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男同性恋者中艾滋病毒感染的心理社会影响。一项对照调查及与精神疾病发病率相关的因素。

The psychosocial impact of HIV infection in gay men. A controlled investigation and factors associated with psychiatric morbidity.

作者信息

Catalan J, Klimes I, Day A, Garrod A, Bond A, Gallwey J

机构信息

Academic Department of Psychiatry, Charing Cross & Westminster Medical School, Westminster Hospital, London.

出版信息

Br J Psychiatry. 1992 Dec;161:774-8. doi: 10.1192/bjp.161.6.774.

DOI:10.1192/bjp.161.6.774
PMID:1483162
Abstract

This study aimed to establish the prevalence of psychosocial problems in gay men with HIV infection, and to identify factors associated with psychological morbidity. The study was a cross-sectional controlled investigation, which included 24 HIV seropositive and 25 seronegative gay men. Outcome measures included current psychological status and psychiatric history; coping and health beliefs; and social and sexual functioning. Seropositive subjects had worse scores on the PSE total score, and greater sexual difficulties. There were also differences in health beliefs and coping. Psychological morbidity was associated with hopelessness, previous psychiatric illness, symptomatic HIV disease, and low self-esteem.

摘要

本研究旨在确定感染艾滋病毒的男同性恋者中社会心理问题的患病率,并找出与心理疾病相关的因素。该研究为横断面对照调查,纳入了24名艾滋病毒血清呈阳性和25名血清呈阴性的男同性恋者。结果测量包括当前心理状态和精神病史;应对方式和健康信念;以及社会和性功能。血清呈阳性的受试者在PSE总分上得分更低,且存在更大的性困难。在健康信念和应对方式方面也存在差异。心理疾病与绝望感、既往精神疾病、有症状的艾滋病毒疾病和低自尊有关。

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