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一项横断面研究评估年龄和 HIV 感染持续时间对顺性别男性焦虑和抑郁的影响。

A Cross-Sectional Study to Evaluate the Effects of Age and Duration of HIV Infection on Anxiety and Depression in Cisgender Men.

机构信息

Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.

Department of Psychiatry, University of California San Diego, La Jolla, USA.

出版信息

AIDS Behav. 2022 Jan;26(1):196-203. doi: 10.1007/s10461-021-03373-y. Epub 2021 Jul 21.

Abstract

This observational cross-sectional study of 152 people with HIV (PWH) examined the effects of age and estimated duration of HIV infection (EDI) on depressive and anxiety symptoms. All participants were cisgender men and completed the Profile of Moods State (POMS), a self-report inventory of current (i.e., past week) mood states. Overall, study results confirmed higher levels of anxiety and depression in PWH compared to individuals without HIV. Age group (< 50 or ≥ 50 years) moderated the effect of EDI (< 3 or ≥ 3 years) on mood disturbance. Specifically, younger PWH with early diagnosed infection exhibited the highest levels of depression and anxiety, whereas depression and anxiety were attenuated in older PWH with early infection such that their POMS scores did not significantly differ from the HIV-negative and chronically HIV-infected groups. Despite the small sample size and other important limitations in our study design, our preliminary findings confirm previous observations that older people may have some adaptive ability to better handle the acute psychological stressors associated with recent HIV infection.

摘要

这项针对 152 名 HIV 感染者(PWH)的观察性横断面研究,考察了年龄和估计的 HIV 感染持续时间(EDI)对抑郁和焦虑症状的影响。所有参与者均为顺性别男性,并完成了心境状态剖面图(POMS),这是一种自我报告的当前(即过去一周)情绪状态清单。总体而言,研究结果证实,与未感染 HIV 的个体相比,PWH 的焦虑和抑郁水平更高。年龄组(<50 岁或≥50 岁)调节了 EDI(<3 年或≥3 年)对情绪障碍的影响。具体而言,感染早期诊断的年轻 PWH 表现出最高水平的抑郁和焦虑,而感染早期的老年 PWH 的抑郁和焦虑则有所减轻,以至于他们的 POMS 评分与 HIV 阴性和慢性 HIV 感染者群体没有显著差异。尽管我们的研究设计存在样本量小和其他重要限制,但我们的初步发现证实了之前的观察结果,即老年人可能具有一定的适应能力,能够更好地应对与近期 HIV 感染相关的急性心理压力源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/8786764/fb5124382df3/10461_2021_3373_Fig1_HTML.jpg

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