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

随着越来越多的人接受艾滋病毒检测， 随着艾滋病毒感染者寿命的延长， 对精神健康服务的需求增加， 感染了艾滋病 除了“传统”的心理健康 为抑郁症、焦虑症等疾病提供服务， 和适应慢性艾滋病毒疾病，很大一部分人 患有艾滋病的人经历健康行为障碍，包括 营养和饮食失调、睡眠障碍、行动不便 限制和疼痛可能适用于行为医学 干预措施。 其他健康行为问题，包括不依从 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 干预方法。 核心D将支持艾滋病毒的临床研究 心理健康服务/行为医学应用：（1） 发展和维持与社区卫生的关系 组织和艾滋病/艾滋病毒服务方案，以促进识别 和招募参与者进行这一领域的研究， 特别注重确保妇女的充分代表性， 研究方案中的少数民族;（2）使用确定患病率 受艾滋病毒影响的社区样本中心理健康需求的严重程度， 以及心理健康的访问和利用数据，并促进 这些人进入CAIR心理健康研究协议;（3） 收集关于艾滋病毒感染者健康行为障碍流行率的数据 患者群体，以促进行为医学的开展， 由CAIR调查人员进行的依从性干预研究;以及（4） 作为所需的集中和多学科投入的资源 设计和执行艾滋病毒心理健康服务研究。 芯会 整合多学科科学家团队的努力 在艾滋病心理健康研究和行为医学方面经验丰富 适用于艾滋病毒疾病的干预措施。 的总体意图 核心是鼓励和支持新的和扩大的干预措施 与艾滋病心理健康问题有关的研究。

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.