Title: Neuropsychiatric Manifestation in HIV/ AIDS

Authors: Dr Satish Rasaily, Prof R.K Lenin, Prof Bhagyabati Devi

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i5.197

Abstract

Aim: To study the neuropsychiatric manifestations in patients with HIV / AIDS.

Design: Cross – sectional study

Methods: 50 male & female HIV positive / AIDS patients in the age range of 18-60yrs of age without any past psychiatric / organic brain disorder/ current alcohol & substance dependence were assessed using semi-structured socio-demographic Performa, Mini international neuropsychiatric interview (MINI PLUS) and Mini mental status examination (MMSE) to diagnose psychiatric disorders and cognitive impairment at Department of medicine, RIMS hospital, Imphal between 2009-2010.

Results: Participants were mostly above 35yrs old (74%), male (70%), Hindu (72%), married (88%), above matriculate (68%), employed (68%) residing in urban area (72%) who acquired HIV infection through sexually (66%) and IVDU (34%). Diagnosis represented in the sample were the MDD 38% (P=0.000), GAD 34 %( P=0.002), Social phobia 34 %( P=0.002), Panic disorder (12%). PTSD (10%), Melancholia (10%), Dysthymia (8%), Psychosis (3%) & Agoraphobia (2%).  Suicidal intent was expressed by 26%.

Conclusion: This study suggest that the rates of psychiatric manifestation in HIV positive/ AIDS patients are significantly higher than the general population which emphasizes the need to recognize the psychiatric morbidity among people living with HIV / AIDS. 

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Corresponding Author

Dr Satish Rasaily

MD Psychiatry cum Post-doctoral fellowship in Addiction Medicine

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