Factors associated with current and severe pain among people living with HIV: results from a statewide sample

Abstract Background People living with HIV (PLWH) are more likely to suffer from pain compared to the general public. Pain often clusters with mental health symptoms and substance use. This study sought to evaluate mental health and substance use factors associated with and pain and severe pain intensities among PLWH. Methods Data were derived from HIV+ adults (N=733) recruited from community health centers across Florida who completed questionnaires regarding demographics, chronic pain, HIV clinical outcomes, mental health symptoms, and substance use information. Pain was assessed using the Brief Pain Inventory (BPI) short form. Multivariate logistic regression analysis was utilized to assess the relationship between selected covariates and pain. Results Approximately half (45.0%) of participants reported having current pain. After controlling for covariates, PLWH reporting current symptoms of anxiety or PTSD were 2.49 (CI=1.48, 4.18) and 1.69 (CI= 1.11, 2.57) times as likely to report pain compared to PLWH without those factors respectively. PLWH reporting current symptoms of anxiety and male participants were 2.03 (CI= 1.03, 4.01) and 2.02 (CI= 1.26, 3.24) times as likely to report severe pain compared to PLWH without those factors respectively. Conclusion The relationship between pain and mental health is complex, thus future research is needed to determine if pain treatments may reduce mental health symptoms or if treatments can be targeted to address both issues simultaneously

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Factors Associated with Current and Severe Pain Among People Living with HIV: Results From a Statewide Sample

10.21203/rs.2.22132/v2 ◽

2020 ◽

Author(s):

Verlin Joseph ◽

Abenaa Jones ◽

Shantrel Canidate ◽

Zachary Mannes ◽

Huiyin Lu ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Severe Pain ◽

Short Form ◽

People Living With Hiv ◽

Mental Health Symptoms ◽

Health Symptoms ◽

Factors Associated ◽

Living With Hiv ◽

The Relationship

Abstract Background: People living with HIV (PLHIV) are more likely to suffer from pain compared to the general public. Pain often clusters with mental health symptoms and substance use. This study sought to evaluate mental health and substance use factors associated with any pain and severe pain intensities among PLHIV. Methods: Data were derived from HIV+ adults (N=733) recruited from community health centers across Florida who completed questionnaires regarding demographics, chronic pain, HIV clinical outcomes, mental health symptoms, and substance use information. Pain was assessed using the Brief Pain Inventory (BPI) short form. Multivariate logistic regression analysis was utilized to assess the relationship between selected covariates and pain. Results: Approximately half (45.0%) of participants reported having any current pain while 16.1% reported severe pain. The odds of having any current pain were 2.49 (CI 95% 1.48, 4.18, p<0.01) times greater among PLHIV reporting anxiety and 1.69 (CI 95% 1.11, 2.57, p=0.01) times greater among PLHIV reporting PTSD compared to those without those factors. The odds of having severe pain were 2.03 (CI 95% 1.03, 4.01, p=0.04) times greater among PLHIV reporting anxiety and 2.02 (CI 95% 1.26, 3.24, p<0.01) times greater among female participants compared to PLHIV without those factors respectively. Factors including depression, alcohol consumption, and marijuana use were not statistically associated with any current pain nor with severe pain.Conclusion: The relationship between pain and mental health is complex. Thus, future research is needed to determine if pain treatments may reduce mental health symptoms or if treatments can be targeted to address both issues simultaneously.

