中国临床心理学杂志

艾滋病疑病症患者心理卫生状况分析

单位：1. 广州市第八人民医院广东广州 510060
2. 广州市脑科医院广东广州 510370

分类号：R395.6

出版年,卷(期):页码：2007,15(3):293-294

摘要：

目的：探讨艾滋病疑病症患者的心理状卫生状况。方法：①详细记录72例患者个人资料及对艾滋病的了解情况；②选用90项症状清单(SCL-90)对艾滋病疑病症患者进行测试；③以心理咨询、心理治疗为主，药物治疗为辅的原则进行治疗，观察治疗前后症状的变化。结果：艾滋病疑病症患者以中学以上学历为主(占94.4%)，本人、性伴侣有高危性行为70例(97.2%)，艾滋病知识主要通过网络信息获得39例(54.2%)；临床表现复杂，以疑艾滋病、有艾滋病相似症状为主诉；躯体化、强迫症状、人际敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性等因子均明显高于常模，治疗后38例(52.8%)患者症状完全缓解，恢复正常工作。结论：艾滋病疑病症患者心理健康状况明显异常，积极的心理干预是防治的有效手段。

Objective:To explore the mental health statues of patients with HIV worried well.Methods:①To record the personal data of 72 patients and information they knew about AIDS.②Symptom check-list 90(SCL-90) were assessed to the patients with HIV worried well.③To treat the patients with psychological consultation and treatment mainly, partly with medicines, observe changes during the treatment.Results:Most patients with HIV worried well had middle school culture level(94.4%) , 70(97.2%) patients had or their sex partners had high risk sex, 39(54.2%) patients got the information about AIDS from Internet;Symptom of the disease were complex, the main complains were worry of infected HIV and similar symptoms with AIDS;The factor scores of somatization, force, relationship, depression, anxiety, hostility, worry, crankiness and psychosis in 72 patients were significantly higher than those in Chinese norms(P＜0.01) , 38 patients(52.8%) recovered after treatment.Conclusion:The mental health status of HIV worried well patient is abnormal.Discovering reason, personal treatment, active and patient psychological work are effective methods to prevention and treatment.

基金项目：

广东省科技计划资助(项目号:2006B36030002)

作者简介：

参考文献：

[1] 王建平,王珊珊,蔺秀云,等.艾滋病恐惧症的研究初探.心理科学进展,2004,12(2):435-439
[2] 张明园.精神科评定量表手册.长沙:湖南科学技术出版社,2003.17-27
[3] 钱铭怡.心理咨询与心理治疗.北京:北京大学出版社,2004.260-273
[4] 马煊,陈龙,曹伟跃.对不同疾病患者SCL-90测试结果的元分析.中国临床心理学杂志,2005,13(2):232-234
[5] 苏文亮,刘洁,陈海勇,等:高艾滋病恐惧人群的心理行为特点初探.中国临床心理学杂志,2005,13(1):98-99

服务与反馈：

【文章下载】【加入收藏】