| 307 | 0 | 267 |
| 下载次数 | 被引频次 | 阅读次数 |
目的：探讨认知行为疗法对症状自评量表（SCL-90）筛查阳性的艾滋病病毒感染者/艾滋病患者（HIV/AIDS患者）心理状态及心理弹性的干预效果。方法：2024年3—6月，选取中山火炬高新区在册管理的80例SCL-90筛查阳性HIV/AIDS患者，随机分为干预组（n=39）和对照组（n=41）。对照组接受常规健康教育随访；干预组在常规随访基础上增加6次结构化认知行为疗法干预（12周完成）。采用SCL-90和心理弹性量表评估干预前后心理状态及心理弹性。结果：最终完成干预组34例、对照组38例（总脱落率10%）。干预后分析显示：SCL-90总分干预组（153±15）低于对照组（174±23），且较干预前降低（均P<0.001）；对照组干预前后差异无统计学意义（P=0.064）。心理弹性总分干预组（57.5±4.8）高于对照组（47.5±4.3），且较干预前提升（均P<0.001）；对照组干预前后差异无统计学意义（P=0.133）。结论：认知行为疗法可有效改善SCL-90筛查阳性HIV/AIDS患者的心理状态，并提升其心理弹性。
Abstract：Objective:To explore the interventional effect of cognitive behavioral therapy on psychological status and resilience in human immunodeficiency virus/acquired immunodeficiency syndrome(HIV/AIDS) patients screened positive by the Symptom Checklist-90(SCL-90). Methods: From March to June 2024, 80 SCL-90-screened positive HIV/AIDS patients registered in Zhongshan Torch Hi-Tech Industrial Development Zone were randomly assigned to an intervention group(n=39) receiving 6 sessions of structured CBT over 12 weeks plus routine health education follow-up, or a control group(n=41) receiving routine health education alone. The SCL-90 and Connor-Davidson Resilience Scale(CD-RISC) were used to assess psychological status and resilience before and after the intervention.Results: Seventy-two patients completed the study(intervention group: n=34; control group: n=38; total attrition rate:10%). Post-intervention analysis showed: The SCL-90 total score in the intervention group(153±15) was significantly lower than that in the control group(174±23) and significantly decreased from baseline(all P<0.001). No significant change was observed in the control group(P=0.064). The resilience total score in the intervention group(57.5±4.8) was significantly higher than that in the control group(47.5±4.3) and significantly increased from baseline(all P<0.001).The control group showed no significant change(P=0.133). Conclusion: Cognitive behavioral therapy effectively improves psychological status and enhances resilience in SCL-90-screened positive HIV/AIDS patients.
[1]中华医学会感染病学分会艾滋病丙型肝炎学组,中国疾病预防控制中心.中国艾滋病诊疗指南(2021年版)[J].协和医学杂志,2022,13(2):203-226.
[2]刘小春,黄茶英.心理护理对艾滋病患者抑郁状况及生活质量的影响[J].医学理论与实践,2018,31(6):913-914.
[3]中国疾病预防控制中心性病艾滋病预防控制中心.2024年第二季度全国艾滋病性病疫情[J].中国艾滋病性病,2024,30(9):893.
[4]国务院办公厅.中国遏制与防治艾滋病规划(2024-2030年)[J].中国病毒病杂志,2025,15 (1):7-9.
[5]程晓莉,刘爱文,张丹丹,等.安徽省189例HIV/AIDS患者心理健康状况研究[J].安徽预防医学杂志,2022,28(6):443-447.
[6]崔展宇,黄辉煌,李玥漪,等.HIV/AIDS病人歧视知觉的研究进展[J].中国艾滋病性病,2018,24(10):1066-1069.
[7]BEER L,TIE Y F,PADILLA M,et al.Generalized anxiety disorder symptoms among persons with diagnosed HIV in the United States[J].AIDS,2019,33(11):1781-1787.
[8]李重熙,武昆利,何蓉,等.艾滋病患者抗病毒治疗前后睡眠质量变化分析[J].皮肤病与性病,2019,41(3):327-330.
