Fukunishi I, Hayashi M, Matsumoto T, Negishi M, Hosaka T, Moriya H
Tokyo Institute of Psychiatry, Japan.
Psychiatry Clin Neurosci. 1997 Feb;51(1):1-4. doi: 10.1111/j.1440-1819.1997.tb02357.x.
We examined the relationship of somatic complaints to coping behaviors and mood states among 50 HIV-positive patients without AIDS. Although no patients fulfilled the DSM-III-R criteria for mood disorders including major depression, scores for depressive symptoms were significantly higher in the HIV-positive patients than in healthy persons. Although depressive symptoms in HIV patients may not be strong enough to warrant a psychiatric diagnosis of mood disorders, these patients may be prone to depressive symptoms. The HIV patients indicated a tendency toward somatic complaints more frequently than their healthy counterparts. The scores for depressive symptoms were significantly and positively correlated with scores for avoidance coping responses. The presence or absence of six complaints (i.e., general fatigue, abdominal distress, chest pain or discomfort, and numbness or chills) could be discriminated based on the score of avoidance coping responses. The results of this study suggest that avoidance coping responses associated with depressive symptoms accompany several somatic complaints in HIV patients without AIDS.
我们研究了50名未患艾滋病的HIV阳性患者的躯体不适与应对行为及情绪状态之间的关系。尽管没有患者符合包括重度抑郁在内的DSM-III-R心境障碍标准，但HIV阳性患者的抑郁症状得分显著高于健康人。虽然HIV患者的抑郁症状可能不足以确诊为心境障碍，但这些患者可能易出现抑郁症状。与健康对照相比，HIV患者更频繁地表现出躯体不适倾向。抑郁症状得分与回避应对反应得分显著正相关。基于回避应对反应得分，可以区分出六种不适症状（即全身乏力、腹部不适、胸痛或不适、麻木或寒战）的有无。本研究结果表明，与抑郁症状相关的回避应对反应伴随着未患艾滋病的HIV患者的多种躯体不适。
