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

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。

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.