Levels of self-reported depression and anxiety among HIV-positive patients in Albania: a cross-sectional study.
Levels of self-reported depression and anxiety among HIV-positive patients in Albania: a cross-sectional study.
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DOI：
10.3325/cmj.2011.52.622
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发表时间：
2011-10-15
影响因子：
1.9
通讯作者：
Harxhi A
中科院分区：
文献类型：
--
作者：
Morrison SD;Banushi VH;Sarnquist C;Gashi VH;Osterberg L;Maldonado Y;Harxhi A
在地拉那大学医院中心(UHCT)艾滋病毒/艾滋病门诊，初步了解人类免疫缺陷病毒(HIV)阳性人群面临的心理健康问题。从2009年6月至8月，我们在UHCT HIV/AIDS门诊对79名患者(应答率为93%)进行了半结构化访谈。这些访谈评估了患者报告的精神健康诊断史、患者的人口统计数据和当前的情绪健康状况。报告有抑郁症或焦虑症病史的患者比例很高，分别为62.3%和82.3%。与抑郁史相关的因素包括被诊断为焦虑症(P <； 0.001)、护理障碍较多(P <； 0.001)、当前医疗和社会需求较多(P <； 0.001)、或未在国外获得抗逆转录病毒疗法(P = 0.004)。与焦虑史相关的因素包括曾在一线接受抗逆转录病毒治疗(P = 0.008)，被诊断为感染艾滋病毒的时间较短(P = 0.043)，被诊断为抑郁症(P <； 0.001)，有较多的当前医疗和社会需求(P = 0.035)，或未在国外获得抗逆转录病毒治疗(P = 0.003)。心理健康问题在阿尔巴尼亚已知的艾滋病毒阳性患者中很普遍。焦虑和抑郁以及对这些疾病的双重诊断的高度普遍表明，阿尔巴尼亚需要为艾滋病毒阳性患者提供更多的精神卫生保健。
To gain an initial perspective of mental health issues facing the Human Immunodeficiency Virus (HIV)-positive population at the University Hospital Center of Tirana (UHCT) HIV/AIDS Ambulatory Clinic. From June-August 2009, we conducted semi-structured interviews with 79 patients (93% response rate) at the UHCT HIV/AIDS Ambulatory Clinic. The interviews assessed patient-reported histories of mental health diagnoses, patients’ demographics, and current emotional health status. The percentage of patients who reported a history of diagnosis of depression or anxiety was high – 62.3% and 82.3%, respectively. Factors associated with a history of depression included having been diagnosed with anxiety (P < 0.001), having a higher number of barriers to care (P < 0.001), having a higher number of current medical and social needs (P < 0.001), or having not obtained antiretroviral therapy (ART) abroad (P = 0.004). Factors associated with a history of anxiety included having been on first-line ART (P = 0.008), having been diagnosed with HIV for shorter periods of time (P = 0.043), having been diagnosed with depression (P < 0.001), having a higher number of current medical and social needs (P = 0.035), or having not obtained ART abroad (P = 0.003). Mental health problems are widespread among the known HIV-positive patient population in Albania. The high prevalences of anxiety and depression and of dual diagnoses of these conditions suggest the need for more mental health care for HIV-positive patients in Albania.
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