Investigating the impact of HIV on patients with first episode psychosis: a study protocol for a longitudinal cohort study.

Journal: BMJ open

Volume: 11

Issue: 5

Year of Publication: 2021

Affiliated Institutions:  Department of Psychiatry, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa uchhagan@hotmail.com. Department of Psychiatry, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa. KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa. Department of Behavioural Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

Abstract summary 

South Africa (SA) has a high HIV prevalence and limited mental healthcare resources. Neuropsychiatric complications such as psychosis onset in people living with HIV (PLWHIV) remains poorly understood. The study aims to compare the socio-demographic, clinical, substance use, cognitive and trauma profile of PLWHIV presenting with first episode psychosis (FEP) to those with the condition but without HIV.This study will compare presentation, course, and outcome of a cohort of PLWHIV and FEP with a control group recruited over a 3-year period. We will prospectively test the hypothesis that the 2 groups are socio-demographically, clinically and cognitively distinct at illness presentation, with higher trauma burden and poorer outcomes in those with the dual burden of HIV and FEP. FEP participants, confirmed by a structured neuropsychiatric interview, will have their socio-demographic, psychosis, mood, motor, trauma and substance use variables assessed. A neuropsychological battery will be completed to assess cognition, while quality of life, psychotic symptoms and HIV markers will be measured at 3, 6 and 12 months.The study protocol has been reviewed and ethics approval obtained from the Biomedical Research Ethics Committee (BC 571/18) of the University of KwaZulu-Natal. The results from this investigation will be actively disseminated through peer-reviewed journal publications and conference presentations.

Authors & Co-authors:  Chhagan Usha U Ntlantsana Vuyokazi V Tomita Andrew A Naidu Thirusha T Chiliza Bonginkosi B Paruk Saeeda S

Study Outcome 

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Citations :  Subedi S, Chalise P, Aich TK, et al. . Psychiatric co-morbidity in HIV/AIDS: a neglected issue. J Psychiat Assoc Nepal 2013;2:6–10. 10.3126/jpan.v2i2.9718
Authors :  6
Identifiers
Doi : e046593
SSN : 2044-6055
Study Population
Male,Female
Mesh Terms
Cohort Studies
Other Terms
HIV & AIDS;mental health;schizophrenia & psychotic disorders
Study Design
Cohort Study,Case Control Trial,Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
England