Jose Catalan
Biographic Data
| ID | 379127 |
|---|---|
| NAME | Jose Catalan |
| GIVEN NAMES | Jose |
| FAMILY NAME | Catalan |
| SIGNATURE | CATALAN J |
| AFFILIATIONS | Charing Cross Hospital |
| ORCID | 0000-0002-3608-1039 |
| VERIFIED | Yes |
| TOTAL WORKS | 45 |
| TOTAL CITATIONS | 57 |
| AUTHOR COUNT | 45 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1975 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 3 |
Changing and unfinished narratives of the mental health impact of HIV in the UK
The mental health impacts of HIV have evolved significantly over the last four decades, in parallel with changes in the virus's overall health consequences. This study charts transformation in narratives about mental health problems associated with HIV over the course of the epidemic, as outlined by people with HIV (40%), professional carers (45%) and activists (25%) in the UK. In particular, our study examines evolving mental health impacts and …
The power for action – now
The interactive dimensions of encounters in HIV care
INTRODUCTION: A person-centred model of care, developed in the early days of the HIV epidemic when there were no effective treatments for HIV, led to relatively close relationships between carers and people living with HIV (PLWH). Our study examines the experiences of carers using a relational framework, exploring the traumas and challenges involved, coping practices instigated by carers and the emergence of 'relational traumatic growth' opportun…
How older people living with HIV narrate their quality of life
This article draws on life-history interviews with older (aged 50+) people living with HIV in England to uncover the interpretive practices in which they engaged as they evaluated their own quality of life (QoL). Our paper highlights the distinctive insights that biographical and narrative approaches can bring to QoL research. While accounts of subjectively 'poor' QoL were relatively straightforward and unequivocally phrased, accounts of subjecti…
HIV-related stigma in the UK then and now
The nature of stigma against those with HIV has evolved. The intersection of PLWH and minority groups (e.g. MSM and African and Afro-Caribbean persons) may enhance anticipatory and internalised stigma, with some suggestion that this may contribute to reduced engagement in HIV care and prevention services. Our findings indicate the need for further research in this area, as well as proactive interventions with community groups to enhance knowledge…
Aidsimpact 2019 special issue – Promises to keep and miles to go
The Changing Narratives of Death, Dying, and HIV in the United Kingdom
Death and infection were closely linked from the start of the HIV epidemic, until successful treatments became available. The initial impact of mostly young, gay men dying from HIV was powerful in shaping UK responses. Neoliberal discourses developed at the same time, particularly focusing on how citizens (rather than the state) should take responsibility to improve health. Subsequently “successful ageing” became an allied discourse, further marg…
Strategies for improving mental health and wellbeing used by older people living with HIV
Recent research into "successful ageing" and "resilience" in the context of ageing with HIV highlights older people living with HIV's (OPLWH) adaptations and coping strategies hitherto neglected by early research's emphasis on difficulties and challenges. Yet "resilience" and "successful ageing" are limited by their inconsistent definition, conflation of personal traits and coping strategies, normative dimension, and inattention to cultural varia…
What will it really take to end the HIV epidemic
International audience
“We are our choices” – Aids impact special issue Amsterdam 2015
International audience
Age and life course location as interpretive resources for decisions regarding disclosure of HIV to parents and children
Screening for HIV-related neurocognitive impairment in clinical practice
With increasingly successful management of HIV, focus has shifted away from AIDS-related complications to other chronic co-morbidities. For HIV-related cognitive problems, the true aetiopathogenesis and epidemiology remains unclear. Rather than a systematic review, this paper presents the challenges and the opportunities we faced in establishing our own clinical service. Papers were identified using Pubmed and the terms "screening", "HIV" and "ne…
HIV-related neurocognitive impairment screening
Despite ever improving advances in antiretroviral therapy, neurocognitive impairments such as asymptomatic and mild neurocognitive impairment remain a significant problem for the HIV-positive population. We distributed a post-neurocognitive impairment screening service evaluation questionnaire to assess satisfaction and anxiety. Subjects were HIV positive and aged 18-50. They were screened using the Brief Neurocognitive Score and International HI…
Aids Impact – More Than a Virus
We never expected this to happen’
The proportion of HIV-positive people over the age of 50 is rapidly increasing in the UK. This reflects the use of antiretroviral therapies and the transformation of HIV from life-threatening disease to chronic treatable illness. In this study a biographical narrative approach was used to explore the lived experience of ageing in 10 HIV-positive gay men aged between 50 and 78. While some participants regarded ageing as an opportunity to continue …
