Mental health: a focus on stress, coping, and mental illness as it relates to treatment retention, adherence, and other health outcomes.
Mental health: a focus on stress, coping, and mental illness as it relates to treatment retention, adherence, and other health outcomes.
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DOI：
10.1007/s11904-011-0089-1
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发表时间：
2011-12
影响因子：
4.6
通讯作者：
Safren, Steven A
中科院分区：
文献类型：
--
作者：
Blashill, Aaron J;Perry, Nicholas;Safren, Steven A
精神健康问题在艾滋病毒感染者中很普遍，一些人估计，50%的人可能符合一种或多种精神障碍的标准。艾滋病毒感染者的心理健康不仅对生活质量问题很重要，而且对HAART的遵守和生物性疾病的进展也很重要。目前的综述集中在2009年至2011年4月发表的研究，探索与HIV感染者的HIV护理行为相关的心理健康、应对和压力，包括HAART依从性、生活质量、治疗保留、卫生保健利用和疾病进展。具体地说，我们回顾了艾滋病毒感染者中最普遍和最具干扰性的担忧--抑郁、创伤后应激障碍、人际暴力、耻辱和身体形象担忧。尽管在过去两年中取得了进展，记录了精神健康对重要的艾滋病毒自我护理行为的有害影响，但仍然需要开发和传播基于证据的心理社会干预措施，将治疗心理健康问题与改善艾滋病毒携带者的自我护理行为结合起来。
Mental health problems are prevalent among HIV-infected individuals, with some estimates that 50% likely meet criteria for one or more psychiatric disorders. The mental health of HIV-infected individuals is important not only for quality-of-life concerns, but also in regard to HAART adherence and biological disease progression. The current review focuses on research published between 2009 and April of 2011, exploring mental health, coping, and stress in relation to HIV care behaviors including HAART adherence, quality of life, treatment retention, health care utilization, and disease progression amongst HIV-infected individuals. Specifically, we reviewed the most prevalent and interfering concerns among HIV-infected individuals—depression, post-traumatic stress disorder, interpersonal violence, stigma and shame, and body image concerns. Despite advances over the last 2 years documenting the deleterious effects of mental health on important HIV self-care behaviors, there is continued need for developing and disseminating evidence-based psychosocial interventions that integrate treating mental health problems with improving self-care behaviors for those living with HIV.