HIV感染者/AIDS患者抗病毒治疗早期的心理健康状况随访调查

A Follow-up Survey on Mental Health of People with HIV/AIDS in the Early Stage of Antiviral Therapy

目的分析和探讨HIV感染者/AIDS患者抗病毒治疗早期的心理健康状况变化特点,为改善其心理健康水平及生活质量提供参考依据。方法方便取样法采用SCL-90对57例行抗病毒治疗的HIV感染者/AIDS患者进行为期12个月的随访评估。结果 57例HIV感染者/AIDS患者抗病毒治疗前SCL-90的总分为126.42±40.43分;各因子中,抑郁因子和强迫因子得分较高(分别为1.56±0.67分、1.46±0.53分),恐怖因子及偏执因子得分较低(分别为1.22±0.46分、1.26±0.36分);强迫症状、人际关系敏感、敌对及偏执因子得分均显著低于常模(P<0.05),而在总分及其他因子得分方面与常模的差异无统计学意义(P>0.05);随着抗病毒治疗的进行,其SCL-90总分及各因子得分均呈逐渐下降趋势。结论抗病毒治疗一年内HIV感染者/AIDS患者的心理健康状况有所改善。

Objective To analyze the characteristics of psychological variation among people with HIV/AIDS（PWHA） in the early stage of highly active antiretroviral therapy（HAART） . Methods Fifty-seven PWHAs who had received HAART were investigated using SCL-90 before and 1, 3, 6, 9, 12m after HAART. Results Before HAART, the total score of SCL-90 was 126.42±40.43. Among different factors, the scores of depression and obsession （ 1.56±0.67,1.46±0.53 ） were the highest, while the score of terror and bigotry （1.22±0.46,1.26±0.36） were the lowest. Compared with norms, the score of obsession, interpersonal sensitivity, antagonism and bigotry factors were lower （P〈0.05） , but there was no significant difference in the total score and other factors（P〉0.05 ） . Along with HAART, the total score of and the score of each factor showed a tendency to de- crease. Conclusion Mental health status of PWHAs has improved, especially during the first year of HAART.