Wolff L Claudia, Alvarado M Rubén, Wolff R Marcelo
Escuela de Salud Pública, Universidad de Chile, Santiago, Chile.
Rev Chilena Infectol. 2010 Feb;27(1):65-74. Epub 2010 Feb 3.
Depression is one of the main psychiatric co-morbidities in HIV infection, presenting with a significantly higher prevalence than in the general population (around 35%). Its presence has been associated with poor quality of life, HIV disease progression and poor adherence to antiretroviral therapy. Although antidepressive treatment has demonstrated effectiveness on the management of depressive symptoms, improvement of clinical and laboratory parameters, and enhancement of antiretroviral adherence, depression is frequently under diagnosed and under treated in these patients. We analyzed the main international findings on depression prevalence, risk factors, con-sequences and management in people with HIV disease.
抑郁症是HIV感染中主要的精神共病之一,其患病率显著高于普通人群(约35%)。抑郁症的存在与生活质量差、HIV疾病进展以及抗逆转录病毒治疗依从性差有关。尽管抗抑郁治疗已证明对抑郁症状的管理、临床和实验室参数的改善以及抗逆转录病毒治疗依从性的提高有效,但这些患者中抑郁症常常诊断不足和治疗不足。我们分析了关于HIV感染者抑郁症患病率、危险因素、后果及管理的主要国际研究结果。