Psychological functioning in a cohort of gay men at risk for AIDS. A three-year descriptive study

Jill G Joseph, S. M. Caumartin, M. Tal, J. P. Kirscht, R. C. Kessler, D. G. Ostrow, C. B. Wortman

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59 Scopus citations

Abstract

This study describes the mental health of a large cohort of gay men participating in the Chicago Multicenter AIDS Cohort Study/Coping and Change Study. Six biannual questionnaires were self-administered between 1984 and 1988. General mental health was determined by the Hopkins Symptom Checklist (HSCL). An abbreviated version of the Center for Epidemiologic Study Depression Scale (CESD-5) and an adapted Diagnostic Interview Schedule (DIS) question also measured depression. Suicidal ideation was assessed by one question in the HSCL. AIDS-specific distress was determined by three subscales specifically developed for this study. While mean HSCL and CESD-5 scores were stable during the observational period, AIDS-specific distress increased over time. The HSCL scores for the cohort were somewhat elevated above general population norms but considerably below psychiatric outpatient norms. Fewer than 12% of the men reported elevated HSCL or CESD-5 scores three or more times. A self-reported episode of depression of two weeks or more, measured by the DIS screening question, was experienced by 40.1% of the sample. Suicidal ideation was reported on three or more visits by 18.8% of the men. The younger members of this cohort exhibit greater general and AIDS-specific distress. Income was inversely associated with general distress. HIV-seropositive participants had generally higher AIDS-specific distress scores than those who were seronegative, but their scores were equivalent on the HSCL and CESD-5.

Original languageEnglish (US)
Pages (from-to)607-615
Number of pages9
JournalJournal of Nervous and Mental Disease
Volume178
Issue number10
StatePublished - 1990
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health

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    Joseph, J. G., Caumartin, S. M., Tal, M., Kirscht, J. P., Kessler, R. C., Ostrow, D. G., & Wortman, C. B. (1990). Psychological functioning in a cohort of gay men at risk for AIDS. A three-year descriptive study. Journal of Nervous and Mental Disease, 178(10), 607-615.