Department of Psychology, Stellenbosch University, Matieland, Private Bag X1, Stellenbosch 7602, South Africa.
AIDS Behav. 2011 Jan;15(1):125-31. doi: 10.1007/s10461-008-9498-6. Epub 2008 Dec 12.
This cross-sectional study sought to determine the percentage of individuals who met criteria for lifetime PTSD and HIV-related PTSD among 85 recently diagnosed HIV-positive patients attending public health clinics in the Western Cape, South Africa. The PTSD module of the Composite International Diagnostic Interview (CIDI) was used to determine the percentage of those who met criteria for lifetime PTSD and HIV-related PTSD. The rate of lifetime PTSD and incidence of HIV-related PTSD was 54.1% (95% CI: 43.6-64.3%) and 40% (95% CI: 30.2-50.6%), respectively. Findings suggest that receiving an HIV-positive diagnosis and/or being HIV-positive may be considered a stressor that frequently results in HIV-related PTSD. Given the various barriers to efficient mental health interventions and services in South Africa, there are significant challenges that need to be addressed in order to ensure that the mental health of HIV-positive individuals is appropriately addressed.
本横断面研究旨在确定在南非西开普省 85 名新诊断为 HIV 阳性的患者中,符合终生创伤后应激障碍和与 HIV 相关的创伤后应激障碍标准的个体所占的百分比。使用复合国际诊断访谈(CIDI)的创伤后应激障碍模块来确定符合终生创伤后应激障碍和与 HIV 相关的创伤后应激障碍标准的个体百分比。终生创伤后应激障碍和与 HIV 相关的创伤后应激障碍的发生率分别为 54.1%(95%CI:43.6-64.3%)和 40%(95%CI:30.2-50.6%)。研究结果表明,接受 HIV 阳性诊断和/或 HIV 阳性可能被视为一种压力源,经常导致与 HIV 相关的创伤后应激障碍。鉴于南非在有效的心理健康干预和服务方面存在各种障碍,需要解决重大挑战,以确保 HIV 阳性个体的心理健康得到适当关注。