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Psychopathological Dimensions in Substance Abusers with and without HIV/AIDS and Healthy Matched Group

BACKGROUND: Inattention to symptoms of mental disorders and substance abuse in patients with HIV/AIDS and other at-risk groups, may lead to irreversible damages. The purpose of this study was to compare the psychopathological dimensions in substance abusers with and without HIV/AIDS and healthy matc...

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Autores principales: Rezaei, Sajjad, Taramian, Sonbol, Kafie, Seyed Mousa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kerman University of Medical Sciences 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905475/
https://www.ncbi.nlm.nih.gov/pubmed/24494168
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author Rezaei, Sajjad
Taramian, Sonbol
Kafie, Seyed Mousa
author_facet Rezaei, Sajjad
Taramian, Sonbol
Kafie, Seyed Mousa
author_sort Rezaei, Sajjad
collection PubMed
description BACKGROUND: Inattention to symptoms of mental disorders and substance abuse in patients with HIV/AIDS and other at-risk groups, may lead to irreversible damages. The purpose of this study was to compare the psychopathological dimensions in substance abusers with and without HIV/AIDS and healthy matched groups. METHODS: In a cross-sectional and analytical study, selected samples (by available, consecutive, and objective methods) were 43 HIV-positive substance abusers, 49 HIV negative substance abusers under methadone maintenance therapy (MMT) in the counseling clinic of Behavioral Diseases and Addiction Abandonment, and 45 ordinary individuals. All of them were evaluated by matched confounding variables via Symptom Checklist-90-Revised (SCL-90-R). FINDINGS: Results indicated a significant difference between these groups in the Global Severity Index (GSI), Positive Symptom Distress Index (PSDI), and Positive Symptom Total (PST) (P < 0.001). Two by two the comparison of the three groups from psychopathological dimensions revealed that substance abusers with HIV/AIDS persistently suffer more mental problems in all dimensions compared with healthy individuals (P < 0.05). In addition, in comparison with HIV negative substance abusers, they also suffer more mental problems in other dimensions, including somatization, interpersonal sensitivity, depression, anxiety, phobia, and psychoticism (P < 0.05). Yet, the difference in paranoid ideation, hostility, and obsessive-compulsive cases was insignificant. Two by two, the comparison between healthy individuals and substance abusers without HIV/AIDS showed higher levels of depression and psychoticism in substance abusers (P < 0.05), but no difference in other dimensions. CONCLUSION: Comorbidity of substance abuse and HIV diagnosis intensify mental disorder symptoms. Moreover, lack of prevention and implementation of appropriate psychological and psychiatric interventions after substance abuse and HIV lead to extended establishment of mental disorder symptoms.
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spelling pubmed-39054752014-02-03 Psychopathological Dimensions in Substance Abusers with and without HIV/AIDS and Healthy Matched Group Rezaei, Sajjad Taramian, Sonbol Kafie, Seyed Mousa Addict Health Original Article BACKGROUND: Inattention to symptoms of mental disorders and substance abuse in patients with HIV/AIDS and other at-risk groups, may lead to irreversible damages. The purpose of this study was to compare the psychopathological dimensions in substance abusers with and without HIV/AIDS and healthy matched groups. METHODS: In a cross-sectional and analytical study, selected samples (by available, consecutive, and objective methods) were 43 HIV-positive substance abusers, 49 HIV negative substance abusers under methadone maintenance therapy (MMT) in the counseling clinic of Behavioral Diseases and Addiction Abandonment, and 45 ordinary individuals. All of them were evaluated by matched confounding variables via Symptom Checklist-90-Revised (SCL-90-R). FINDINGS: Results indicated a significant difference between these groups in the Global Severity Index (GSI), Positive Symptom Distress Index (PSDI), and Positive Symptom Total (PST) (P < 0.001). Two by two the comparison of the three groups from psychopathological dimensions revealed that substance abusers with HIV/AIDS persistently suffer more mental problems in all dimensions compared with healthy individuals (P < 0.05). In addition, in comparison with HIV negative substance abusers, they also suffer more mental problems in other dimensions, including somatization, interpersonal sensitivity, depression, anxiety, phobia, and psychoticism (P < 0.05). Yet, the difference in paranoid ideation, hostility, and obsessive-compulsive cases was insignificant. Two by two, the comparison between healthy individuals and substance abusers without HIV/AIDS showed higher levels of depression and psychoticism in substance abusers (P < 0.05), but no difference in other dimensions. CONCLUSION: Comorbidity of substance abuse and HIV diagnosis intensify mental disorder symptoms. Moreover, lack of prevention and implementation of appropriate psychological and psychiatric interventions after substance abuse and HIV lead to extended establishment of mental disorder symptoms. Kerman University of Medical Sciences 2013 /pmc/articles/PMC3905475/ /pubmed/24494168 Text en © 2013 Kerman University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Rezaei, Sajjad
Taramian, Sonbol
Kafie, Seyed Mousa
Psychopathological Dimensions in Substance Abusers with and without HIV/AIDS and Healthy Matched Group
title Psychopathological Dimensions in Substance Abusers with and without HIV/AIDS and Healthy Matched Group
title_full Psychopathological Dimensions in Substance Abusers with and without HIV/AIDS and Healthy Matched Group
title_fullStr Psychopathological Dimensions in Substance Abusers with and without HIV/AIDS and Healthy Matched Group
title_full_unstemmed Psychopathological Dimensions in Substance Abusers with and without HIV/AIDS and Healthy Matched Group
title_short Psychopathological Dimensions in Substance Abusers with and without HIV/AIDS and Healthy Matched Group
title_sort psychopathological dimensions in substance abusers with and without hiv/aids and healthy matched group
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905475/
https://www.ncbi.nlm.nih.gov/pubmed/24494168
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