CORE--MENTAL HEALTH SERVICES RESEARCH AND BEHAVIORAL MEDICINE FOR AIDS

随着更多的人接受艾滋病毒检测并了解到他们是 血清呈阳性，随着感染艾滋病毒的人寿命延长， 增加对精神健康服务的需求--以及 受--艾滋病的影响。除了“传统的”心理健康 为抑郁症、焦虑症等障碍提供服务，并改善应对 和对慢性艾滋病毒疾病的适应，相当大比例的人 有HIV疾病经历的健康行为障碍包括 营养和饮食障碍，睡眠障碍，行动不便 限制和疼痛，这可能是行为医学的结果 干预措施。其他健康行为问题，包括不遵守规定 使用抗病毒和预防性药物治疗或治疗 结核病的治疗方案也适用于行为医学 干预措施正在接近。Core D将支持艾滋病毒的临床研究 精神健康服务/行为医学应用：(1) 发展和维护与社区卫生的关系 组织和艾滋病/艾滋病毒服务方案，以促进识别 以及为这一领域的研究招募参与者， 特别注重确保妇女和妇女的充分代表性 少数民族在研究方案中的使用；(2)确定患病率 在受艾滋病毒影响的社区样本中精神健康需求的严重程度， 以及心理健康访问和利用数据，并促进 将这些人纳入CAIR精神健康研究方案；(3) 收集关于艾滋病毒健康行为障碍患病率的数据 以方便患者群体进行行为医学和 CAIR调查人员进行的合规干预研究；以及(4) 作为所需的集中和多学科输入的资源 设计和实施艾滋病毒精神卫生服务研究。核心将会 融合了多学科科学家团队的努力 有艾滋病毒心理健康研究和行为医学经验 对艾滋病毒疾病适用的干预措施。的总体意图 核心是刺激和支持新的和扩大的干预 与艾滋病毒精神健康问题相关的研究。

As a larger numbers of people are tested for HIV and learn they are seropositive, and as persons with HIV infection live longer, there will be increased need for mental health services for people with--and people affected by--HIV disease. In addition to "traditional" mental health services for disorders such as depression, anxiety, and to improve coping and adaption to chronic HIV illness, a significant proportion of persons with HIV disease experience health behavior disorders including nutritional and eating disorders, sleep disturbances, mobility restriction, and pain that may be amenable to behavioral medicine interventions. Other health behavior problems, including noncompliance with antiviral and prophylactic medical regimens or with treatment regimens for tuberculosis, also lend themselves to behavioral medicine intervention approaches. Core D will support clinical research on HIV mental health services/behavioral medicine applications by: (1) Development and maintenance of relationships with community health organizations and AIDS/HIV service programs to facilitate identification and recruitment of participants for research in this area, with a particular focus on ensuring the adequate representation of women and ethnic minorities in study protocols; (2) Use of determine the prevalence and severity of mental health needs in HIV-affected community samples, as well as mental health access and utilization data, and facilitate entry of these individuals to CAIR mental health research protocols; (3) Collection of data on the prevalence of health behavior disorders in HIV patient populations to facilitate the conduct of behavioral medicine and compliance intervention research conducted by CAIR investigators; and (4) Serving as a resource for centralized and multidisciplinary input needed to design and perform HIV mental health services research. The core will incorporate the effort of a multidisciplinary team of scientists experienced in HIV mental health research and in behavioral medicine interventions with applicability to HIV disease. The overall intent of the core is to stimulate and support new and expanded intervention research related to HIV mental health issues.