Wolcott D L, Fawzy F I, Pasnau R O
Gen Hosp Psychiatry. 1985 Oct;7(4):280-93. doi: 10.1016/0163-8343(85)90040-4.
Acquired Immune Deficiency Syndrome (AIDS) is a new highly lethal transmissible syndrome that occurs primarily in identified high-risk groups. The number of AIDS cases has been doubling approximately every 6 months in the United States since 1981. A large number of healthy HTLV-III seropositive individuals, and a significant number of individuals with AIDS-related complex (ARC), who are at increased risk for eventual development of AIDS, have been identified. At least one third of AIDS patients develop neurologic disease prior to death. Organic mental disorders are frequent in AIDS and can have devastating consequences. Severe psychologic distress and functional psychiatric syndromes are also common. The psychosocial effects of AIDS for patients, family and friends, and health-care professionals are discussed in relationship to the psychosocial consequences of other serious medical illnesses including cancer. An ideal comprehensive program to meet the needs of "AIDS affected" individuals is presented, as are the authors' views on the tasks of C-L psychiatrists in participating in the comprehensive care of these individuals.
获得性免疫缺陷综合征（艾滋病）是一种新出现的、高度致命的、主要发生在特定高危人群中的可传播综合征。自1981年以来，美国艾滋病病例数大约每6个月就翻一番。现已发现大量健康的人类嗜T淋巴细胞病毒III型（HTLV-III）血清反应阳性个体，以及大量患艾滋病相关综合征（ARC）且最终发展为艾滋病风险增加的个体。至少三分之一的艾滋病患者在死亡前会出现神经疾病。器质性精神障碍在艾滋病患者中很常见，且可能产生毁灭性后果。严重的心理困扰和功能性精神综合征也很常见。本文将艾滋病对患者、家人和朋友以及医护人员的心理社会影响，与包括癌症在内的其他严重疾病的心理社会后果联系起来进行讨论。文中提出了一个满足“受艾滋病影响”个体需求的理想综合项目，以及作者对会诊-联络精神科医生参与这些个体综合护理任务的看法。
