艾滋病患者及人类免疫缺陷病毒感染者心理健康状况及其影响因素  

Psychological change of patients with human immunodeficiency virus infection or acquired immune deficiency syndrome

作　　者：王建宁[1] 屈文妍[2] 

机构地区：[1]北京市东城区精神卫生保健院,100027 [2]北京地坛医院皮肤性病科

出　　处：《中华健康管理学杂志》2010年第4期196-199,共4页Chinese Journal of Health Management

摘　　要：目的了解艾滋病患者及人类免疫缺陷病毒（HIV）感染者心理健康状况，并探讨其影响因素。方法确诊艾滋病患者及HIV检测阳性者共94例为研究组，38名健康人作为对照组，对二者进行症状自评量表（SCL-90）、社会支持量表、应付方式问卷（CSQ）及艾森克人格问卷（EPQ）测评。结果研究组SCL-90的强迫、抑郁、焦虑及精神病因子分显著高于对照组（P〈0．05或0．01），研究组内部男性抑郁因子分和偏执因子分均高于女性，其SCL-90多个因子与CSQ和EPQ多个因子之间存在显著相关关系，相关系数在0．21～0．70之间。结论艾滋病患者及HIV感染者心理健康状况不良，以情绪障碍为主，应进行心理社会支持和治疗。Objective To investigate the mental health status of adults with human immunodeficiency virus （HIV） infection or acquired immune deficiency syndrome （AIDS）. Methods Ninety-four patients with HIV infection or AIDS and 38 healthy subjects were enrolled and filled in the Symptom Checklist 90 （SCL-90）, Coping Styles Questionnaire （CSQ） and Eysenek Personality Questionnaire （EPQ）. Results In SCL-90, the scores of compulsion, depression, anxiety and psyehotieism factor were significantly increased in the patient group （ all P 〈 0.05 ）. In the study group, the scores of depression and paranoid ideation factors of male patients were higher than those of female patients. For the participants with HIV infection or AIDS, several factors of SCL-90 were correlative with CSQ and EPQ （ r = 0.21 to 0.70）. Conclusion Emotional disorders may be the most common mental problem of patients with HIV infection or AIDS, and social and psychological supports should be needed.

关 键 词：HIV感染 焦虑 抑郁 

分 类 号：R51[医药卫生—内科学]