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Anxiety Syndromes and Symptoms Among Men With AIDS

A Longitudinal Controlled Study

Received May 18, 1999; revised November 9, 1999; accepted November 18, 1999. From the Department of Psychiatry, Mount Sinai School of Medicine, New York; the Department of Psychology, University of Missouri, Kansas City, Kansas City, MO; and the Department of Psychiatry, Weill Medical College of Cornell University, New York. Address reprint requests to Dr. Sewell, Mount Sinai School of Medicine–Dept. of Psychiatry, Box 1228, New York, NY 10029.

This 2-year longitudinal study assessed prevalence of Axis I anxiety disorders and anxiety symptoms and their relationship to manifestations of HIV illness in a sample of nonintravenous drug users. The sample included 173 homosexual men with HIV or AIDS (HIV⁺/AIDS) and 84 homosexual men negative for HIV or AIDS (HIV^-). Data were compared with national prevalence rates to provide a framework for interpretation. No significant differences were observed. However, compared with the general population, both HIV⁺/AIDS and HIV^- men reported more anxiety symptoms and stress. For the HIV⁺/AIDS group there was a positive relationship between anxiety and HIV symptoms, fatigue, and physical limitations. No changes in rates or levels of anxiety were observed in those whose immunologic markers improved or worsened over the 2 years.

Key Words: Anxiety Disorders (General)

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