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Factors Associated with Current and Severe Pain Among People Living with HIV: Results From a Statewide Sample

10.21203/rs.2.22132/v3 ◽

2020 ◽

Author(s):

Verlin Joseph ◽

Abenaa Jones ◽

Shantrel Canidate ◽

Zachary Mannes ◽

Huiyin Lu ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Severe Pain ◽

Short Form ◽

People Living With Hiv ◽

Mental Health Symptoms ◽

Health Symptoms ◽

Factors Associated ◽

Living With Hiv ◽

The Relationship

Abstract Background: People living with HIV (PLHIV) are more likely to suffer from pain compared to the general public. Pain often clusters with mental health symptoms and substance use. This study sought to evaluate mental health and substance use factors associated with any pain and severe pain intensities among PLHIV. Methods: Data were derived from HIV+ adults (N=733) recruited from community health centers across Florida who completed questionnaires regarding demographics, chronic pain, HIV clinical outcomes, mental health symptoms, and substance use information. Pain was assessed using the Brief Pain Inventory (BPI) short form. Multivariate logistic regression analysis was utilized to assess the relationship between selected covariates and pain. Results: Approximately half (45.0%) of participants reported having any current pain while 16.1% reported severe pain. The odds of having any current pain were 2.49 (CI 95% 1.48, 4.18, p<0.01) times greater among PLHIV reporting anxiety and 1.69 (CI 95% 1.11, 2.57, p=0.01) times greater among PLHIV reporting PTSD compared to those without those factors. The odds of having severe pain were 2.03 (CI 95% 1.03, 4.01, p=0.04) times greater among PLHIV reporting anxiety and 2.02 (CI 95% 1.26, 3.24, p<0.01) times greater among female participants compared to PLHIV without those factors respectively. Factors including depression, alcohol consumption, and marijuana use were not statistically associated with any current pain nor with severe pain.Conclusion: The relationship between pain and mental health is complex. Thus, future research is needed to determine if pain treatments may reduce mental health symptoms or if treatments can be targeted to address both issues simultaneously.

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Factors associated with mental health symptoms in women living with HIV in Southern India: An exploratory study

International Journal of Psychology and Counselling ◽

10.5897/ijpc2015.0310 ◽

2015 ◽

Vol 7 (5) ◽

pp. 84-93

Author(s):

Sauer Kendall ◽

Welton Mitchell Courtney ◽

Anderson Sara ◽

M Samuel N

Keyword(s):

Mental Health ◽

Exploratory Study ◽

Southern India ◽

Mental Health Symptoms ◽

Health Symptoms ◽

Factors Associated ◽

Women Living With Hiv ◽

Living With Hiv

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Camouflaging in non-autistic adults is associated with poorer mental health

10.31234/osf.io/myp4g ◽

2019 ◽

Author(s):

Mark Somerville ◽

Sarah E. MacPherson ◽

Sue Fletcher-Watson

Keyword(s):

Mental Health ◽

Executive Function ◽

Autistic Traits ◽

Self Report ◽

Linear Regression Models ◽

Mental Health Symptoms ◽

Health Symptoms ◽

Autistic People ◽

Autistic Adults ◽

The Relationship

Camouflaging is a frequently reported behaviour in autistic people, which entails the use of strategies to compensate for and mask autistic traits in social situations. Camouflaging is associated with poor mental health in autistic people. This study examined the manifestation of camouflaging in a non-autistic sample, examining the relationship between autistic traits, camouflaging, and mental health. In addition, the role of executive functions as a mechanism underpinning camouflaging was explored. Sixty-three non-autistic adults completed standardised self-report questionnaires which measured: autistic traits, mental health symptoms, and camouflaging behaviours. In addition, a subset (n=51) completed three tests of executive function measuring inhibition, working memory, and set-shifting. Multiple linear regression models were used to analyse data. Results indicated that autistic traits are not associated with mental health symptoms when controlling for camouflaging, and camouflaging predicted increased mental health symptoms. Camouflaging did not correlate with any measure of executive function. These findings have implications for understanding the relationship between autistic traits and mental health in non-autistic people and add to the growing development of theory and knowledge about the mechanism and effects of camouflaging.

