哈尔滨市部分HIV阳性MSM述情障碍及相关影响因素

Alexithymia and related factors among HIV positive men who have sex with men in Harbin

目的调查哈尔滨市HIV阳性MSM的述情障碍问题的发生率及其潜在影响因素。方法2019年1-12月在哈尔滨市的两家艾滋病定点医疗机构开展横断面研究。研究采用一般社会经济和人口学问卷、多伦多述情障碍量表、孤独感量表(ULS-6)、病例健康问卷抑郁量表(PHQ-9)和艾滋病治疗疲惫量表对HIV/AIDS患者中的MSM开展问卷调查。结果666名调查对象中,35.1%(234人)的受访者存在述情障碍问题,其中外向型思维[(22.96±3.09)分]是这一群体述情障碍问题的突出表现。Logistic回归模型结果显示,抑郁情绪(OR=1.828,95%CI:1.160~2.879)、孤独感(OR=1.184,95%CI:1.122~1.250)和治疗疲惫感(OR=1.018,95%CI:1.009~1.028)是影响这一群体述情障碍问题的重要危险因素。结论HIV阳性MSM的述情障碍问题较为突出,医务人员应积极识别和评估这一群体的述情障碍,同时,关注这一群体的抑郁、孤独等心理健康问题,采取激励措施减轻这一群体治疗疲惫感,进而改善病例述情障碍问题,提高病例生活质量。

Objective To investigate the prevalence of alexithymia and influencing factors among HIV-positive men who have sex with men(MSM)in Harbin.Methods A cross-sectional study was conducted from January to December 2019 at two AIDS sentinel health care facilities in Harbin.The study used the General Socioeconomic and Demographic Questionnaire,the Toronto Narrative Disorder Scale,the Loneliness Scale(ULS-6),the Case Health Questionnaire Depression Scale(PHQ-9),and the AIDS Treatment Fatigue Scale to conduct a questionnaire survey among 666 cases of MSM living with HIV.Results 35.1%of the study participants had alexithymia,and extroverted thinking(22.96±3.09)was the prominent manifestation of alexithymia in this group.Logistic regression model showed that depression(OR=1.828,95%CI:1.160-2.879),loneliness(OR=1.184,95%CI:1.122-1.250),and treatment fatigue(OR=1.018,95%CI:1.009-1.028)were risk factors affecting alexithymia.Conclusions The alexithymia of HIV-positive MSM was prevalent.Medical staff should actively identify and evaluate the alexithymia to MSM living with HIV.Meanwhile,they should raise awareness of depression,loneliness,and other mental health problems.Incentive measures should be taken to reduce the treatment fatigue to improve the alexithymia and improve the quality of life among MSM with HIV infections.