@article {3057,
	title = {Psychiatric context of acute/early HIV infection. The NIMH Multisite Acute HIV Infection Study: IV.},
	journal = {AIDS and behavior},
	volume = {13},
	year = {2009},
	month = {2009 Dec},
	pages = {1061-7},
	abstract = {Acute/early HIV infection is a period of high risk for HIV transmission. Better understanding of behavioral aspects during this period could improve interventions to limit further transmission. Thirty-four participants with acute/early HIV infection from six US cities were assessed with the Mini International Diagnostic Interview, Beck Depression Inventory II, State-Trait Anxiety Inventory, Brief COPE, and an in-depth interview. Most had a pre-HIV history of alcohol or substance use disorder (85\%); a majority (53\%) had a history of major depressive or bipolar disorder. However, post-diagnosis coping was predominantly adaptive, with only mild to moderate elevations of anxious or depressive mood. Respondents described challenges managing HIV in tandem with pre-existing substance abuse problems, depression, and anxiety. Integration into medical and community services was associated with adaptive coping. The psychiatric context of acute/early HIV infection may be a precursor to infection, but not necessarily a barrier to intervention to reduce forward transmission of HIV among persons newly infected.},
	keywords = {Adaptation, Psychological, Adult, Anxiety, Depression, Female, HIV Infections, HIV-1, Humans, Male, Mental Disorders, Middle Aged, Psychiatric Status Rating Scales, Questionnaires, Sexual Behavior, Stress, Psychological, Substance-Related Disorders, United States},
	issn = {1573-3254},
	doi = {10.1007/s10461-009-9532-3},
	author = {Atkinson, J Hampton and Higgins, Jenny A and Vigil, Ofilio and Dubrow, Robert and Remien, Robert H and Steward, Wayne T and Casey, Corinna Young and Sikkema, Kathleen J and Correale, Jackie and Ake, Chris and McCutchan, J Allen and Kerndt, Peter R and Morin, Stephen F and Grant, Igor}
}
