P.C. MADAN, M.D.(Psychiat), Head, Department of Neuropsychiatry, Defence Institute of Psychological Research, DIPAS Complex, Lucknow Road, Delhi 110054.
Indian J Psychiatry. 1997 Jul;39(3):200-4.
The study aims to find out the sociodemographic profile of HIV-seropositive defence personnel and type of psychiatric morbidity in them. 172 HIV-seropositive subjects in CDC stage II, III and IV were compared with 40-seronegative controls. Driver trade was found to be more susceptible because of high mobility facilitating access to red light areas. Heterosexual promiscuous activity was found to be predominant mode of HIV-infection transmission (92.44%). In 72.09% cases HIV-infection was a chance detection which signifies that if an epidemiological survey is conducted many more cases will come to light. Overall psychiatric morbidity was found in 50% of study groups compared to 10% in controls.Break-up of diagnostic categories as per ICD-10 criteria were depressive episode 22.9%, anxiety disorder 9.86%, alcohol dependence syndrome 6.39%, delirium 1.16% and cognitive impairment 10.47%. The study highlights that HIV-epidemic and its associated psychiatric morbidity is largely a behavioural problem. Hence it calls for an active participation of mental health professionals to counteract the challenge posed by it.
本研究旨在探讨 HIV 阳性军人的社会人口学特征和精神疾病发病率。将 172 名处于疾控中心 II、III 和 IV 期的 HIV 阳性受试者与 40 名血清阴性对照进行比较。由于高流动性使他们更容易接触红灯区,因此驾驶员这一职业更容易受到感染。异性滥交是 HIV 感染的主要传播途径(92.44%)。在 72.09%的情况下,HIV 感染是偶然发现的,这意味着如果进行流行病学调查,将会发现更多的病例。与对照组的 10%相比,研究组中 50%的人存在精神疾病发病率。根据 ICD-10 标准,诊断类别的细分情况为:抑郁发作 22.9%、焦虑障碍 9.86%、酒精依赖综合征 6.39%、谵妄 1.16%和认知障碍 10.47%。研究表明,HIV 流行及其相关的精神疾病发病率在很大程度上是一个行为问题。因此,需要精神卫生专业人员的积极参与,以应对这一挑战。