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Cited by 101HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskMental Health Treatment and Access

Prevalence of psychiatric and substance abuse symptomatology among HIV-infected gay and bisexual men in HIV primary care

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O׳Cleirigh, Conall, Magidson, Jessica F., Skeer, Margie R., Mayer, Kenneth H., Safren, Steven A.·2015·Psychosomatics
DOI 10.1016/j.psym.2014.08.004PMC PMC4339664
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Abstract

Background The presence of psychiatric symptoms in gay/bisexual men managing HIV are under-identified and under-treated and can interfere with optimal HIV disease management. There is a paucity of prevalence reports of these symptoms in this group, identified in the primary HIV care setting. Few studies have compared prevalence rates based on empirically supported screening tools in relation to diagnoses made in primary care. Objective The purpose of this study was to identify the prevalence of psychiatric symptoms and substance abuse in HIV-infected gay/bisexual men and to estimate the proportion of those who had been diagnosed within their primary medical care setting. Method Participants (n =503) were HIV-infected gay/bisexual men screened for participation in a HIV prevention trial and completed psychosocial assessment. Data were also extracted from patients’ electronic medical record. Results Over 47% met diagnostic screen-in criteria for any anxiety disorder of whom approximately one-third were identified in primary care. More than 22% screened in for a depressive mood disorder approximately 50% of whom had been identified. One quarter of the sample had elevated substance abuse symptoms, 19.4% of whom were identified in primary care. Of those with symptoms of alcohol abuse (19.9%) 9.0% of those were identified. Conclusion These results provide some evidence suggesting that mood, anxiety and substance abuse symptomatology are prevalent among HIV-infected gay/bisexual men and are under-identified in primary care Increased mental health and substance use screening integrated into HIV primary care treatment settings may help to identify more gay/bisexual men in need of treatment.

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Drug use increases risk of unprotected sex and HIV infection.

    “Furthermore, drug use increases risk of unprotected sex and HIV infection 308 .”

    From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [308]

    The Introduction (page unavailable) says substance-use issues can interfere with safer sexual practices and increase HIV transmission-risk behavior. It does not directly establish that drug use increases HIV infection risk, and its wording is more qualified than the citing sentence. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • In the authors' pilot study, anxiety and depressive symptom severity scales showed lower symptom severity among participants in QUIT at end-of-treatment and 6-month follow-up.

    “Additionally, anxiety/depressive symptom severity scales showed lower symptom severity among participants in QUIT at EOT and 6MFU,27”

    From Evaluation of an integrated treatment to address smoking cessation and anxiety/depressive symptoms among people living with HIV: Study protocol for a randomized controlled trial (2021) · cites this paper as [27]

    The Methods (Sample and Measures; page unavailable) describe a baseline screening assessment, and the Results (Mood and Anxiety Symptoms; page unavailable) report symptoms at study entry. Searches for QUIT, end-of-treatment, six-month follow-up, and pilot intervention outcomes found no passage reporting the claimed reduction in symptom severity. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

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Authors
O׳Cleirigh, C., Magidson, J. F., Skeer, M. R., Mayer, K. H., & Safren, S. A.
Affiliations
  • Harvard University (US)
  • Tufts Medical Center (US)
  • Beth Israel Deaconess Medical Center (US)
ORCID
Venue
Psychosomatics
Publisher
Elsevier BV
Published
2015-09
Volume
56
Issue
5
Pages
470-478
ISSN
0033-3182 (ISSN-L)
DOI
10.1016/j.psym.2014.08.004
PMC
PMC4339664
OpenAlex
W2058418567
Semantic Scholar
9cc1b2a5a85e78b229a14097f89b5db7b1a6dfa0
Cited by
101
References
50
Citations by year
2026: 4 · 2025: 4 · 2024: 6 · 2023: 8 · 2022: 9 · 2021: 15 · 2020: 5 · 2019: 17 · 2018: 11 · 2017: 8 · 2016: 10 · 2015: 2 · 2014: 1 · 2012: 1
FWCI
4.90
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Health Resources and Services Administration (H97HA01293, 5R01MH068746-05)
  • National Institute of Mental Health (H97HA01293, 5R01MH068746-05)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
HIV infection, gay and bisexual men, psychiatric symptoms, substance abuse, anxiety disorders, depression, alcohol abuse, prevalence, primary care, mental health screening, substance use screening, underdiagnosis
MeSH terms
Adult, Mental Disorders, Bisexuality, Humans, Male, Massachusetts, Primary Health Care, HIV Infections, Prevalence, Homosexuality, Male, Substance-Related Disorders

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