原创力文档hiv-infected mental health patients characteristics and comparison with hiv-infected patients from the general population and non-infected mental health patients感染艾滋病毒的患者心理健康特点和比较普通人群的艾滋病病毒感染者和未受感染的病人心理健康.pdfVIP
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hiv-infected mental health patients characteristics and comparison with hiv-infected patients from the general population and non-infected mental health patients感染艾滋病毒的患者心理健康特点和比较普通人群的艾滋病病毒感染者和未受感染的病人心理健康
Schadé et al. BMC Psychiatry 2013, 13:35
/1471-244X/13/35
RESEARCH ARTICLE Open Access
HIV-infected mental health patients:
characteristics and comparison with HIV-infected
patients from the general population and
non-infected mental health patients
*
Annemiek Schadé , Gerard van Grootheest and Johannes H Smit
Abstract
Objectives: HIV-infected patients are at increased risk of developing mental health symptoms, which negatively
influence the treatment of the HIV-infection. Mental health problems in HIV-infected patients may affect public
health. Psychopathology, including depression and substance abuse, can increase hazardous sexual behaviour and,
with it, the chance of spreading HIV. Therefore, it is important to develop an optimal treatment plan for
HIV-infected patients with mental health problems. The majority of HIV-infected patients in the Netherlands
(almost 60%) are homosexual men.
The main objectives of this study were to describe the clinical and demographic characteristics of patients with HIV
who seek treatment for their mental health symptoms in the Netherlands. Secondly, we tested whether HIV
infected and non-infected homosexual patients with a lifetime depressive disorder differed on several mental
health symptoms.
Methods: We compared a cohort of 196 patients who visited the outpatient clinic for HIV and Mental Health with
HIV-infected patients in the general population in Amsterdam (ATHENA-study) and with non-HIV infected mental
health patients (NESDA-study). DSM-IV diagnoses were determined, and several self-report questionnaires were
used to assess mental health symptoms.
Results: Depressive disorders were the most commonly occurring diagnoses in the cohort and frequent drug use
was common. HIV-infected homosexual men with a depressive disorder showed no difference i
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