Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 3440 Market Street, Suite 400, Philadelphia, PA 19104, USA.
Division of Child and Adolescent Psychiatry, Columbia University Irving Medical Center, New York Presbyterian Hospital/Columbia University Medical Center, 635 W 165th St, #EI 610, New York, NY 10032, USA.
Child Adolesc Psychiatr Clin N Am. 2019 Jul;28(3):447-459. doi: 10.1016/j.chc.2019.02.014. Epub 2019 Apr 11.
Depression and human immunodeficiency virus disease are common co-occurring conditions among youth living with human immunodeficiency virus/AIDS. Depression serves as a risk factor for contracting the disease and for nonadherence to medications and adherence to safe sex practices. Although new infections are decreasing nationally, subpopulations of youths continue to have the highest rates of new infections, specifically ethnic and sexual minority youths. Depression contributes to poor health outcomes for youths with human immunodeficiency virus disease. Evidence-based psychotherapy and pharmacotherapy for depression are effective treatments. Integrated care with medical and mental health provides the best care for this population of youth.
抑郁和人类免疫缺陷病毒病在感染人类免疫缺陷病毒/艾滋病的青年中是常见的共病。抑郁是感染疾病的风险因素,也是不遵医嘱和不遵守安全性行为的原因。尽管全国新感染人数在减少,但青年亚群体的新感染率仍然最高,特别是少数民族和性少数青年。抑郁会导致感染人类免疫缺陷病毒的青年健康状况不佳。针对抑郁的循证心理疗法和药物疗法是有效的治疗方法。将医疗和心理健康护理相结合为这一青年群体提供了最佳护理。