Sacks M, Burton W, Dermatis H, Looser-Ott S, Perry S
Department of Psychiatry, Payne-Whitney Clinic, New York Hospital-Cornell Medical Center, New York, USA.
Psychiatr Serv. 1995 Feb;46(2):131-5. doi: 10.1176/ps.46.2.131.
Admissions to an acute care psychiatric hospital were studied to determine what proportion of admissions were for HIV-related psychiatric disturbances, what evidence exists that the HIV-related admissions constitute a new population of psychiatric inpatients, and whether any psychiatric variables distinguish patients with HIV-related disorders from patients without such disorders.
Charts for 2,094 consecutive admissions to the hospital in a three-year period were reviewed. Chi square analyses and t tests were used to compare various groups of HIV-related admissions and non-HIV-related admissions on sociodemographic characteristics, length of stay, history of psychiatric hospitalization, and other clinical measures.
One-hundred and sixty-three admissions (7.8 percent of the total admissions) were judged to be HIV related. The largest category of HIV-related admissions, nearly half, were patients experiencing functional or psychological complications of HIV infection or risk. AIDS-phobic patients, who expressed irrational concerns about infection, accounted for 20.2 percent, and patients with organic manifestations for 18.4 percent. If the AIDS-phobic, HIV-bereaved, and factitious HIV-positive admissions were excluded, the rate of HIV-related admissions was 5.2 percent.
Psychiatric hospitals can expect a significant but not overwhelming number of HIV-related admissions.
对一家急症护理精神病医院的入院患者进行研究，以确定因与艾滋病病毒（HIV）相关的精神障碍而入院的患者比例，是否有证据表明与HIV相关的入院患者构成了一个新的精神病住院患者群体，以及是否有任何精神科变量能够区分患有与HIV相关疾病的患者和未患此类疾病的患者。
回顾了该医院在三年期间连续收治的2094例患者的病历。采用卡方分析和t检验，比较与HIV相关的入院患者和非HIV相关的入院患者在社会人口统计学特征、住院时间、精神科住院史及其他临床指标方面的差异。
163例入院患者（占总入院人数的7.8%）被判定与HIV有关。与HIV相关的入院患者中最大的类别，近一半是出现HIV感染或风险的功能或心理并发症的患者。对艾滋病有恐惧心理的患者，即对感染表达非理性担忧的患者，占20.2%，有器质性表现的患者占18.4%。如果排除对艾滋病有恐惧心理、有HIV亲属死亡经历以及虚构HIV阳性的入院患者，与HIV相关的入院率为5.2%。
精神病医院预计会有数量可观但并非压倒性的与HIV相关的入院患者。
