Psychiatric and substance use disorders comorbidities in veterans with hepatitis C virus and HIV coinfection

Bret E. Fuller, Jennifer Loftis, Veronica L. Rodriguez, Matthew J. McQuesten, Peter Hauser

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: A growing number of veterans in theVeterans Health Administration are coinfected with HIV and hepatitis C virus. This review covers timely research relative to comorbid conditions that are common in this population including psychiatric diagnoses, substance use disorders and neurocognitive problems. RECENT FINDINGS: Current literature on the psychiatric, substance use disorders and cognitive problems of the coinfected population show that not only are rates of morbidity higher in the coinfected population but that this affects antiviral treatments as well. There is new evidence that brain injuries and infiltration of the virus into the central nervous system may be responsible for cognitive dysfunction. Cotesting, particularly in hepatitis C infected individuals, is not done routinely despite shared risk factors. SUMMARY: With this understanding of the comorbidities of the coinfected population, integrated healthcare models involving mental health, internal medicine, substance abuse treatment and internal medicine are crucial to work with these medically and psychologically complex patients.

Original languageEnglish (US)
Pages (from-to)401-408
Number of pages8
JournalCurrent Opinion in Psychiatry
Volume22
Issue number4
DOIs
StatePublished - Jul 2009

Fingerprint

Veterans
Coinfection
Hepacivirus
Substance-Related Disorders
Psychiatry
Comorbidity
HIV
Internal Medicine
Population
Hepatitis C
Mental Disorders
Brain Injuries
Antiviral Agents
Mental Health
Central Nervous System
Viruses
Morbidity
Delivery of Health Care
Health
Therapeutics

Keywords

  • Coinfection
  • Hepatitis C virus
  • HIV

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Psychiatric and substance use disorders comorbidities in veterans with hepatitis C virus and HIV coinfection. / Fuller, Bret E.; Loftis, Jennifer; Rodriguez, Veronica L.; McQuesten, Matthew J.; Hauser, Peter.

In: Current Opinion in Psychiatry, Vol. 22, No. 4, 07.2009, p. 401-408.

Research output: Contribution to journalArticle

Fuller, Bret E. ; Loftis, Jennifer ; Rodriguez, Veronica L. ; McQuesten, Matthew J. ; Hauser, Peter. / Psychiatric and substance use disorders comorbidities in veterans with hepatitis C virus and HIV coinfection. In: Current Opinion in Psychiatry. 2009 ; Vol. 22, No. 4. pp. 401-408.
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