Pace J, Brown G R, Rundell J R, Paolucci S, Drexler K, McManis S
Department of Psychiatry (SGHMS), Wilford Hall Medical Center, Lackland AFB, TX 78236.
Mil Med. 1990 Feb;155(2):76-80.
Ninety-five randomly selected human immunodeficiency virus (HIV)-seropositive Air Force personnel were psychiatrically examined during a routine medical evaluation. Of the 95, 95% did not have acquired immunodeficiency syndrome and were largely asymptomatic; 61.1% had clinical axis I diagnoses, which included simple phobia, adjustment disorders, hypoactive sexual desire disorder, alcohol use disorder, major depression, and organic mental disorders; 30.5% had personality disorders. Significantly higher frequencies (p less than 0.05) of simple phobia and hypoactive sexual desire disorder were noted with knowledge of HIV seropositivity. Disorders that occurred more commonly than in age-matched Epidemiologic Catchment Area (ECA) participants included: simple phobia, antisocial personality disorder, alcohol abuse, and organic mental disorders. The high prevalence of major psychiatric illness in this sample supports the notion that screening for psychiatric illness, and counseling where indicated, should be integral to HIV screening programs.
在一次常规医学评估中，对95名随机挑选的人类免疫缺陷病毒（HIV）血清反应阳性的空军人员进行了精神检查。在这95人中，95%没有获得性免疫缺陷综合征，且大多没有症状；61.1%有临床轴I诊断，包括单纯恐惧症、适应障碍、性欲减退障碍、酒精使用障碍、重度抑郁症和器质性精神障碍；30.5%有人格障碍。在知晓HIV血清反应阳性的情况下，单纯恐惧症和性欲减退障碍的发生率显著更高（p小于0.05）。与年龄匹配的流行病学集水区（ECA）参与者相比，更常见的疾病包括：单纯恐惧症、反社会人格障碍、酒精滥用和器质性精神障碍。该样本中主要精神疾病的高患病率支持了这样一种观点，即精神疾病筛查以及在必要时进行咨询应成为HIV筛查项目的组成部分。
