首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Trauma, mental health, distrust, and stigma among HIV-positive persons: implications for effective care.
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Trauma, mental health, distrust, and stigma among HIV-positive persons: implications for effective care.

机译:HIV阳性患者的创伤,心理健康,不信任和污名化:对有效护理的影响。

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摘要

Individuals living with HIV often have complicated histories, including negative experiences such as traumatic events, mental illness, and stigma. As the medical community in the United States adapts to managing HIV as a chronic disease, understanding factors such as these negative experiences that may be associated with poorer adherence to treatment regimens, greater HIV risk behavior, and lower patient quality of life becomes critical to HIV care and prevention. In less wealthy nations, these issues are also critical for addressing quality of life as well as medication adherence in the areas where antiretroviral therapies are being made available. This article presents a review of the literature regarding the following psychosocial factors as they relate to HIV/AIDS in the US and globally: traumatic events; mental illness, including depression, anxiety, and posttraumatic stress disorder; lack of trust in the healthcare system and government; and experiences of stigma among individuals with HIV disease. These factors have been found to be prevalent among individuals with HIV/AIDS, regardless of gender or race/ethnicity. Traumatic events, mental illness, distrust, and stigma have also been linked with poorer adherence to medication regimens and HIV risk behavior.
机译:艾滋病毒感染者的历史常常很复杂,包括负面经历,例如创伤事件,精神疾病和污名。随着美国医学界适应于将艾滋病毒作为一种慢性疾病进行管理,理解这些负面经验等因素可能与更差的依从性治疗方案,更大的艾滋病毒风险行为以及较低的患者生活质量有关,对艾滋病毒至关重要护理和预防。在富裕国家中,这些问题对于解决生活质量以及在提供抗逆转录病毒疗法的地区的药物依从性方面也至关重要。本文介绍了有关以下心理社会因素的文献综述,这些因素与美国和全球的HIV / AIDS有关:创伤事件;精神疾病,包括抑郁症,焦虑症和创伤后应激障碍;对医疗体系和政府缺乏信任;和艾滋病毒感染者的污名化经历。已发现这些因素在艾滋病毒/艾滋病患者中普遍存在,而不论性别或种族/民族。创伤事件,精神疾病,不信任感和污名也与药物治疗和HIV风险行为依从性较差有关。

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