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HIV阳性成年人的行为抑制、焦虑症、抑郁症与CD4计数之间的关系:一项横断面对照研究。

The relationship between behavioural inhibition, anxiety disorders, depression and CD4 counts in HIV-positive adults: a cross-sectional controlled study.

作者信息

Fincham D, Smit J, Carey P, Stein D J, Seedat S

机构信息

MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, South Africa.

出版信息

AIDS Care. 2008 Nov;20(10):1279-83. doi: 10.1080/09540120801927025.

Abstract

This study examined the relationships between behavioural inhibition (BI), anxiety disorders, depression and CD4 counts in 456 HIV-infected adults attending primary healthcare HIV clinics in South Africa. Our first hypothesis was that BI would be positively correlated with anxiety disorders and with depression. Our second hypothesis was that BI, anxiety disorders and depression would be negatively correlated with CD4 counts. Participants completed the Retrospective Self-Report of Childhood Inhibition scale (RSRCI), the Center for Epidemiologic Studies Depression scale (CES-D) and the Mini-International Neuropsychiatric Interview (MINI). We found that BI was positively correlated with depression, agoraphobia, social phobia (social anxiety disorder) and posttraumatic stress disorder (PTSD). In addition, we found that BI, anxiety disorders and depression were not associated with CD4 counts. Finally, we found no gender effects for BI, depression, CD4 counts or any anxiety disorder diagnosis. While BI was linked to certain anxiety disorders, we found no evidence to suggest that BI, a diagnosis of an anxiety disorder, and/or depressive symptoms were associated with CD4 counts among HIV-positive adults.

摘要

本研究调查了南非456名在初级医疗保健HIV诊所就诊的HIV感染成年人的行为抑制(BI)、焦虑症、抑郁症与CD4细胞计数之间的关系。我们的第一个假设是,BI与焦虑症和抑郁症呈正相关。我们的第二个假设是,BI、焦虑症和抑郁症与CD4细胞计数呈负相关。参与者完成了童年抑制回顾性自我报告量表(RSRCI)、流行病学研究中心抑郁量表(CES-D)和迷你国际神经精神病学访谈(MINI)。我们发现,BI与抑郁症、广场恐惧症、社交恐惧症(社交焦虑症)和创伤后应激障碍(PTSD)呈正相关。此外,我们发现BI、焦虑症和抑郁症与CD4细胞计数无关。最后,我们发现BI、抑郁症、CD4细胞计数或任何焦虑症诊断均无性别差异。虽然BI与某些焦虑症有关,但我们没有发现证据表明BI、焦虑症诊断和/或抑郁症状与HIV阳性成年人的CD4细胞计数有关。

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