Wiener P K, Schwartz M A, O'Connell R A
Department of Psychiatry, New York Hospital-Cornell Medical Center, Westchester Division.
Psychosomatics. 1994 Jan-Feb;35(1):59-65. doi: 10.1016/s0033-3182(94)71808-9.
Psychiatric admissions of patients infected with the human immunodeficiency virus (HIV) over a 5-year period (1986-1991) are reviewed. Ninety-one patients were studied. Suicidal thoughts/attempt was the most common reason for hospital admission. The two most common diagnostic categories were 1) organic mental syndrome, and 2) substance abuse/dependence. Forty-five percent of the patients either initiated their discharges or drastically improved without the use of psychotropic medications. The authors suggest that outpatient psychiatric facilities can provide psychiatric care for HIV-infected patients seeking it.
对1986年至1991年这5年期间感染人类免疫缺陷病毒(HIV)患者的精神科住院情况进行了回顾。共研究了91名患者。自杀念头/企图是住院最常见的原因。最常见的两个诊断类别是:1)器质性精神综合征,以及2)物质滥用/依赖。45%的患者在未使用精神药物的情况下自行出院或病情大幅改善。作者建议,门诊精神科机构可为寻求精神科护理的HIV感染患者提供护理。