Orr D A, Pinto P F
H.E.L.P./Project Samaritan, Bronx, New York 10452.
J Subst Abuse Treat. 1993 Nov-Dec;10(6):505-11. doi: 10.1016/0740-5472(93)90053-5.
Human immunodeficiency virus (HIV)-related dementia and other memory and attention disorders are described in terms of etiology, incidence, and symptoms. Assessment for cognitive impairment includes basic screening (examples are given), or a thorough neuropsychological evaluation. Implications for treatment within the residential drug treatment environment include: (a) providing accurate information to staff and residents; (b) identifying residents' anticipatory anxiety; (c) supportive counseling of residents; (d) coaching residents in the use of coping strategies; (e) creating environmental support; and (f) frequent reassessment of treatment goals, including the appropriateness of independent living. Helpful concrete suggestions are listed.
本文描述了人类免疫缺陷病毒（HIV）相关痴呆以及其他记忆和注意力障碍的病因、发病率及症状。认知障碍评估包括基本筛查（给出了示例）或全面的神经心理学评估。在住院药物治疗环境中的治疗要点包括：（a）向准确工作人员和患者提供准确信息；（b）识别患者的预期焦虑；（c）为患者提供支持性咨询；（d）指导患者使用应对策略；（e）营造环境支持；（f）定期重新评估治疗目标，包括独立生活的适宜性。文中列出了实用的具体建议。
