera, Morgello, S |
Corporate Authors | Bank, MHIVB |
Journal | Psychiatry Res |
Volume | 230 |
Issue | 3 |
Pagination | 770-6 |
Date Published | 2015 Dec 30 |
ISSN | 1872-7123 |
Keywords | Adult, Borderline Personality Disorder, Comorbidity, Depressive Disorder, Major, Female, HIV Infections, Humans, Internal, Male, Middle Aged, Panic Disorder, Psychological Trauma, Psychopathology, Resilience, Psychological, Stress Disorders, Post-Traumatic, Substance-Related Disorders, Suicidal Ideation, Suicide, Attempted |
Abstract | This study examined the association between trauma exposure, PTSD, suicide attempts, and other psychopathology among 316 racially/ethnically diverse HIV-infected men and women who underwent semi-structured psychiatric assessment. In addition, the role of psychological resilience in trauma exposure was examined in the context of neurological symptoms and functional status. Nearly half (47.8%; 151/316) of the participants reported trauma exposure, of which 47.0% (71/151) developed PTSD. Among trauma-exposed individuals, those with a current psychiatric diagnosis reported more neurological symptoms and lower functional status. Trauma exposure without PTSD was associated with a higher rate of panic disorder and substance-induced mental disorders. Trauma-exposed individuals who did not develop PTSD were less likely than those who reported no trauma exposure to meet criteria for major depressive disorder (MDD). Trauma exposure, MDD, borderline personality disorder, and substance-induced mental disorders were independently associated with increased odds of suicide attempt. These results indicate that co-morbid psychiatric disorders are common among trauma exposed individuals with a history of PTSD, but those with trauma exposure who do not develop PTSD are less likely to experience MDD. The role of other co-morbid psychopathologies in the genesis of suicidal behavior among individuals living with HIV deserves further study. |
DOI | 10.1016/j.psychres.2015.11.011 |
Alternate Journal | Psychiatry Res |
PubMed ID | 26599389 |
PubMed Central ID | PMC4801502 |
Grant List | U24 MH100929 / MH / NIMH NIH HHS / United States U01 MH083500 / MH / NIMH NIH HHS / United States U24 MH100931 / MH / NIMH NIH HHS / United States U24MH100931 / MH / NIMH NIH HHS / United States N01 MH032002 / MH / NIMH NIH HHS / United States U01MH083501 / MH / NIMH NIH HHS / United States U01 MH083501 / MH / NIMH NIH HHS / United States UL1 TR000067 / TR / NCATS NIH HHS / United States UL1TR000067 / TR / NCATS NIH HHS / United States |