SCREENING FOR PSYCHIATRIC MORBIDITY IN A MEDICAL OUTPATIENT-CLINIC FOR HIV-INFECTION - THE NEED FOR A PSYCHIATRIC PRESENCE
SCREENING FOR PSYCHIATRIC MORBIDITY IN A MEDICAL OUTPATIENT-CLINIC FOR HIV-INFECTION - THE NEED FOR A PSYCHIATRIC PRESENCE
复制标题
DOI：
10.2190/urtc-aqvj-n9kg-0rl4
复制
发表时间：
1994-01-01
影响因子：
2
通讯作者：
TREISMAN, GJ
中科院分区：
文献类型：
--
作者：
LYKETSOS, CG;HANSON, A;TREISMAN, GJ
目的：确定首次到HIV专科诊所就诊的HIV感染者的精神疾病的患病率和类型。此外，开发一种在这种情况下使用既定的自我报告问卷对精神疾病病例进行筛查的方法。方法：50名在约翰·霍普金斯医院艾滋病综合诊所连续就诊的患者参与了这项研究。这些患者首先使用一般健康问卷和贝克抑郁问卷进行筛查，随后接受了全面的神经精神病学评估。结果：54%的人被发现患有精神障碍，另外22%的人患有活性物质使用障碍。这些比例比其他医疗诊所报告的比例高出1.5到2倍。GHQ和BDI一起用作筛查可以识别精神疾病患者，敏感度为81%，特异度为61%，与在其他诊所发现的效果相似。结论：鉴于HIV感染患者精神障碍的高患病率，对这些疾病的筛查、评估和治疗是至关重要的，应该系统地进行。要做到这一点，最好是在艾滋病毒医疗诊所内设立一个精神病科小组，而不是与这些诊所建立联系。
Objective: To ascertain the prevalence and type of psychiatric morbidity present in HIV infected patients presenting for the first time to a specialty HIV medical clinic. Also, to develop a way of screening for psychiatric cases in this setting using established self-report questionnaires. Method: Fifty patients who presented consecutively for medical care at the Johns Hopkins Hospital General HIV Clinic participated in this study. These patients were first screened using the General Health Questionnaire and the Beck Depression Inventory and subsequently underwent a comprehensive neuropsychiatric evaluation. Results: Fifty-four percent were found to suffer from a psychiatric disorder with an additional 22 percent from an active substance use disorder.These rates are one-and-one-half to two times higher than those reported from other medical clinics. The GHQ and BDI used together as screens could identify psychiatric ''cases'' with a sensitivity of 81 percent and a specificity of 61 percent, an efficacy similar to that found in other clinics. Conclusions: Given the high prevalence of psychiatric disorders in HIV infected patients presenting for medical care, screening, evaluating, and treating for these disorders is crucial and should be pursued systematically. This is best done through the presence of a psychiatric team within HIV medical clinics rather than in affiliation with such clinics.