Montagne G, Lalonde R, Brouillette M J
Centre hospitalier Pierre Boucher, Longueil, Québec.
Can J Psychiatry. 1994 Oct;39(8):404-9. doi: 10.1177/070674379403900809.
In recent years, several studies have been carried out concerning the effect of psychosocial factors on the course of infection due to the human immunodeficiency virus (HIV). After summarizing the current status of general knowledge in the field of psychoimmunology, this article reviews the results of studies conducted in regard to HIV. Two conclusions are reached. The first is that current research has not shown psychosocial factors to have any impact on either the immunity status of seropositive patients or the medical complications inherent to AIDS. The second conclusion is that several types of intervention, in particular psychoeducational approaches, stress management programs, and the strengthening of social and family support, give good results where the psychosocial well-being of patients is concerned and should motivate various health professionals to improve the focus of their interventions. Furthermore, significant methodological weaknesses in several indexed studies are noted, and these should be rectified to enable future studies to confirm or correct the present observations.
近年来,已经开展了多项关于社会心理因素对人类免疫缺陷病毒(HIV)感染病程影响的研究。在总结心理免疫学领域的现有常识状况后,本文回顾了针对HIV开展的研究结果。得出了两个结论。第一个结论是,目前的研究尚未表明社会心理因素对血清反应阳性患者的免疫状态或艾滋病固有的医学并发症有任何影响。第二个结论是,几种类型的干预措施,特别是心理教育方法、压力管理项目以及加强社会和家庭支持,在关注患者的社会心理健康方面取得了良好效果,应该促使各类医疗专业人员改进他们干预措施的重点。此外,还指出了几项索引研究中存在的重大方法学缺陷,应予以纠正,以便未来的研究能够证实或修正目前的观察结果。