Klimes I, Catalan J, Garrod A, Day A, Bond A, Rizza C
Department of Clinical Psychology, Warneford Hospital, Oxford, UK.
AIDS Care. 1992;4(2):149-56. doi: 10.1080/09540129208253086.
The study was concerned with determining the prevalence of psychosocial problems in partners of men with haemophilia and HIV infection, and with identifying factors associated with psychological morbidity. Partners of 17 HIV positive and partners of 19 HIV negative men with haemophilia were assessed in a cross-sectional controlled investigation. Outcome measures included current psychological status and psychiatric history; coping and health beliefs; and social and sexual functioning. Partners of HIV positive men with haemophilia, the majority of whom were asymptomatic, were not found to suffer more psychological difficulties than the partners of HIV negative men with haemophilia. However, partners of haemophiliacs regardless of HIV status suffer from higher levels of psychological distress than comparable women in the community, and those with past psychiatric history and current social difficulties are particularly at risk. The sexual relationships of couples with HIV positive men were more adversely affected than those of HIV negative couples.
该研究旨在确定血友病合并艾滋病毒感染男性的伴侣中社会心理问题的患病率,并识别与心理疾病相关的因素。在一项横断面对照研究中,对17名艾滋病毒阳性男性的伴侣和19名艾滋病毒阴性血友病男性的伴侣进行了评估。结果指标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。血友病合并艾滋病毒阳性男性的伴侣,其中大多数无症状,未发现比血友病合并艾滋病毒阴性男性的伴侣有更多心理困难。然而,无论艾滋病毒感染状况如何,血友病患者的伴侣比社区中可比的女性遭受更高水平的心理困扰,有既往精神病史和当前社会困难的伴侣尤其危险。艾滋病毒阳性男性夫妇的性关系比艾滋病毒阴性夫妇的性关系受到的负面影响更大。