摘要
目的对云南省某市95例HIV感染者的焦虑、抑郁状况进行调查,分析并了解其心理状况及影响因素.方法通过偶遇抽样法采用一般情况问卷、心理自评抑郁量表(SDS)、焦虑自评量表(SAS)对95例HIV感染者进行调查.利用统计方法如单样本t-检验、多因素回归分析、Logistic回归对调查结果进行分析.结果感染者焦虑和抑郁的发生率分别为28.4%(95%CI:19.4%～37.4%)和63.2%(95%CI:53.6%～72.8%);SAS评分与中国常模差异具有统计学意义,HIV感染者焦虑程度比正常人、神经衰弱者均显著增高,其焦虑程度与焦虑症患者较接近;SAS评分与SDS评分相关性有统计学意义(r=0.645,P<0.01);影响SAS标准的多重回归分析,HIV阳性指出时间进入方程,呈负相关(偏回去归素数-0.212,P<0.05);影响抑郁的Logiztic回归分析,经济收入进入方程(偏回归系数0.703,χ2=6.701,P<0.05).结论云南省某市95例HIV感染者焦虑、抑郁状况严重,两者之间存在相关性,应加强对检测阳性初期者的心理关怀和对感染者的经济支持与关怀.
Objective To explore psychological anxiety and depression state and to analyze the related influence factor of 95 HIV infection cases in a city of Yunnan Province. Methods Accidental sampling method was used to survey target population using serf-administrant questionnaire. Tow scales which the Self-rating Depression Scale SDS and the Serf-rating Anxiety Scale SAS was used to evaluate psychology response of HIV positives. Results They had high scale of depress and anxiety stress. The difference of to SAS score between HIV positives and the Chinese norm was statistically significant. SAS and SDS scores showed significant relationship （R =0.645, R2 =0.417, P 〈 0.01）. The HIV infection time and SAS score showed negative correlation （Coefficient =-0.212, P 〈 0.05）. Income was a high influencing factor for SAS and SDS of HIV positives. Conclusion We should strengthen psychological care and economical support for HIV positive in the future.
出处
《昆明医学院学报》
2008年第6期20-24,共5页
Journal of Kunming Medical College
基金
国家教育部"春晖计划"资助项目(42007009)
云南省教育厅资助项目(40547003)
关键词
HIV感染者
抑郁
焦虑
心理自评量表
评价
HIV positive
Anxiety
Depression
Psychological self-rating scale
Evaluation
