대한불안의학회지 (Anxiety and mood)
- 제5권2호
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- Pages.103-111
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- 2009
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- 2586-0151(pISSN)
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- 2586-0046(eISSN)
후천성면역결핍증후군(Acquired Immune Deficiency Syndrome ; AIDS) 환자의 정신질환 유병률과 심리사회적 적응
Prevalence of Psychiatric Disorders and Psychosocial Adjustment in Patients with Acquired Immune Deficiency Syndrome(AIDS)
- 박휘준 (울산대학교 의과대학 울산대병원 정신과학교실) ;
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홍진표
(산대학교 의과대학 서울아산병원 정신과학교실) ;
-
우준희
(서울아산병원 감염내과) ;
- 안준호 (울산대학교 의과대학 울산대병원 정신과학교실)
- Park, Hwi-Jun (Department of Psychiatry, University of Ulsan, College of Medicine, Ulsan University Hospital) ;
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Hong, Jin-Pyo
(Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center) ;
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Woo, Jun-Hee
(Department of Infectious Diseases, University of Ulsan College of Medicine, Asan Medical Center) ;
- Ahn, Joon-Ho (Department of Psychiatry, University of Ulsan, College of Medicine, Ulsan University Hospital)
- 투고 : 2009.08.04
- 심사 : 2009.09.24
- 발행 : 2009.10.30
초록
Objectives : We examined quality of life, psychosocial adjustments to illness, changes in sexual functioning, and prevalence of psychiatric disorders in AIDS patients compared to patients with chronic hepatitis B virus infection (CHB). Methods : Thirty-one men with AIDS and 50 men with CHB were enrolled. The Short-Form 12-Item Health Survey (SF-12), the Psychosocial Adjustment to Illness Scale (PAIS), and the Changes in Sexual Functioning Questionnaire short form (CSFQ-14) were administered. Results on these assessments were compared between the 31 AIDS patients and 50 CHB patients. The Structured Clinical Interview for DSMIV (SCID) was administered to determine the psychiatric diagnosis only for the AIDS patients. Results : The Physical Component Summary score (PCS) was lower in AIDS patients than in CHB patients (p<0.001). In the section examining sexual relationships, AIDS patients exhibited a lower level of adjustment (p<0.05) and had more changes in sexual function (p<0.05) than did CHB patients. Administration of the SCID to AIDS patients indicated that the lifetime prevalence of any psychiatric disorder was 56.7% ; 43.3% for mood disorders, 33.3% for alcohol use disorders, 26.7% for anxiety disorders, and 20% for adjustment disorder. Patients who had experienced any psychiatric disorder had more severe psychosocial distress (p=0.004) and evidenced a lower level of overall psychosocial adjustment (p=0.030) than patients who had not. Conclusion : We showed that AIDS patients have a high prevalence of psychiatric disorders, and that AIDS patients with psychiatric disorders were particularly low in levels of psychosocial adjustment. Thus, careful attention should be given to psychiatric aspects of AIDS patients emphasizing the early diagnosis and treatment of psychiatric disorders.
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