Fernandez F, Holmes V F, Levy J K, Ruiz P
Baylor College of Medicine, Houston, Texas.
Hosp Community Psychiatry. 1989 Feb;40(2):146-53. doi: 10.1176/ps.40.2.146.
Acquired immune deficiency syndrome (AIDS) and related disorders are increasingly and unsettlingly prevalent. The authors describe neuropsychiatric, psychosocial, and ethical-legal problems associated with HIV infections that are commonly encountered in a consultation-liaison psychiatry setting. Because of HIV's potential for undermining cognitive function, they recommend a systematic neurobehavioral assessment for the differential diagnosis of emotional disturbance, including a test battery that also identifies neurotoxic effects of pharmacological agents. Among significant psychosocial and ethical-legal problems are patient's reactions to AIDS, their fears of social abandonment, staff burn-out, antibody testing, confidentiality, and the use of life-support measures. The consultation-liaison psychiatrist's awareness of the complexities of HIV-related neuropsychiatric symptoms and psychosocial issues can be of enormous benefit to medical caregivers and to the patients themselves.
获得性免疫缺陷综合征（艾滋病）及相关疾病正日益普遍，令人不安。作者描述了在会诊联络精神病学环境中常见的与艾滋病毒感染相关的神经精神、心理社会以及伦理法律问题。鉴于艾滋病毒有损害认知功能的潜在可能，他们建议进行系统的神经行为评估，以鉴别诊断情绪障碍，包括一套能识别药物神经毒性作用的测试组合。重大的心理社会和伦理法律问题包括患者对艾滋病的反应、对被社会抛弃的恐惧、医护人员的职业倦怠、抗体检测、保密问题以及生命维持措施的使用。会诊联络精神科医生对与艾滋病毒相关的神经精神症状和心理社会问题复杂性的认识，可为医护人员及患者本身带来极大益处。