HIV and Depression – a systematic review of interventions
The face of HIV and Aids
Facial lipoatrophy can be obvious and stigmatising. Poly-L-lactic acid (PLLA) has been used widely for the correction of HIV-associated facial lipoatrophy. Analysis of the PLLA treatment protocols of 441 consecutive patients was undertaken. Product dilution, product volume per session, number of sessions, time between sessions, facial areas treated, plane of injection and incidence of injection-site nodules were recorded. Assessments included the…
When good news is bad news
HIV testing is known to be stressful, however the impact of false positive HIV results on individuals is not well documented. This is a series of four case who developed psychological difficulties and psychiatric morbidities after being informed they had been misdiagnosed with HIV-positive status. We look into documented cases of misdiagnosis and potential risks of misdiagnosis. The case series highlights the implications a false diagnosis HIV-po…
Mayo del 68
No hay resúmenes disponibles. ECA Estudios Centroamericanos, Vol. 63, No. 715-716, 2008: 325-329
Are we meeting the psychological needs of heterosexual men with HIV disease? A retrospective case controlled study of referrals to a psychological medicine unit in London, UK
This study set out to ascertain what proportion of HIV-positive heterosexual men cared for at a central London teaching hospital HIV medical unit, were referred to the Psychological Medicine Unit, and to compare those HIV-positive male heterosexual patients with age and sex matched HIV-positive gay male controls. Hospital and Psychological Medicine Unit databases were interrogated to identify relevant patients seen during the period between Febru…
Service Variation in Baseline Variables and Prediction of Risk in a Randomised Controlled Trial of Psychological Treatment in Repeated Parasuicide
The treatment protocol and baseline characteristics of 480 subjects with a history of repeated parasuicide recruited in five centres to a randomised therapeutic trial of manual assisted cognitive-behaviour therapy (MACT) and treatment as usual (TAU) are described. Most patients had significant anxiety and depressive disturbance with 42% having a personality disorder. Variation in service policies influenced recruitment, with earlier assessment ce…
The changing pattern of mental health problems in HIV infection
As we end the second decade with AIDS, profound changes in our understanding of its aetiology, mechanism of disease and its treatment have led to significant improvements in survival, disease progression and quality of life for those individuals with HIV infection who are fortunate enough to have access to health care and to treatments for the infection and its complications. Unsurprisingly, the psychological and social consequences of HIV have a…
Sexual dysfunction in gay and bisexual men with HIV infection
Sexual dysfunction problems are common in people with HIV infection, but their relevance has been recently highlighted in response to the increased survival shown by many individuals with HIV, and the publicity surrounding the development of new treatments for male sexual dysfunction. Thirty-four gay/bisexual men with HIV infection presenting with sexual dysfunction were assessed. Antiretroviral combination therapy including protease inhibitors w…
The role of personality, coping style and social support in health-related quality of life in HIV infection
The role of anxiety and depression in quality of life and symptom reporting in people with diabetes mellitus
Reciprocal concessions procedure for inducing compliance
Three experiments were conducted to test the effectiveness of a rejection-thenmoderation procedure for inducing compliance with a request for a favor. All three experiments included a condition in which a requester first asked for an extreme favor (which was refused to him) and then for a smaller favor. In each instance, this procedure produced more compliance with the smaller favor than a procedure in which the requester asked solely for the sma…
Sex therapy for erectile dysfunction
Age and life course location as interpretive resources for decisions regarding disclosure of HIV to parents and children
Reciprocal concessions procedure for inducing compliance
Three experiments were conducted to test the effectiveness of a rejection-thenmoderation procedure for inducing compliance with a request for a favor. All three experiments included a condition in which a requester first asked for an extreme favor (which was refused to him) and then for a smaller favor. In each instance, this procedure produced more compliance with the smaller favor than a procedure in which the requester asked solely for the sma…
Knowledge and attitudes of health care staff about HIV infection in a health district with low HIV prevalence
The level of awareness of HIV related problems and their implications for health workers were investigated in Oxford, where the problem of HIV infection has not reached the levels of other metropolitan areas. Four hundred nurses and doctors in Oxford were surveyed to ascertain their knowledge about HIV infection, their attitudes to care of HIV patients, and to examine the relationship between knowledge and attitudes. The response rate was 64%. Pr…
