POZ - March 2010: Peace of Mind

POZ - Health, Life and HIV
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March 2010: Peace of Mind

Being diagnosed with HIV means you have to become more mindful of the health and well-being of both your mind and body. HIV/AIDS can lead to mental and emotional issues such as depression, anxiety and bipolar disorder that can complicate or undermine your treatment. POZ wants to know about your experiences with mental illness and HIV. Remember, all of your responses will be kept strictly confidential.
 
1. What year were you diagnosed with HIV?
 
2. Have you experienced any negative emotions as a result of your HIV-positive diagnosis?
Yes
No
 
3. If so, what negative emotions have you experienced? (Check all that apply.)
Anger
Anxiety
Depression
Fear
Sadness
Shame
 
4. Did you have a history of mental illness before you became aware of your HIV status?
Yes
No
 
5. If so, what was your mental illness diagnosis?
Anxiety disorder
Bipolar disorder
Depression
Panic Disorder
Other: 
 
6. Have you been diagnosed with mental illness since your HIV diagnosis?
Yes
No
 
7. Are you currently receiving treatment for your mental illness?
Yes
No
 
8. What type of treatment have you received?
Counseling
Prescription medication
Nonprescription medication
 
9. Has your mental illness ever stopped you from seeking help and support for HIV/AIDS?
Yes
No
 
10. Has your mental illness interfered with your HIV care and treatment?
Yes
No
 
11. Has your mental illness caused you to miss and/or forget to take your HIV medication?
Yes
No
 
12. Has your mental illness caused you to deny your HIV-positive status to any of the following? (Check all that apply.)
Friends, family and coworkers
Sexual partners
Your doctor
Yourself
 
13. Does your mental illness interfere with your ability to practice safer sex?
Yes
No
 
14. Has your HIV/AIDS doctor recommended the help of a mental health expert?
Yes
No
 
15. If so, did you find the mental health expert helpful?
Yes
No
 
16. What is your zip code?
 
17. What is your sexual orientation?
Straight
Bisexual
Gay/lesbian
Other
 
18. What is your gender?
Male
Transgender
Female
Other
 
19. What is your annual household income?
Less than $15,000
$15,000-$34,999
$35,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000 or greater



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