Psychosocial Impact of Acquired Immune Deficiency Syndrome

Abstract
To the Editor.— Noticeably absent in the flurry of publications about the current epidemic of acquired immune deficiency syndrome (AIDS) is reference to the psychosocial impact of this devastating new syndrome. In the course of our study and treatment of patients with AIDS, we are finding a mounting array of social problems. Our initial group of patients has had to cope with the collapse of their social support systems and drainage of their financial resources. We hope to avoid this in future patients by heightening awareness of the problem and encouraging greater attention to their continuing needs. We find that a large portion of our AIDS population is indigent and unable to obtain the requisite outpatient care. In an ongoing investigation at our institution, many patients studied thus far have shown evidence of protein-calorie malnutrition and multiple vitamin deficiencies. Once discharged, they can neither eat well enough to bolster their