Psychiatric disorders associated with HIV disease
Voluntary HIV testing in the antenatal clinic
This study looked at 12 midwives in the Riverside Health Authority who counselled parturient women about having the HIV antibody test. Results showed that the uptake rate of the test varied considerably across midwives (82% to 3%). Uptake rate varied, to some extent, by ethnic group of the midwife; Afro-Caribbeans having 36% uptake, others 11%. However, the wide variation within these groups suggests that ethnicity alone does not explain the diff…
European symposium on Aids and drug misuse
Partners of men with HIV infection and haemophilia
The study was concerned with determining the prevalence of psychosocial problems in partners of men with haemophilia and HIV infection, and with identifying factors associated with psychological morbidity. Partners of 17 HIV positive and partners of 19 HIV negative men with haemophilia were assessed in a cross-sectional controlled investigation. Outcome measures included current psychological status and psychiatric history; coping and health beli…
Testing for HIV in the antenatal clinic
Self administered questionnaires were given to 34 midwives, who regularly counsel parturient women about the HIV antibody test, to investigate their attitudes to the test being offered in the antenatal clinic. Most of the midwives felt that testing should not be compulsory and that the test should be offered to all pregnant women who ask for it, not only those in recognized risk groups. Most also felt that women should be told the results of the …
Sex therapy for erectile dysfunction
Suicide and HIV disease
It has been suggested that HIV infection is associated with an increased risk of suicidal behaviour. This paper reviews the literature on suicide in patients with HIV disease and discusses methodological problems encountered in studying the incidence of suicide in this population. A snowballing method was used to identify cases of suicide in patients who were receiving treatment for HIV disease in a central London health district. The possible un…
Women's experience of HIV testing the views of HIV positive and HIV negative women
As part of a study of the psychosocial impact of HIV infection in women, 23 HIV seropositive and 23 seronegative women were asked about their experience of being tested for HIV. The majority of those who tested negative sought HIV testing because they felt at risk through unprotected sex, while most of the HIV positives were identified when they developed HIV-related symptoms. Pretest counselling was not universal, in particular in the case of HI…
“I plan to have the HIV test”—predictors of testing intention in women attending a London antenatal clinic
In order to identify which factors predict a parturient womans intention to take up voluntary HIV testing in the antenatal clinic, 318 women were surveyed by anonymous self-completion questionnaire. The strongest predictors of intention to be tested were the perceived benefit of the test to the woman herself, her partner, and the midwife, perceived risk of HIV infection, younger age and being single and having a poor knowledge of the sexual route…
Whose health is it? Views about decision-making and information-seeking from people with HIV infection and their professional carers
The views of people with HIV and their professional carers about patients' views on involvement in decision-making and information-seeking were studied, using a standardized self-report instrument. Patients and staff reported high levels of desire for patients' involvement in their care, but there were important differences between groups. Staff had higher preference for patients' involvement in decision-making than the patients themselves, while…
How should a positive HIV result be given? The patients' view
The study aimed at obtaining information about the experience of how the diagnosis of HIV infection was given. Thirty asymptomatic HIV seropositive subjects completed a self-report questionnaire enquiring about their views of the process of communication of a positive test result. Subjects' current mood was assessed with the Hospital Anxiety and Depression Scale (HAD). Only about one-third of subjects were definitely satisfied with the way they w…
Acceptance of zidovudine (AZT) in early HIV disease
The object of this paper is to explore the health beliefs associated with taking AZT in asymptomatic HIV seropositive individuals. Twenty-eight asymptomatic gay men receiving out-patient care completed self-report questionnaires. Information was gathered on demography, general state of health, health locus of control and health beliefs about AZT therapy. Analyses revealed that 'acceptors' and 'decliners' of early (controversial) medical intervent…
Suicidal behaviour and HIV infection-is there a link
The association between suicidal behaviour and HIV infection has been the subject of much attention in recent years. In this paper we review the evidence about the prevalence of suicide, suicidal ideation and deliberate self-harm in individuals with HIV infection. Finally we discuss the significance of the findings, in particular some of the methodological problems encountered in this field
