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首页> 外文期刊>AIDS care. >Post-traumatic stress disorder among recently diagnosed patients with HIV/AIDS in South Africa.
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Post-traumatic stress disorder among recently diagnosed patients with HIV/AIDS in South Africa.

机译：南非最近诊断出的艾滋病毒/艾滋病患者的创伤后应激障碍。

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This study examined the prevalence of and factors associated with post-traumatic stress disorder in recently diagnosed HIV/AIDS patients in South Africa. One hundred and forty-nine (44 male, 105 female) recently diagnosed HIV/AIDS patients (mean duration since diagnosis?=?5.8 months, SD?=?4.1) were evaluated. Subjects were assessed using the MINI International Neuropsychiatric Interview (MINI), the Carver Brief COPE coping scale and the Sheehan Disability Scale. In addition, previous exposures to trauma and past risk behaviours were assessed. Twenty-two patients (14.8%) met criteria for PTSD. Current psychiatric conditions more likely to be associated with PTSD included major depressive disorder (29% in PTSD patients versus 7% in non-PTSD patients, p=0.004), suicidality (54% versus 11%, p=0.001) and social anxiety disorder (40% versus 13%, p=0.04). Further patients with PTSD reported significantly more work impairment and demonstrated a trend towards higher usage of alcohol as a means of coping. Discriminant function analysis indicated that female gender and a history of sexual violation in the past year were significantly associated with a diagnosis of PTSD. Patients whose PTSD was a direct result of an HIV/AIDS diagnosis (8/22) did not differ from other patients with PTSD on demographic or clinical features. In the South African context, PTSD is not an uncommon disorder in patients with HIV/AIDS. In some cases, PTSD is secondary to the diagnosis of HIV/AIDS but in most cases it is seen after other traumas, with sexual violation and intimate partner violence in women being particularly important.
机译：这项研究调查了南非最近诊断出的HIV / AIDS患者的创伤后应激障碍患病率和相关因素。评估了最近诊断出的HIV / AIDS患者149例（男性44例，女性105例）（诊断以来的平均持续时间== 5.8个月，SD == 4.1）。使用MINI国际神经精神病学访谈（MINI），Carver Brief COPE应对量表和Sheehan残疾量表对受试者进行评估。此外，还评估了以前的创伤经历和过去的风险行为。 22名患者（14.8％）符合PTSD标准。当前更可能与PTSD相关的精神疾病包括重度抑郁症（PTSD患者为29％，非PTSD患者为7％，p = 0.004），自杀倾向（54％vs 11％，p = 0.001）和社交焦虑症（40％对13％，p = 0.04）。进一步的PTSD患者报告了明显更多的工作障碍，并显示出更多使用酒精作为应对手段的趋势。判别功能分析表明，女性和过去一年的性侵犯史与PTSD的诊断显着相关。 PTSD是HIV / AIDS诊断直接结果的患者（8/22）在人口统计学或临床特征方面与其他PTSD患者没有区别。在南非，PTSD在艾滋病毒/艾滋病患者中并非罕见。在某些情况下，PTSD仅次于艾滋病毒/艾滋病的诊断，但在大多数情况下，是在其他创伤之后才能看到的，其中性侵犯和女性的亲密伴侣暴力尤为重要。

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