PubMed Health⌕ Search

Biomedical subjects

C Hutelmyer

Publications and source records attributed to C Hutelmyer.

7 recordsLinked to original sources
PubMed1995

Relationship between psychiatric disease and neuropsychological impairment in HIV seropositive individuals.

Neuropsychological impairment and DSM-III-R Axis I psychiatric diagnoses were evaluated in a heterogenous group of HIV seropositive individuals and seronegative individuals with similar risk factors for HIV infection. Neuropsychological and psychiatric disorders were common in the HIV seropositive group, but there were no relationships between these two aspects of neuropsychiatric dysfunction in seropositive patients. Results indicate that psychiatric disorders in HIV seropositive individuals tend to predate infection and decrease over time following knowledge of seroconversion, suggesting that they are primarily a function of psychosocial factors. Neuropsychological disorders are specific to HIV seropositive patients and tend to increase over time following seroconversion, suggesting that they are due to neurological effects of HIV-infection.

AIDS Dementia Complex↗
PubMed1995

Patient satisfaction with outpatient human immunodeficiency virus care as delivered by nurse practitioners and physicians.

Primary care of patients infected with human immunodeficiency virus (HIV) presents major challenges for the nurse practitioner. HIV disease is a chronic illness requiring frequent visits to the primary care provider and a treatment regimen that is complex and often poses difficulty in patient adherence. A patient satisfaction survey designed to include aspects of care specific to HIV was given to HIV-positive individuals presenting for care at an urban medical teaching clinic. Fifty-two patients with HIV/acquired immunodeficiency syndrome completed the patient satisfaction survey between February and May 1994. Overall satisfaction with patient care was high. When nurse practitioners were compared with physician providers, however, nurse practitioners fared more favorably in the areas relating to clinic waiting time, provider knowledge about the disease, continuity of care, and patient education.

HIV Seropositivity↗
PubMedDate not supplied

Human immunodeficiency virus (HIV) infection and quality of life: the potential impact of Axis I psychiatric disorders in a sample of 95 HIV seropositive men.

OBJECTIVE: The purpose of this study is to assess whether Axis I psychiatric disorders exert effects on function and well-being independent of human immunodeficiency virus (HIV)-related disease progression. METHODS: A convenience sample of 95 HIV seropositive individuals completed the Medical Outcomes Study Short Form Health Survey (SF-20). The Standardized Clinical Interview for DSM-III-R (SCID-NP-HIV) was used to screen subjects for Axis I psychiatric disorders in the previous 6 months. HIV-related disease severity was defined for each subject using the 1993 revised Centers for Disease Control (CDC) Classification System. RESULTS: Thirty-seven (39%) subjects had asymptomatic HIV disease and 58 (61%) had symptomatic disease. Thirty-three (35%) subjects had Axis I disorders in the previous 6 months. After controlling for HIV-related disease severity, psychiatric disorders were independently associated with substantive decrements in the mental health and health perceptions dimension scores (beta-coefficients were approximately -18.0 for both dimensions; p < or = 0.01). Axis I disorders were also associated with decrements in the social functioning dimension at a p value that approached significance (p = 0.04). CONCLUSIONS: In HIV seropositive individuals, the presence of an Axis I psychiatric disorder in the previous 6 months is associated with diminished scores in multiple areas of functioning and well-being, independent of HIV-related disease progression. Axis I disorders, therefore, appear to impact quality of life. These findings, in part, suggest that the SF-20 (the mental health subscale, in particular) may have utility as a screening tool for the presence of a recent Axis I diagnosis.

Adaptation, Psychological↗