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南昌市HIV感染者/AIDS患者的抑郁焦虑状况 被引量:8

Anxiety and depression status of people Living with HIV/AIDS in Nanchang City
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摘要 目的了解人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者(People Living with HIV/AIDS,PLWHA)焦虑、抑郁情绪状况及影响因素,为提高PLWHA身心健康提供参考依据。方法 2017年6—12月,采用方便取样方法对在抗逆转录病毒治疗(Active Antiroviral Therapy,ART)定点医院进行CD4+T细胞计数检测的PLWHA进行汉密尔顿焦虑、抑郁量表评估。结果 396人中焦虑症状检出率63.9%,汉密尔顿焦虑量表(HAMA)平均得分为22.12±5.17;抑郁症状检出率60.9%,汉密尔顿抑郁量表(HAMD)平均得分为35.13±11.36;CD4+T细胞计数<500个/μL是焦虑发生的危险因素;年龄30~39岁、CD4+T细胞计数<500个/μL是严重抑郁的危险因素。结论 PLWHA普遍存在较为严重的焦虑、抑郁症状,需加强心理干预。 Objective To explore the anxiety and depression status of people Living with HIV/AIDS(PLWHA)and influencing factors,provide reference for improving physical and mental health of PLWHA.Methods By convenient cluster sampling,PLWHA who received the CD4+T cell count detection in the Active Antiroviral Therapy(ART)hospital were selected and surveyed with the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)during June-December 2017.Results 396 questionnaires of 407 people totally surveyed were valid,the effective rate was 97.30%.Among 396 cases,the anxiety detection rate was 63.9%,and HAMA mean score was 22.12±5.17.The depression detection rate was 60.9%,and HAMD mean score was 35.13±11.36.CD4+T cell counts>500 cells/μl was risk factor for anxiety.Age of 30-39 years old and CD4+T cell counts>500 cells/μL were risk factors for depression severity.Conclusion The anxiety and depression of PLWHA are serious and common,so it is necessary to strengthen the psychological intervention.
作者 刘云 袁也丰 LIU Yun;YUAN Ye-feng(Department of AIDS and STD Prevention of Nanchang Center for Disease Control and Prevention,Collaboration Unit for Field Epidemiology of State Key Laboratory for Infectious Disease Prevention and Control,Nanchang Jiangxi,330038,China;Department of Psychosomatic Medicine,First Affiliated Hospital of Nanchang University,Nanchang Jiangxi,330006,China)
出处 《职业与健康》 CAS 2019年第16期2237-2240,共4页 Occupation and Health
基金 江西省卫生和计划生育委员会科技项目(20176036)
关键词 获得性免疫缺陷综合征 焦虑 抑郁 Acquired immunodeficiency syndrome Anxiety Depression
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