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A learning algorithm for predicting mental health symptoms and substance use

Journal of Psychiatric Research ◽

10.1016/j.jpsychires.2020.12.049 ◽

2021 ◽

Vol 134 ◽

pp. 22-29

Author(s):

Anthony T. Fojo ◽

Catherine R. Lesko ◽

Kelly S. Benke ◽

Geetanjali Chander ◽

Bryan Lau ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Learning Algorithm ◽

Mental Health Symptoms ◽

Health Symptoms

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The Mediating Role of Early Maladaptive Schemas in the Relationship Between Attachment and Mental Health Symptoms of University Students

Journal of Adult Development ◽

10.1007/s10804-020-09352-2 ◽

2020 ◽

Author(s):

Yunus Kaya ◽

Adeviye Aydin

Keyword(s):

Mental Health ◽

University Students ◽

Early Maladaptive Schemas ◽

Maladaptive Schemas ◽

Mental Health Symptoms ◽

Health Symptoms ◽

Mediating Role ◽

The Relationship

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The role of mental health on the relationship between food insecurity and immunologic outcome among people living with HIV in Guangxi, China

Health Psychology and Behavioral Medicine ◽

10.1080/21642850.2020.1854762 ◽

2020 ◽

Vol 8 (1) ◽

pp. 636-648

Author(s):

Cheng Chen ◽

Xueying Yang ◽

Chengbo Zeng ◽

Xiaoming Li ◽

Shan Qiao ◽

...

Keyword(s):

Mental Health ◽

Food Insecurity ◽

People Living With Hiv ◽

Living With Hiv ◽

The Relationship

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1318. Examining Multimorbidity as a Moderating Effect on the Relationship Between Substance Use and Viral Suppression Among People Living with HIV

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz360.1181 ◽

2019 ◽

Vol 6 (Supplement_2) ◽

pp. S476-S476

Author(s):

Timothy N Crawford ◽

Alice Thornton

Keyword(s):

Substance Use ◽

Viral Load ◽

Chronic Conditions ◽

Viral Suppression ◽

Moderating Effect ◽

Multiple Chronic Conditions ◽

People Living With Hiv ◽

Substance Users ◽

Living With Hiv ◽

The Relationship

Abstract Background Substance use and multimorbidity (≥2 chronic conditions) are highly prevalent among people living with HIV (PLWH). However, their impact on achieving viral suppression are not well understood. The purpose of this study was to examine the relationship between substance use and viral suppression and the potential moderating effect of multimorbidity. Methods A retrospective cohort study was conducted at an academic Ryan White Funded clinic in central Kentucky. Individuals were included if they were diagnosed with HIV, seeking care between 2010 and 2014, had at least one year of follow-up, and did not have a chronic condition at the time they entered care. The primary independent variable was substance use which included alcohol, nicotine use, and/or illicit drug use; the moderating variable was multimorbidity (0, 1, ≥2 chronic conditions); and outcome was viral suppression (≤50 copies/mL). A logistic regression model was developed to examine the interaction between substance use and multimorbidity on achieving viral load suppression. The model controlled for medication adherence, insurance status, age, and CD4+ cell counts. Results A total of 941 individuals were included in the study, with an average age of 43.9 ± 11.7 years. Approximately 67.0% reported substance use; 54% had ≥2 chronic conditions diagnosed. The three most prevalent conditions diagnosed were hypertension (34.6%), mental health (33.9%), and diabetes (21.5%) Approximately 61.0% of substance users had ≥2 conditions. Those with viral suppression were less likely to be substance users, but were more likely to have ≥2 conditions compared with their counterparts. There was a significant interaction between substance use and multimorbidity (P = 0.037). Stratified by multimorbidity, substance use was associated with unsuppressed viral loads; among those with ≥2 chronic conditions substance users had lower odds of achieving viral suppression compared with nonusers (OR=0.24; 95% CI=0.10–0.55). Conclusion Substance use may impede the opportunity for PLWH to achieve viral suppression, increasing their risk of transmission and progression of disease. More research is needed to understand the role substance use plays in impacting viral load, specifically among those with multiple chronic conditions. Disclosures All authors: No reported disclosures.

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