360例门诊HIV/AIDS患者焦虑症现患率的研究

江艳; 贺莉萍; 贺健梅; 魏秀青; 王敏; 郭田生; 陈曦

doi:10.16462/j.cnki.zhjbkz.2017.12.009

360例门诊HIV/AIDS患者焦虑症现患率的研究

doi: 10.16462/j.cnki.zhjbkz.2017.12.009

江艳¹,
贺莉萍¹,
贺健梅²,
魏秀青²,
王敏³,
郭田生⁴,
陈曦^2, ,

1. 湘南学院公共卫生学院流行病与卫生统计学教研室, 湖南郴州 423043;
2. 湖南省疾病预防控制中心性病艾滋病预防控制科, 湖南长沙 410005;
3. 长沙市第一医院艾滋病研究所, 湖南长沙 410011;
4. 湖南省脑科医院精神科, 湖南长沙 410007

基金项目:

湖南省卫生厅科研基金课题（C2014-039）

详细信息

作者简介:
江艳(1989-),女,湖南浏阳人,助教,硕士。主要研究方向:慢性病预防与控制。

中图分类号: R512.91;R181.2
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出版历程
- 收稿日期: 2017-06-15
- 修回日期: 2017-09-22

Prevalence of anxiety disorders in 360 cases of HIV/AIDS outpatients

1. Department of Epidemiology and Health Statistics, School of Public Health, Xiangnan University, Chenzhou 423043, China;
2. Department of AIDS/STD Control and Prevention, Hunan Provincial Center for Disease Control and Prevention, Changsha 410005, China;
3. AIDS Institute, the First Hospital of Changsha, Changsha 410011, China;
4. Department of psychiatry, Brain Hospital of Hunan Province, Changsha 410007, China

摘要

摘要: 目的了解目前人类免疫缺陷病毒（human immunodeficiency virus，HIV）/获得性免疫缺陷综合征（acquired immune deficiency syndrome，AIDS）患者中焦虑症的患病率，初步探索影响焦虑症产生的因素。方法抽取2015年6~12月在长沙市传染病医院艾滋病门诊就诊的360例HIV/AIDS患者并对其开展横断面研究，采用量表结合诊断软件的双重筛查方法评估患者合并焦虑症的情况，对于宗氏焦虑自评量表（self-rating anxiety scale，SAS）筛查调查对象有焦虑症状者（SAS最后得分 ≥ 50分），应用心理疾病专家诊断系统（心理CT）确诊是否患焦虑症，并用多因素Logistic回归分析影响焦虑症产生的因素。结果初筛检出焦虑症状72例（占20.0%），确诊焦虑症34例（占9.4%）。多因素分析结果显示，1年 ≤ 确诊时间<3年（OR=3.388，95%CI：1.335~8.599）、近三个月有艾滋病相关疾病（OR=3.623，95%CI：1.561~8.409）、HIV/AIDS相关羞辱和歧视状况量表得分高（40分 ≤ 得分<60分，OR=4.595，95%CI：1.666~12.674；得分 ≥ 60分，OR=12.278，95%CI：3.376~44.656）是HIV/AIDS患者焦虑症形成的危险因素。结论接受抗病毒治疗HIV/AIDS患者焦虑症患病情况应该引起关注，临床应加大对HIV/AIDS患者的心理关怀力度。
- HIV感染 /
- 获得性免疫缺陷综合征 /
- 焦虑症
Abstract: Objective To investigate and analyze the prevalence of anxiety disorders and its influencing factors in HIV/AIDS patients. Methods This was a cross-sectional study of a total of 360 HIV/AIDS outpatients recruited in the first hospital of Changsha from June to December 2015. SAS questionnaire (SAS score greater than or equal to 50 points) was used to screen candidates and psychological CT was used to confirm the patients with anxiety disorders. The influencing factors were analyzed by using multivariate logistic regression analysis. Results 72 candidates (20.0%) were screened by SAS questionnaire and 34 cases (9.4%) were confirmed with anxiety disorders by using psychological CT. Multivariate logistic regression analysis revealed that great than or equal to 1 and less than 3 years after final diagnosis(OR=3.388, 95% CI:1.335-8.599), HIV related diseases diagnosed within nearly three months(OR=3.623, 95% CI:1.561-8.409), and the higher scores of HIV/AIDS related stigma and discrimination performance scale(scoring great than or equal to 40 points and less than 60 points, OR=4.595, 95% CI:1.666-12.674;scoring great than or equal to 60 points, OR=12.278, 95% CI:3.376-44.656)were independent risk factors of anxiety disorders. Conclusions The anxiety disorders in HIV/AIDS patients with highly active antiretroviral therapy should be paid more attention. The psychological care should be improved in clinic work.
- HIV infections /
- Acquired immunodeficiency syndrome /
- Anxiety disorders