HIV/AIDS and psychological distress: The experience of outpatients in a West African HIV clinic
HIV/AIDS and psychological distress: The experience of outpatients in a West African HIV clinic
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DOI：
10.1016/j.hivar.2012.02.002
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发表时间：
2012-03-01
影响因子：
0.2
通讯作者：
Aina, Olatunji F.
中科院分区：
文献类型：
--
作者：
Olagunju, Andrew T.;Adeyemi, Joseph D.;Aina, Olatunji F.
背景：艾滋病毒/艾滋病患者（PLWHA）的心理困扰经历往往会对艾滋病毒护理结果产生负面影响。本研究旨在确定在门诊就诊的艾滋病感染者中心理困扰的患病率及其相关因素。材料与方法：采用系统随机抽样方法，招募同意并符合纳入标准的受试者300人。研究人员对参与者进行问卷调查，以了解他们的社会人口统计学/临床概况。随后进行12项一般健康问卷（GHQ-12）评估心理困扰的存在。数据分析使用社会科学统计软件包第15版（SPSS-15）。结果：每10个参与者中有3个被观察到有心理困扰。社会人口学和临床因素，包括缺乏家庭支持、失业、精神疾病家族史和其他疾病的合并症，与参与者的心理困扰有关（p = 0.05）。另一方面，像结婚、没有其他医疗条件和较长时间的高效抗逆转录病毒疗法（HAART）等因素似乎对心理困扰有保护作用。结论：提倡在艾滋病患者的护理中采用和实践包括社会心理层面的整体方法。(C) 2012年波兰艾滋病研究协会。Elsevier Urban & Partner Sp. z.o.o出版，版权所有。
Background: The experience of psychological distress by People Living with HIV/AIDS (PLWHA) often impacts the HIV care outcome negatively. This study was set out to determine the prevalence and correlates of psychological distress among PLWHA attending an outpatient clinic.Material and methods: Three hundred participants who consented and met the inclusion criteria were recruited using systematic random sampling method. The participants were administered questionnaires to elicit their socio-demographic/clinical profile. This was followed by the administration of 12-item General Health Questionnaire (GHQ-12) to assess for the presence of psychological distress. Data were analyzed using Statistical Package for Social Sciences version 15 (SPSS-15).Results: Three in every ten participants were observed to experience psychological distress. Socio-demographic and clinical factors, which include lack of family support, unemployment, family history of mental illness and co-morbidity of other medical conditions were associated with psychological distress among the participants (p = 0.05). On the other hand, factors like being married, absence of other medical conditions and longer duration of Highly Active Anti-retroviral Therapy (HAART) seem protective against psychological distress.Conclusions: The adoption and practice of a holistic approach, with inclusion of psychosocial dimension in the care of PLWHA is advocated. (C) 2012 Polish AIDS Research Society. Published by Elsevier Urban & Partner Sp. z.o.o. All rights reserved.