medigraphic.com
ISSN 1561-3011 (Electronic)

2013, Number 4

<< Back Next >>

Rev Cubana Invest Bioméd 2013; 32 (4)

Affective states, psychic self-regulation and behavioral response to the disease among patients with clinical onset of aids

Arriaga GL, González PU, Castro PM, Pérez ÁJL, Alerm GA

Language: Spanish
References: 30
Page: 389-401
PDF size: 91.90 Kb.


ABSTRACT

Introduction: the relationship between HIV/AIDS and mental illness has been reported, but no studies have been conducted in Cuba about psychic alterations in patients at clinical onset of AIDS.
Methods: study population: patients of both sexes with a diagnosis of AIDS onset within a year after diagnosis. The record system SIDATRAT was used to list and locate the cases. The purpose was to learn about the behavior of psychic variables in patients at clinical onset of AIDS and their association with immunocompetence.
Results: estimation was made of affective states, psychic self-regulation, behavioral response to the disease, CD4+ lymphocytes and viral load in 42 patients at clinical onset of AIDS with and without psychopathological symptoms. Descriptive statistics analysis, ANOVA mean comparison, was performed to relate variables and robust confirmatory tests. Negative affective states were not good indicators of psychic alteration, with homogeneous means between the groups. "Reflexive decision making responsibility" predominated among symptomatic patients, with upper means for "discontrol" and lower means for "self-control", indicative of worst coping. High "selfcontrol" scores were associated with a low viral load, but not with TL CD4+ counts. No psychic variable was related to immunocompetence.


REFERENCES

  1. World Health Organization. Estimates of deaths by cause. Geneva: WHO. [Consultado: 10 de mayo de 2012]. Available from: http://www.who.int/healthinfo/

  2. Joint United Nations Programme on HIV/AIDS (UNAIDS), World Health Organization (WHO). AIDS epidemic update. Geneva: WHO; December 2009. [last visited 19/ 04/2010].Available from: http://data.unaids.org/pub/Report/2009/2009_epidemic_update_en.pdf

  3. Suligoi B, Raimondo M, Fanales-Belasio E, Buttň S. The epidemic of HIV infection and AIDS, promotion of testing, and innovative strategies. Ann Inst Super Sanitŕ. 2010;46:15-23.

  4. Programa Nacional de Prevención y Control de las Infecciones de Transmisión Sexual VIH/sida. Ministerio de Salud Pública de Cuba (Registro Nacional VIH MINSAP. Informe de balance 2012.

  5. Camoni L, Raimondo M, Regine V, Salfa MC, Suligoi B. Regional representatives of the HIV Surveillance System. Late presenters among persons with a new HIV diagnosis in Italy, 20102011. BMC Public Health. 2013;13:281.

  6. Oropesa L, Sánchez Valdez L, Berdasquera Corcho D, Gala González Á, Pérez Ávila JL, Lantero MI. Debut clínico de SIDA en Cuba. Rev Cubana Med Trop. 2007;59:127-33.

  7. Klunder AD, Ming-Chang C, Dutton RA, Lee SE, Toga AW, Lopez OL, et al. Mapping cerebellar degeneration in HIV/AIDS. Neuroreport. 2008;19:16559.

  8. Lamers SL, Salemi M, Galligan DC, Morris A, Gray R, Fogel G. HIV-1 evolutionary patterns associated with pathogenic processes in the brain. J Neurovirol. 2010;16: 230-41.

  9. Pappin M, Wouters E, Booysen FLR. Anxiety and depression amongst patients enrolled in a public sector antiretroviral treatment programme in South Africa: a cross-sectional study. BMC Public Health. 2012;12:244.

  10. Gaviria AM, Quiceno JM, Vinaccia S, Martínez LA, Otalvaro MC. Estrategias de Afrontamiento y Ansiedad-Depresión en Pacientes Diagnosticados con VIH/sida. Terapia Psicológica. 2009;27:5-13.

  11. Gore-Felton C, Ginzburg K, Chartier M, Gardner W, Agnew-Blais J, McGarvey E, et al. Attachment style and coping in relation to posttraumatic stress disorder symptoms among adults living with HIV/AIDS. J Behav Med. 2013;6:51-60.

