社会支持作为艾滋病毒感染患者预防抑郁症的关键保护因素:来自越南河内大型艾滋病毒诊所的报告。

Social Support as a Key Protective Factor against Depression in HIV-Infected Patients: Report from large HIV clinics in Hanoi, Vietnam.

作者信息

Matsumoto Shoko, Yamaoka Kazue, Takahashi Kenzo, Tanuma Junko, Mizushima Daisuke, Do Cuong Duy, Nguyen Dung Thi, Nguyen Hoai Dung Thi, Nguyen Kinh Van, Oka Shinichi

机构信息

AIDS Clinical Center, National Center for Global Health and Medicine, Tokyo, Japan.

Graduate School of Public Health, Teikyo University, Tokyo, Japan.

出版信息

Sci Rep. 2017 Nov 14;7(1):15489. doi: 10.1038/s41598-017-15768-w.

Abstract

Depression is the most common mental health issue among people living with HIV/AIDS (PLWHA). This study explored how different types and sources of social support are associated with depression among HIV-infected patients in Vietnam. We carried out a cross-sectional survey on 1,503 HIV-infected patients receiving antiretroviral therapy at two HIV clinics in Hanoi in 2016. Depression was prevalent in 26.2% of participants. Higher score of social support, especially emotional/informational support and positive social interaction, showed significant association with lower depression rate. Although family was primary source of all types of social support, receiving emotional/informational support not only from family but also from outside of family correlated with a lower proportion of depression. In countries with constrained social resources and/or with family-oriented social structures, as in Vietnam, expanding social networks between HIV populations and society is a potentially important option for reducing depression.

摘要

抑郁症是艾滋病毒/艾滋病感染者(PLWHA)中最常见的心理健康问题。本研究探讨了不同类型和来源的社会支持如何与越南艾滋病毒感染患者的抑郁症相关联。2016年,我们对河内两家艾滋病毒诊所接受抗逆转录病毒治疗的1503名艾滋病毒感染患者进行了横断面调查。26.2%的参与者患有抑郁症。社会支持得分越高,尤其是情感/信息支持和积极的社会互动,与较低的抑郁症发生率显著相关。虽然家庭是所有类型社会支持的主要来源,但不仅从家庭而且从家庭外部获得情感/信息支持与较低的抑郁症比例相关。在像越南这样社会资源有限和/或社会结构以家庭为导向的国家,扩大艾滋病毒感染者与社会之间的社会网络是减少抑郁症的一个潜在重要选择。

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