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首页> 外文期刊>AIDS care. >Mental health problems in people living with HIV: changes in the last two decades: the London experience 1990-2014
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Mental health problems in people living with HIV: changes in the last two decades: the London experience 1990-2014

机译：艾滋病毒携带者的心理健康问题：最近两个十年的变化：伦敦的经历1990-2014

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摘要

Mental health problems continue to be a significant comorbidity for people with HIV infection, even in the era of effective antiretroviral therapy. Here, we report on the changes in the mental health diagnoses based on clinical case reports amongst people with HIV referred to a specialist psychological medicine department over a 24-year period, which include the relative increase in depressive and anxiety disorders, often of a chronic nature, together with a decline in acute mental health syndromes, mania, and organic brain disorders. In addition, new challenges, like the presence of HIV and Hepatitis C co-infection, and the new problems created by recreational drugs, confirm the need for mental health services to be closely involved with the general medical services. A substantial proportion of people with HIV referred to specialist services suffer complex difficulties, which often require the collaboration of both psychiatrists and psychologists to deal effectively with their difficulties.
机译：即使在有效的抗逆转录病毒治疗时代，精神健康问题仍然是艾滋病毒感染者的重大合并症。在这里，我们根据24年来转诊给专业心理医学部门的HIV感染者的临床病例报告，报告了心理健康诊断的变化，其中包括抑郁症和焦虑症（通常是慢性病）的相对增加自然，以及急性精神健康综合症，躁狂症和器质性脑部疾病的减少。此外，新的挑战，例如艾滋病毒和丙型肝炎合并感染的存在，以及娱乐性药物带来的新问题，证实了精神卫生服务必须与普通医疗服务紧密结合。接受专科服务的艾滋病毒感染者中有很大一部分面临着复杂的困难，这通常需要精神科医生和心理学家的合作才能有效地解决他们的困难。

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