Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/9175
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dc.contributor.authorEllen, S Ren
dc.contributor.authorJudd, F Ken
dc.contributor.authorMijch, A Men
dc.contributor.authorCockram, Aen
dc.date.accessioned2015-05-15T22:09:56Z
dc.date.available2015-05-15T22:09:56Z
dc.date.issued1999-06-01en
dc.identifier.citationThe Australian and New Zealand Journal of Psychiatry; 33(3): 353-60en
dc.identifier.govdoc10442791en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/9175en
dc.description.abstractThe aim of this study was to identify a cohort of patients with mania secondary to HIV infection, to describe the clinical and radiological features of HIV-related mania, and to describe the treatment outcome of the patients.All patients referred to the HIV consultation-liaison psychiatry service over the 29-month period from January 1993 to June 1995 were screened for the presence of manic symptoms. Diagnosis of mania was made according to DSM-III-R. Cases were defined as secondary mania if there was no clear history of mood disorder, and no family history of mood disorder. Cases were interviewed by the treating psychiatry registrar and psychiatrist to obtain information regarding present and past psychiatric history and family history of psychiatric disorder. The psychiatry registrar and consultant determined treatment.Twenty-three patients with mania were identified; 19 were considered to have secondary mania. The prevalence of secondary mania over the 29 months was 1.2% for HIV-positive patients, and 4.3% for those with AIDS. The clinical characteristics and response to treatment appeared to be similar to mania associated with bipolar affective disorder (primary mania). Neuroradiological abnormalities were common, occurring in 10 of the 19 patients, but did not appear to be clinically relevant. Cognitive impairment developed in five of the 15 patients where follow-up was possible.Mania occurring in advanced HIV disease appears to be more common than expected from epidemiological data regarding bipolar affective disorder. Differentiating secondary from primary mania has implications for the management and prognosis of mania.en
dc.language.isoenen
dc.subject.otherAdulten
dc.subject.otherBehavioral Symptomsen
dc.subject.otherBipolar Disorder.diagnosis.drug therapy.epidemiology.etiologyen
dc.subject.otherBrain.pathologyen
dc.subject.otherCohort Studiesen
dc.subject.otherDiagnosis, Differentialen
dc.subject.otherFemaleen
dc.subject.otherHIV Infections.complications.diagnosis.epidemiologyen
dc.subject.otherHumansen
dc.subject.otherIrritable Mooden
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherPilot Projectsen
dc.subject.otherPrevalenceen
dc.subject.otherPsychotropic Drugs.therapeutic useen
dc.subject.otherRisk Factorsen
dc.subject.otherTreatment Outcomeen
dc.subject.otherVictoria.epidemiologyen
dc.titleSecondary mania in patients with HIV infection.en
dc.typeJournal Articleen
dc.identifier.journaltitleThe Australian and New Zealand Journal of Psychiatryen
dc.identifier.affiliationDepartment of Psychiatry, University of Melbourne, Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australiaen
dc.description.pages353-60en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/10442791en
dc.type.austinJournal Articleen
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.grantfulltextnone-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
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