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 about Mental Health of People Living with HIV/AIDS in Early 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 and explore the characteristics of psychologic variation in the early stage of highly active antiretroviral therapy（HAART） among people living with HIV/AIDS（PLWHA）.Methods 57 PLWHAs who had received HAART were investigated using SCL-90 before this therapy and 1,3,6,9,12 months after the therapy.Results Before HAART,the total score of SCL-90 was 126.42±40.43.Among these factors,the scores of depression factor and obsession factor（1.56±0.67、1.46±0.53） were the highest,while the scores of terror factor and bigotry factor（1.22±0.46、1.26±0.36） were the lowest.The scores of obsession,interpersonal sensitivity,antagonism and bigotry factors were lower than norms（P〈0.05）,but there was no statisfically significant difference in the total score or the scores of other factors（P〉0.05）.With the progression of HAART,the total score and the score of each factor tended to decrease.Conclusion Mental health of PLWHAs during the first year of HAART has been improved.