Psychological distress among gay men supporting a lover or partner with Aids
To date, there has been little research to examine how much psychological distress is caused to people providing care and support to a lover or partner with AIDS. This study aimed to determine the level of psychological distress experienced by a sample of gay men providing care and support to a lover or partner with AIDS. It was conducted as a cross-sectional questionnaire survey. A control group was not enlisted, thus the study was descriptive i…
Testing patients for HIV before surgery
The aim of this study was to investigate the attitudes of doctors performing surgery to the HIV antibody testing of surgical patients. Fifty of eighty (62.5%) doctors performing surgery who are working in two London teaching hospitals returned completed anonymous postal questionnaires. Sixty-six per cent of the sample would like some form of compulsory testing of pre-operative patients, although most of them feel that this is only necessary for p…
Genitourinary Medicine staff knowledge about the risks of specific sexual behaviours in the transmission of HIV
The aim of this study was to investigate the consistency of information about HIV sexual transmission provided by genitourinary medicine (GUM) staff to their patients. This staff group's knowledge of specific sexual risk behaviours was obtained using a self-administered anonymous 21-item questionnaire. Results for 106 respondents revealed considerable inconsistency amongst GUM staff's risk ratings of different sexual activities. These inconsisten…
Reasons given by patients for 'non-progression' in HIV infection
Identification of the reasons for long-term survival in HIV infection is an area of current intense research. The objective of this study was to determine the perceptions among patients with different rates of disease progression as to the reasons for a good outcome with HIV. In a case-control study of 134 long-term (> or = 8 years) HIV-infected participants, 62 were defined as non-progressors; current CD4 cell count > or = 500 x 10(6)/L and asym…
Mental health problems in older adults with HIV referred to a psychological medicine unit
Although HIV is still seen by many as a disease affecting younger adults, it is known that at least 11% of individuals with AIDS in Britain are over the age of 50. It is likely that this older age representation will continue and increase and whilst much is known about the psychological wellbeing of younger individuals with HIV, it is crucial that we consider the differing experiences and needs of older adults with the disease. Fifty-two adults w…
The changing pattern of mental health problems in HIV infection
As we end the second decade with AIDS, profound changes in our understanding of its aetiology, mechanism of disease and its treatment have led to significant improvements in survival, disease progression and quality of life for those individuals with HIV infection who are fortunate enough to have access to health care and to treatments for the infection and its complications. Unsurprisingly, the psychological and social consequences of HIV have a…
Sexual dysfunction in gay and bisexual men with HIV infection
Sexual dysfunction problems are common in people with HIV infection, but their relevance has been recently highlighted in response to the increased survival shown by many individuals with HIV, and the publicity surrounding the development of new treatments for male sexual dysfunction. Thirty-four gay/bisexual men with HIV infection presenting with sexual dysfunction were assessed. Antiretroviral combination therapy including protease inhibitors w…
The role of personality, coping style and social support in health-related quality of life in HIV infection
Service Variation in Baseline Variables and Prediction of Risk in a Randomised Controlled Trial of Psychological Treatment in Repeated Parasuicide
The treatment protocol and baseline characteristics of 480 subjects with a history of repeated parasuicide recruited in five centres to a randomised therapeutic trial of manual assisted cognitive-behaviour therapy (MACT) and treatment as usual (TAU) are described. Most patients had significant anxiety and depressive disturbance with 42% having a personality disorder. Variation in service policies influenced recruitment, with earlier assessment ce…
Are we meeting the psychological needs of heterosexual men with HIV disease? A retrospective case controlled study of referrals to a psychological medicine unit in London, UK
This study set out to ascertain what proportion of HIV-positive heterosexual men cared for at a central London teaching hospital HIV medical unit, were referred to the Psychological Medicine Unit, and to compare those HIV-positive male heterosexual patients with age and sex matched HIV-positive gay male controls. Hospital and Psychological Medicine Unit databases were interrogated to identify relevant patients seen during the period between Febru…
Medicine (39 works) · Psychology (30 works) · HIV/AIDS Research and Interventions (28 works) · Family medicine (21 works) · Psychiatry (20 works) · Clinical Psychology (12 works) · Sociology (9 works) · Gerontology (8 works) · HIV, Drug Use, Sexual Risk (8 works) · Social Psychology (8 works)