Psychological trauma exposure and co-morbid psychopathologies in HIV+men and women

Manhattan HIV Brain Bank

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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.

Original languageEnglish
Pages (from-to)770-776
Number of pages7
JournalPsychiatry Research
Volume230
Issue number3
DOIs
StatePublished - 16 Oct 2014

Keywords

  • Antisocial personality
  • Borderline personality
  • Depression
  • HIV
  • Panic disorder
  • Posttraumatic stress disorder
  • Suicide

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