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Curr Infect Dis Rep. 2009 Mar;11(2):163-9. doi: 10.1007/s11908-009-0024-4.
HIV infection remains a major world health problem more than 20 years after discovery of the virus. Mental disorders make individuals more vulnerable to behaviors that transmit HIV and interfere with HIV treatment adherence. The evidence supporting the need for optimal provision of mental health care in HIV clinics is mounting, along with evidence that these disorders can be treated successfully. Disorders of mental life include brain diseases (eg, depression, bipolar disorder, schizophrenia, and dementia), personality disorders, addictions, and psychologic disruptions, which contribute to the spread of the virus through their influence on behavior. However, although evidence exists that successful treatment of co-occurring mental disorders leads to improved HIV outcomes, integrated mental health care in HIV clinics remains grossly suboptimal.
HIV 感染仍是一个主要的全球健康问题，自发现该病毒以来已经超过 20 年。精神障碍使个体更容易受到传播 HIV 的行为和干扰 HIV 治疗依从性的行为的影响。越来越多的证据表明，在 HIV 诊所中需要提供最佳的心理健康护理，并且这些障碍可以得到成功治疗。精神生活障碍包括脑部疾病（例如，抑郁症、双相情感障碍、精神分裂症和痴呆）、人格障碍、成瘾和心理障碍，它们通过影响行为导致病毒传播。然而，尽管有证据表明同时治疗精神障碍会改善 HIV 结局，但在 HIV 诊所中进行综合心理健康护理仍然严重不足。
