Pergami A, Gala C, Burgess A, Invernizzi G, Catalan J
Institute of Psychiatry, University of Milan Medical School, Ospedale Policlinico, Italy.
J Psychosom Res. 1994 May;38(4):305-13. doi: 10.1016/0022-3999(94)90035-3.
The aim of the study was to evaluate the prevalence of current and past psychiatric morbidity among HIV seropositive and HIV seronegative heterosexual men and women and to identify the psychosocial factors associated with psychiatric morbidity. Twenty-four asymptomatic HIV seropositive and twenty-six HIV seronegative heterosexuals were included in the study. Outcome measures included socio-demographic data, psychiatric history, current psychological status (Zung Self-Report Anxiety Scale, Zung Self-Report Depression Scale, Symptom Check List 90-R), Social Supports and Locus of Control Scales, and information on changes in work, social, and sexual life after HIV testing. There were no significant differences between HIV seropositive heterosexuals and HIV seronegative controls on any of the outcome measures. Levels of psychiatric morbidity were generally low and similar to those expected in a general out-patient medical population. Multiple regression analyses showed that degree of social support was the only significant factor associated with psychiatric morbidity. The implications of the findings are discussed.
该研究的目的是评估当前和过去艾滋病毒血清阳性及血清阴性的异性恋男性和女性中精神疾病的患病率，并确定与精神疾病相关的社会心理因素。该研究纳入了24名无症状的艾滋病毒血清阳性异性恋者和26名艾滋病毒血清阴性异性恋者。结果指标包括社会人口统计学数据、精神病史、当前心理状态（zung自评焦虑量表、zung自评抑郁量表、症状自评量表90-R）、社会支持和控制点量表，以及艾滋病毒检测后工作、社交和性生活变化的信息。在任何结果指标上，艾滋病毒血清阳性异性恋者与艾滋病毒血清阴性对照组之间均无显著差异。精神疾病的发病率普遍较低，与普通门诊医疗人群的预期发病率相似。多元回归分析表明，社会支持程度是与精神疾病相关的唯一显著因素。讨论了研究结果的意义。
