A Biopsychosocial Approach to Managing HIV-Related Pain and Associated Substance Abuse in Older Adults: a Review

Theodore R. Miller, Perry Halkitis, Ramani Durvasula

Research output: Contribution to journalReview article

Abstract

The advent and uptake of effective antiviral therapies has transformed HIV/AIDS into a chronic manageable illness. The majority of Americans living with HIV are now ages 50 and older. Given the confluence of aging and HIV, chronic pain among older persons living with HIV/AIDS (PLWHA) has emerged as an area of clinical importance. Treatment of pain among this population is complex due to the prevalence of substance abuse and psychiatric illness in the population as well as the challenges of disentangling how inflammation associated with aging and HIV interact to predispose pain. Through a review of the extant literature we examine the complex associations between substance use, mental health, psychosocial issues, and chronic pain using a biopsychosocial framework in order to provide a means of addressing the aging-chronic pain link in older PLWHA. Using this frame, we then consider treatment implications for the population.

Original languageEnglish (US)
Pages (from-to)74-116
Number of pages43
JournalAgeing International
Volume44
Issue number1
DOIs
StatePublished - Mar 15 2019

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substance abuse
Substance-Related Disorders
pain
HIV
Pain
AIDS
Chronic Pain
Acquired Immunodeficiency Syndrome
Population
chronic illness
illness
mental health
Antiviral Agents
Psychiatry
Mental Health
Chronic Disease
Therapeutics
Inflammation

All Science Journal Classification (ASJC) codes

  • Health(social science)

Cite this

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A Biopsychosocial Approach to Managing HIV-Related Pain and Associated Substance Abuse in Older Adults : a Review. / Miller, Theodore R.; Halkitis, Perry; Durvasula, Ramani.

In: Ageing International, Vol. 44, No. 1, 15.03.2019, p. 74-116.

Research output: Contribution to journalReview article

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