2019年济南市新报告HIV感染者SCL-90评定结果及影响因素分析

Analyses on SCL-90 scores and influencing factors among the newly reported HIV-positive population, Jinan city,2019

目的分析济南市新报告HIV感染者症状自评量表(SCL-90)评定结果及其影响因素,为进一步开展针对该人群的心理干预提供科学依据。方法采用定量调查的方法,使用SCL-90量表和流行病学调查问卷,对济南市2019年1~10月新报告HIV感染者开展面对面调查,分析心理健康状况的影响因素。结果调查263例HIV感染者的SCL-90总分为(143.19±43.92)分,总分(143.19±43.92)以及躯体化(1.46±0.45)、人际关系(1.53±0.58)、抑郁(1.77±0.66)、焦虑(1.74±0.69)、恐怖(1.32±0.48)、偏执(1.37±0.47)、精神病性(1.57±0.52) 7个维度上得分都显著高于全国常模[(129.96±38.76)、(1.37±0.48)、(1.65±0.61)、(1.50±0.59)、(1.39±0.43)、(1.23±0.41)、(1.43±0.57)、(1.29±0.42)](P<0.05)。阳性检出率排名前5位的是饮食睡眠、焦虑、抑郁、强迫症状、人际关系敏感(阳性检出率为:42.21%、31.94%、28.90%、27.00%、19.77%)。28.90%的HIV感染者存在中等以上程度抑郁问题,31.94%的HIV感染者存在中等以上焦虑心理问题。年龄、户籍地、收入水平、职业、婚姻状况、知识知晓水平在心理健康总分和各维度上差异有统计学意义(P<0.05)。结论济南市新报告HIV感染者存在一定心理健康问题。

Objective To analyze the evaluation results of SCL-90 and its influencing factors of newly reported HIV-infected persons in Jinan city, so as to provide scientific basis for further psychological intervention. Methods Using the method of quantitative investigation, SCL-90 scale and epidemiological questionnaire, a face-to-face survey was conducted among newly reported HIV-infected persons in Jinan from January to October 2019,and the influencing factors of mental health status were analyzed. Results A total of 263 HIV-infected persons were surveyed, the total score was(143.19±43.92).The total score(143.19±43.92) and the scores in 7 dimensions including somatization(1.46±0.45),interpersonal relationship(1.53±0.58),depression(1.77±0.66),anxiety(1.74±0.69),phobia(1.32±0.48),paranoia(1.37±0.47) and psychotic(1.57±0.52) were significantly higher than those in the national norm [(129.96 38.76),(1.37 0.48),(1.65 0.61),(1.50 0.59),(1.39 0.43),(1.23 0.41),(1.43 0.57),(1.29 0.42)](P<0.05).The top 5 in positive detection were diet and sleep, anxiety, depression, obsessive-compulsive symptoms and relationship sensitivity(the positive detection rate: 42.21%,31.94%,28.90%,27.00%,19.77%).28.90% of HIV infected people had moderate or above degree of depression and 31.94% of HIV infected people had moderate or above degree of anxiety.Age, place of residence, income level, occupation, marital status and knowledge level had differences in total score and dimensions of mental health(P<0.05). Conclusion Some mental health problems existed in newly reported HIV infected people in Jinan city.