  12. Hansen NB, Harrison B, Fambro S, Bodnar S, Heckman TG, Sikkema KJ. The structure of coping among older adults living with HIV/AIDS and depressive symptoms. J Health Psychol. 2013;18:198-211.

  13. Margalho R, Pereira M, Ouakinin S, Canavarro MC. Adherence to HAART, quality of life and psychopathological symptoms among HIV/AIDS infected patients. Acta Med Port. 2011;24:539-48.

  14. Hasanah CI, Zaliha AR, Mahiran M. Factors influencing the quality of life in patients with HIV in Malaysia. Qual Life Res. 2011;20:91-100.

  15. Smith Fawzi MC, Eustache E, Oswald C, Louis E, Surkan PJ, Scanlan F, et al. Psychosocial support intervention for HIV-affected families in Haiti: implications for programs and policies for orphans and vulnerable children. Soc Sci Med. 2012;74:1494-503.

  16. González U. Vida afectiva, personalidad y respuesta inmunológica. En: Psicología y Salud. Cap. 38. La Habana: Editorial Ciencias Médicas; 2000.

  17. Utgés M, Casas M. Los trastornos de la personalidad en adictos a la heroína y la seroconversión al VIH, una asociación relevante. [Tesis]. Facultad de Medicina. Universidad Autónoma de Barcelona; 2005.

  18. Morin SF, Charles KA, Malyon AK. The psychological impact of AIDS on gay men. American Psychologist 1984;39:1288-93.

  19. Nichols SE. Psychiatric aspects of AIDS. Psychosomatics. 1983;24:1083-9.

  20. Kim CR, y Rickman LS. Psychological aspects of the acquired immunodeficiency syndrome: A case report and review of the literature. Military Medicine 1988;153:638-41.

  21. Krikorian R, Kay J, Liang WM. Emotional distress, coping and adjustment in human immunodeficiency virus infection and acquired immune deficiency syndrome. Journal of Nervous and Mental Disease. 1995;183:293-8.

  22. Leserman J, Petitto JM, Golden RN, Gaynes BN, Hongbin PD, Silva SG, et al. Impact of stressful life events, depression, social support, coping,and cortisol on progression to AIDS. American Journal of Psychiatry. 2000;157:1221-8.

  23. Chaudoir SR, Norton WE, Earnshaw VA, Moneyham L, Mugavero MJ, Hiers KM. Coping with HIV stigma: do proactive coping and spiritual peace buffer the effect of stigma on depression? AIDS Behav. 2012;16:2382-91.

  24. Thornton S, Tropo M, Burgess AP. The relationship of psychological variables and diseasse progression among long-term HIV-infected men. International Journal of STD and AIDS. 2000;11:734-8.

  25. Hansen NB, Harrison B, Fambro S, Bodnar S, Heckman TG, Sikkema KJ. The structure of coping among older adults living with HIV/AIDS and depressive symptoms. J Health Psychol. 2013;18:198-211.

  26. Salama C, Morris M, Armistead L, Koenig LJ, Demas P, Ferdon C, et al. Depressive and conduct disorder symptoms in youth living with HIV: the independent and interactive roles of coping and neuropsychological functioning. AIDS Care. 2013;25:160-8.

  27. Eller LS, Corless L, Bunch EH, Kemppainen J, Holzemer W, Nokes K, et al. Selfcare strategies for depressive symptoms in people with HIV disease. Journal Advance Nurses. 2005;51:119-30.

  28. Mukolo A, Wallston KA. The relationship between positive psychological attributes and psychological well-being in persons with HIV/AIDS. AIDS Behav. 2012;16:2374-81.

  29. McIntosh RC, Rosselli M. Stress and coping in women living with HIV: a metaanalytic review. AIDS Behav. 2012;16:2144-59.

  30. Goforth HW, Lowery J, Cutson TM, McMillan ES, Kenedi C, Cohen MA. Impact of bereavement on progression of AIDS and HIV infection: a review. Psychosomatics. 2009;50:433-9.




2020     |     www.medigraphic.com