RT Book, Section
A1 Capaldini, Lisa
A1 Feldman, Mitchell D.
A2 Feldman, Mitchell D.
A2 Christensen, John F.
A2 Satterfield, Jason M.
SR Print(0)
ID 1102939604
T1 HIV/AIDS
T2 Behavioral Medicine: A Guide for Clinical Practice, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 9780071767705
LK accessmedicine.mhmedical.com/content.aspx?aid=1102939604
RD 2024/04/19
AB Infection  with  the  human  immunodeficiency  virus  (HIV)  is  associated  with  a  range  of  psychosocial  and  neuropsychiatric  complications.  While  HIV/AIDS  has  become  a  manageable  chronic  disease  for  many  patients,  living  with  HIV/AIDS  continues  to  be  a  practical  and  psychospiritual  challenge.  Persons  at  highest  risk  for  HIV/AIDS  (we  use  the  term  HIV/acquired  immunodeficiency  syndrome  [AIDS]  to  designate  the  entire  spectrum  of  clinical  manifestations  of  HIV  disease,  from  asymptomatic  infection  through  advanced  AIDS)  are  disproportionately  likely  to  suffer  behavioral  and  mood  disorders  and  to  be  socially  disenfranchised  and  economically  disadvantaged.  Once  infected,  they  must  contend  with  a  still  stigmatized,  and  if  untreated,  a  progressive  medical  condition.  In  addition,  many  people  with  HIV  have  other  significant  comorbidities,  such  as  chronic  hepatitis,  psychiatric  problems,  and/or  substance  use,  which  may  make  adhering  to  HIV  treatment  more  difficult.  Although  patients  with  HIV/AIDS  can  present  with  life-threatening  neuropsychiatric  sequalae  of  HIV  (central  nervous  system  [CNS],  opportunistic  infections,  HIV  dementia),  most  patients’  behavioral  concerns  are  focused  on  maintaining  medication  adherence,  maximizing  quality  of  life,  and  managing  lifestyle  issues.