Identification of psychiatric disorders among human immunodeficiency virus-infected individuals in Taiwan, a nine-year nationwide population-based study

被引:8
作者
Chen, Mu-Hong [1 ]
Su, Tung-Ping [1 ,3 ]
Chen, Tzeng-Ji [2 ,4 ]
Cheng, Ju-Yin [1 ,3 ]
Wei, Han-Ting [1 ]
Bai, Ya-Mei [1 ,3 ]
机构
[1] Taipei Vet Gen Hosp, Dept Psychiat, Taipei, Taiwan
[2] Taipei Vet Gen Hosp, Dept Family Med, Taipei, Taiwan
[3] Natl Yang Ming Univ, Dept Psychiat, Taipei 112, Taiwan
[4] Natl Yang Ming Univ, Inst Hosp & Hlth Care Adm, Taipei 112, Taiwan
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2012年 / 24卷 / 12期
关键词
HIV; psychiatric disorders; depression; anxiety; substance; alcohol; comorbidity; POSTTRAUMATIC-STRESS-DISORDER; DIAGNOSED HIV-INFECTIONS; PSYCHOLOGICAL DISTRESS; CHANGING EPIDEMIOLOGY; GENDER-DIFFERENCES; SUBSTANCE-ABUSE; MENTAL-HEALTH; HIV/AIDS; DEPRESSION; ADULTS;
D O I
10.1080/09540121.2012.672716
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
A previous survey had shown a high level of psychiatric morbidity among human immunodeficiency virus (HIV)-infected individuals, but the number of patients that are actually identified as having a psychiatric disorder in the medical service in Taiwan is unknown. Using the claims data of a nationally representative cohort from the Taiwan National Health Insurance Research Database, the diagnoses of psychiatric disorders among newly diagnosed HIV-infected individuals were investigated from 1998 through 2006. Two hundred and seventy-four (23.8%) of 1153 newly diagnosed HIV-infected patients were identified as having psychiatric disorders, with an average latency of 3.33 +/- 2.47 years after HIV infection. Anxiety and depressive disorders were the leading diagnoses. Male patients had lower morbidity (21.0% vs. 25.3%, p = 0.056), but a shorter latency to be identified with a psychiatric disorder (2.1 +/- 2.13 vs. 3.9 +/- 2.40 years, p<0.001) than females. This first population-based cohort study showed a high morbidity of psychiatric disorders among HIV-infected individuals, but with a long latency after infection, and a gender effect was noted. Regular psychiatric evaluation and follow-up and prompt intervention are necessary for HIV-infected individuals.
引用
收藏
页码:1543 / 1549
页数:7
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