Kelly J A, Murphy D A, Bahr G R, Koob J J, Morgan M G, Kalichman S C, Stevenson L Y, Brasfield T L, Bernstein B M, St Lawrence J S
Department of Psychiatry and Mental Health Sciences, Medical College of Wisconsin, Milwaukee 53226.
Health Psychol. 1993 May;12(3):215-9. doi: 10.1037//0278-6133.12.3.215.
Whereas some people appear to cope after learning that they have human immunodeficiency virus (HIV) infection, others experience depression and suicidal ideation. In this study, 142 persons with HIV infection were administered the Center for Epidemiological Studies Depression Scale (CES-D). High levels of depression were predicted by lower perceived social support, attributions that health was influenced more by chance, high-risk sexual behavior practices, and greater number of HIV illness symptoms and greater duration of time knowing of one's own positive serostatus. Ongoing high-risk sexual behavior practices were predicted by higher levels of recreational drug use and of depression. These findings highlight the need for improved mental health services for persons with HIV conditions.
虽然有些人在得知自己感染了人类免疫缺陷病毒（HIV）后似乎能够应对，但另一些人则会出现抑郁和自杀念头。在这项研究中，对142名HIV感染者进行了流行病学研究中心抑郁量表（CES-D）测试。较低的感知社会支持、认为健康更多受机遇影响的归因、高危性行为、更多的HIV疾病症状以及知晓自身阳性血清状态的时间更长，这些因素预示着抑郁程度较高。较高的娱乐性药物使用水平和抑郁程度预示着持续的高危性行为。这些发现凸显了改善针对HIV感染者心理健康服务的必要性。
