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艾滋病疑病症患者心理卫生状况分析

Analysis of Mental Health Status in Patients with HIV Worried Well

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【作者】 卢斯汉胡荣欣杨翠芳贾卫东江达威

【Author】 LU Si-han,HU Rong-xin,YANG Cui-fang,JIA Wei-dong,JIANG Da-wei Department of Dermatology,Guangzhou No.8 People’s Hospital,Guangzhou 510060,China

【机构】 广州市第八人民医院广州市脑科医院 广东广州510060广东广州510060广东广州510370

【摘要】 目的:探讨艾滋病疑病症患者的心理状卫生状况。方法:①详细记录72例患者个人资料及对艾滋病的了解情况;②选用90项症状清单(SCL-90)对艾滋病疑病症患者进行测试;③以心理咨询、心理治疗为主,药物治疗为辅的原则进行治疗,观察治疗前后症状的变化。结果:艾滋病疑病症患者以中学以上学历为主(占94.4%),本人、性伴侣有高危性行为70例(97.2%),艾滋病知识主要通过网络信息获得39例(54.2%);临床表现复杂,以疑艾滋病、有艾滋病相似症状为主诉;躯体化、强迫症状、人际敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性等因子均明显高于常模,治疗后38例(52.8%)患者症状完全缓解,恢复正常工作。结论:艾滋病疑病症患者心理健康状况明显异常,积极的心理干预是防治的有效手段。

【Abstract】 Objective:To explore the mental health statues of patients with HIV worried well.Methods:①To record the personal data of 72 patients and information they knew about AIDS.②Symptom check-list 90(SCL-90) were assessed to the patients with HIV worried well.③To treat the patients with psychological consultation and treatment mainly,partly with medicines,observe changes during the treatment.Results:Most patients with HIV worried well had middle school culture level(94.4%) ,70(97.2%) patients had or their sex partners had high risk sex,39(54.2%) patients got the information about AIDS from Internet;Symptom of the disease were complex,the main complains were worry of infected HIV and similar symptoms with AIDS;The factor scores of somatization,force,relationship,depression,anxiety,hostility,worry,crankiness and psychosis in 72 patients were significantly higher than those in Chinese norms(P<0.01) ,38 patients(52.8%) recovered after treatment.Conclusion:The mental health status of HIV worried well patient is abnormal.Discovering reason,personal treatment,active and patient psychological work are effective methods to prevention and treatment.

【基金】 广东省科技计划资助(项目号:2006B36030002)
  • 【文献出处】 中国临床心理学杂志 ,Chinese Journal of Clinical Psychology , 编辑部邮箱 ,2007年03期
  • 【分类号】R395.6
  • 【被引频次】6
  • 【下载频次】263
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