HIV感染者初期心理特征分析  

Analysis of psychological characteristics of HIV infection in the early stage

作　　者：唐伯莹 辛晓丽[1] 张秋苓 闫玉光[1] 谷野[1] 杨志勇[1] TANG Bo-ying;XIN Xiao-li;ZHANG Qiu-ling;YAN Yu-guang;GU Ye;YANG Zhi-yong(Department of Infectious Diseases,Shenyang Sixth People’s Hospital,Shenyang 110000,P.R.China)

机构地区：[1]沈阳市第六人民医院感染科,辽宁沈阳110000

出　　处：《社区医学杂志》2020年第23期1569-1572,共4页Journal Of Community Medicine

基　　金：辽宁省社会攻关及产业化计划(2017225082)。

摘　　要：目的艾滋病是由人体免疫缺陷病毒(human immunodeficiency virus,HIV)感染引起的全身性疾病,伴随疾病的出现,患者心理可能出现严重问题。本研究旨在对HIV感染者初期心理特征进行分析,为心理治疗提供依据。方法选取2017-10-01-2019-10-01沈阳市第六人民医院感染科收治进行抗病毒治疗的300例HIV感染者作为病例组。选取同期同院300名健康人群作为对照组,采用抑郁测评量表(self-rating depression scale,SDS)、焦虑测评量表(self-rating anxiety scale,SAS)及症状自评量表(symptom checklist-90,SCL-90)分别对两组患者进行心理特征调查。结果病例组300例患者中抑郁者162例,占54%,焦虑者144例,占48%。病例组SDS评分为(50.74±12.61)分,高于对照组的(36.29±9.47)分,t=6.479,P<0.001;SAS评分为(49.10±11.32)分,高于对照组的(38.81±9.93)分,t=4.832,P<0.001。病例组SCL-90中躯体化评分为(1.75±0.26)分,高于对照组的(1.23±0.18)分,t=11.628,P<0.001;强迫状态评分为(1.49±0.23)分,高于对照组的(1.12±0.17)分,t=9.148,P<0.001;人际敏感评分为(1.68±0.30)分,高于对照组的(1.31±0.20)分,t=7.256,P<0.001;抑郁评分为(1.72±0.28)分,高于对照组的(1.30±0.21)分,t=8.485,P<0.001;焦虑评分为(1.54±0.19)分,高于对照组的(1.19±0.14)分,t=10.486,P<0.001;敌对评分为(1.80±0.29)分,高于对照组的(1.37±0.21)分,t=8.492,P<0.001;恐怖评分为(1.71±0.32)分,高于对照组的(1.35±0.22)分,t=6.555,P<0.001;精神病性评分为(1.63±0.27)分,高于对照组的(1.29±0.19)分,t=7.282,P<0.001。病例组SCL-90中偏执评分为(1.57±0.24)分,与对照组的(1.48±0.22)分比较,差异无统计学意义,t=1.955,P=0.054。结论 HIV感染者初期会出现抑郁、焦虑、恐怖和敌对等负面情绪,临床上应加强对患者的心理治疗。OBJECTIVE AIDS is a systemic disease caused by human immunodeficiency virus(HIV)infection.With the emergence of the disease,patients may have serious psychological problems.The purpose of this study was to analyze the psychological characteristics of HIV-infected patients in the early stage and provided a basis for psychological treatment.METHODS A total of 300 HIV-infected patients who were admitted to the Infection Department of Shenyang Sixth People’s Hospital for antiviral treatment from October 1,2017 to October 1,2019 were selected as the case group.At the same time,300 healthy people were selected as the control group,and the self-rating depression scale(SDS),self-rating anxiety scale(SAS)and symptom checklist-90(SCL-90)were used to investigate the psychological characteristics of the two groups.RESULTS Among the 300 patients in the case group,162 were depressed,accounting for 54%,and 144 were anxious,accounting for 48%.The SDS score of the case group was 50.74±12.61,which was higher than the control group 36.29±9.47(t=6.479,P<0.001).SAS score was 49.10±11.32,which was higher than the control group38.81±9.93(t=4.832,P<0.001);the somatization score of SCL-90 in the case group was 1.75±0.26,higher than the control group 1.23±0.18(t=11.628,P<0.001),the compulsive state score was 1.49±0.23,higher than the control group 1.12±0.17(t=9.148,P<0.001),the interpersonal sensitivity score was 1.68±0.30,which was higher than the control group 1.31±0.20(t=7.256,P<0.001),and the depression score was 1.72±0.28,which was higher than the control group 1.30±0.21(t=8.485,P<0.001),the anxiety score was 1.54±0.19,which was higher than the control group 1.19±0.14(t=10.486,P<0.001),and the hostility score was 1.80±0.29,which was higher than the control group 1.37±0.21(t=8.492,P<0.001),the horror score was 1.71±0.32,which was higher than the control group1.35±0.22(t=6.555,P<0.001),and the psychotic score was 1.63±0.27,which was higher than the control group1.29±0.19(t=7.282,P<0.001).CONCLUSIONS In the early s

关 键 词：人体免疫缺陷病毒 心理特征 心理治疗 抑郁测评量表 焦虑测评量表 症状自评量表 

分 类 号：R512.91[医药卫生—内科学]