OBJECTIVE: The authors examined whether deaths of lovers and close
friends from AIDS increased the frequency of depressive symptoms and
depressive disorder in a group of homosexual men. METHOD: Two hundred seven
volunteer male homosexual subjects were interviewed in New York City in
1988 and 1989. Depressive symptoms were measured with the Hamilton Rating
Scale for Depression, administered by a clinician, and two self-report
symptom checklists. Subjects were evaluated for major depression with the
Structured Clinical Interview for DSM-III-R. Each subject also reported the
number of lovers and close friends who had died of AIDS 1) since the
beginning of the epidemic in 1981 and 2) in the 6 months preceding the
interview. RESULTS: Neither the overall level of depressive symptoms, the
presence of specific symptom clusters, nor the presence of a diagnosed
depressive disorder was related to the number of AIDS deaths a subject
reported in either time frame. In contrast, bereavement reactions specific
to loss, namely, preoccupation with and searching for the deceased, were
more common in subjects with greater numbers of losses. The findings for
depressive symptoms and major depression are not readily explained by
measurement artifact, overrepresentation of asymptomatic subjects among
study volunteers, habituation effects, numbness, or shallowness of
attachments in the subjects. CONCLUSIONS: Changes in normative expectations
regarding AIDS deaths and mobilization against AIDS within the gay
community may account for the lack of association between the number of
losses resulting from AIDS and the presence of depressive symptoms and
depressive disorder.
Abstract Teaser