High levels of psychological distress in MSM are independent of HIV status

Abstract

This study assessed psychological distress (PD) in men who have sex with men (MSM) accessing primary health clinics in Australia. Relationships between PD, HIV status and substance use were explored. A cross-sectional convenience sample of 250 MSM completed the Personality Assessment Screener (PAS). One-third (n = 83) scored in the PAS clinically significant range, suggesting significant mental health symptoms. Negative Affect (27 per cent clinically significant), Suicidal Thinking (29 per cent clinically significant) and Amphetamine use significantly positively correlated with PD. There were no significant differences between HIV diagnostic groups on PD. A third of MSM displayed PD. Psychological screening may provide valuable information for improving the psychological well-being of MSM, regardless of their HIV status.

Keywords

HIV/AIDS men who have sex with men psychological distress

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References

Bagley

Tremblay

(1997) Suicide behaviour in homosexual and bisexual males. Crisis 18(1): 24–34.

Bagley

Tremblay

(2000) Elevated rates of suicide behaviour in gay, lesbian and bisexual youth. Crisis 21(3): 111–117.

DeLorenze

Weisner

Tsai

Satre

Quesenberry

(2011) Excess mortality among HIV-infected patients diagnosed with substance use dependence or abuse receiving care in a fully integrated medical care program. Alcoholism: Clinical and Experimental Research 35(2): 203–210.

Department of Human Services (DHS) (2010) HIV/AIDS Monthly Surveillance Report. Melbourne: Communicable Disease Prevention and Control Unit, Health Protection Branch, Department of Health.

Fergusson

Horwood

Beautrais

(1999) Is sexual orientation related to mental health problems and suicidality in young people? Archives of General Psychiatry 56(10): 876–880.

Fryers

Melzer

Jenkins

Brugha

(2005) The distribution of the common mental disorders: Social inequalities in Europe. Clinical Practice and Epidemiology in Mental Health 1(1): 14.

Gibbie

Hay

Hutchison

Mijch

(2007) Depression, social support and adherence to highly active antiretroviral therapy in people living with HIV/AIDS. Sexual Health 4(4): 227–232.

Halkitis

Kutnick

Slater

(2005) The social realities of adherence to protease inhibitor regimens: Substance use, health care and psychological state. Journal of Health Psychology 10(4): 545–558.

Mao

Kidd

Rogers

. (2009) Social factors associated with Major Depressive Disorder in homosexually active, gay men attending general practices in urban Australia. Australian and New Zealand Journal of Public Health 33(1): 83–86.

10.

Mijch

Burgess

Judd

. (2006) Increased health care utilization and increased antiretroviral use in HIV-infected individuals with mental health disorders. HIV Medicine 7(4): 205–212.

11.

Morey

(1997) Personality Assessment Screener Professional Manual. Lutz, FL: Psychological Assessment Resources.

12.

National Health and Medical Research Council (NHMRC) (2001) Australian Alcohol Guidelines: Health Risks and Benefits. Canberra: Commonwealth of Australia.

13.

Remafedi

French

Story

Resnick

Blum

(1998) The relationship between suicide risk and sexual orientation: Results of a population based survey. American Journal of Public Health 88(1): 57–60.

14.

Rogers

Curry

Oddy

Pratt

Beilby

Wilkinson

(2003) Depressive disorders and unprotected casual anal sex among Australian homosexually active men in primary care. HIV Medicine 4(3): 271–275.

15.

Semple

Zians

Grant

Patterson

(2006) Methamphetamine use, impulsivity, and sexual risk behavior among HIV-positive men who have sex with men. Journal of Addictive Diseases 25(4): 105–114.

16.

Sherr

Lampe

Fisher

. (2008) Suicidal ideation in UK HIV clinic attenders. AIDS 22(13): 1651–1658.

17.

SPSS (2008) SPSS for Windows (Version 17). Chicago, IL: SPSS.

18.

Stall

Mills

Williamson

. (2003) Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. American Journal of Public Health 93(6): 939–942.