Cleary P D, Van Devanter N, Rogers T F, Singer E, Shipton-Levy R, Steilen M, Stuart A, Avorn J, Pindyck J
Department of Health Care Policy, Harvard Medical School, Boston, Mass. 02115.
Am J Public Health. 1993 Apr;83(4):534-9. doi: 10.2105/ajph.83.4.534.
Understanding more about the psychological state of persons notified of human immunodeficiency virus (HIV) infection is critical for designing notification and counseling programs that will have the most positive effect.
The subjects were blood donors who had been notified of HIV infection by the New York Blood Center. A nurse elicited a medical history, performed a limited medical examination, and asked the subjects to complete a questionnaire that included questions about drug use, sexual behavior, and psychological characteristics. The subjects completed another questionnaire approximately 2 weeks later.
The average depressive symptom scores for both men and women were substantially higher than scores typically found in representative population samples. More than a quarter of the men and more than a third of the women reported seeking psychological or psychiatric services in the first few weeks following notification.
Anticipating and meeting individuals' psychological needs may be necessary if HIV screening programs are to address effectively the needs of persons infected with HIV.
更深入了解被通报感染人类免疫缺陷病毒(HIV)者的心理状态,对于设计能产生最积极效果的通报与咨询项目至关重要。
研究对象为纽约血液中心通报感染HIV的献血者。一名护士获取其病史,进行有限的体格检查,并让研究对象填写一份问卷,其中包括有关药物使用、性行为及心理特征的问题。约两周后,研究对象完成另一份问卷。
男性和女性的平均抑郁症状得分均显著高于代表性人群样本中的典型得分。超过四分之一的男性和超过三分之一的女性报告在接到通报后的头几周内寻求过心理或精神科服务。
如果HIV筛查项目要有效满足HIV感染者的需求,那么预估并满足个体的心理需求可能是必要的。