[9]HUEY S J Jr,PARK A L,GALáN C A,et al.Culturally responsive cognitive behavioral therapy for ethnically diverse populations[J].Annu Rev Clin Psychol,2023,19:51-78.
[10]ABBAS Q,NISA M,KHAN M U,et al.Brief cognitive behavior therapy for stigmatization,depression,quality of life,social support and adherence to treatment among patients with HIV/AIDS:a randomized control trial[J].BMC Psychiatry,2023,23(1):539.
[11]戴晓阳.常用心理评估量表手册[M].2版.北京:人民军医出版社,2015:27-33.
[12]DEROGATIS L R,LIPMAN R S,COVI L.SCL-90:an outpatient psychiatric rating scale:preliminary report[J].Psychopharmacol Bull,1973,9(1):13-28.
[13]金华,吴文源,张明园.中国正常人SCL-90评定结果的初步分析[J].中国神经精神疾病杂志,1986,12(5):260-263.
[14]于肖楠,张建新.自我韧性量表与Connor-Davidson韧性量表的应用比较[J].心理科学,2007,30(5):1169-1171.
[15]胥加耕,方娟,黄艳兰,等.盐城市盐都区100例HIV感染者/AIDS患者生活现状调查[J].职业与健康,2019,35(24):3410-3414.
[16]周恒,吴明飞.CBT团队干预对青少年双相障碍情绪调节能力的改善作用[J].医学综述,2022,28(16):3319-3324.
[17]武建华,吴善明,马永虹,等.认知心理干预疗法对艾滋病患者心理状态及生活质量的影响[J].河南中医,2020,40(7):1047-1050.
[18]王博,张广,李在村.认知行为干预对抗病毒治疗的HIV感染者自我管理、自我效能及生活质量的影响[J].中华流行病学杂志,2022,43(7):1112-1117.
[19]高会英,钱湘云,高细会.HIV/AIDS患者疲乏的研究进展[J].中国性科学,2025,34(5):131-137.
[20]RINI I R,FAKHRURROZI M.The effectiveness of cognitive behavioral therapy (cbt) to reduce anxiety in the patients of obsessive-compulsive disorder (ocd)[J].JPsikologi,2019,16(2):175-187.
[21]苏莉莉.HIV感染者歧视知觉、社会支持与精神健康的关系研究[D].桂林:广西师范大学,2023.
[22]ROGERS B G,LEE J S,BAINTER S A,et al.Amultilevel examination of sleep,depression,and quality of life in people living with HIV/AIDS[J].J Health Psychol,2020,25(10/11):1556-1566.
[23]刘玉英,马秀丽,吴秋利.抗病毒治疗艾滋病病人情绪状态与免疫功能的相关性及与疗效的交互作用研究[J].全科护理,2022,20(33):4720-4722.
[24]成浩,朱靖,周瑾,等.无锡市HIV感染者及艾滋病患者SCL-90评定结果分析[J].东南大学学报(医学版),2017,36(6):929-933.
[25]龚玲,胡燕,高旭.研究生心理弹性潜在类别及SCL-90的比较[J].西南师范大学学报(自然科学版),2020,45(10):82-88.
[26]ROZA D,YANTI N,SURYARINILSIH Y,et al.Cognitive behavior therapy(CBT) to reduce death anxiety(Thanatophobia) in HIV/AIDS patients[J].JIKA,2022,7(4):1131-1138.
[27]VAN LUENEN S,KRAAIJ V,SPINHOVEN P,et al.Exploring mediators of a guided web-based self-help intervention for people with HIV and depressive symptoms:randomized controlled trial[J].JMIR Ment Health,2019,6(8):e12711.
[28]HARRISON A,SCOTT W,TIMMINS L,et al.Investigating the potentially important role of psychological flexibility in adherence to antiretroviral therapy in people living with HIV[J].AIDS Care,2021,33(3):337-346.
[29]GOTTERT A,FRIEDLAND B,GEIBEL S,et al.The people living with HIV(PLHIV) resilience scale:development and validation in three countries in the context of the PLHIV stigma index[J].AIDS Behav,2019,23(Suppl 2):172-182.
基本信息:
DOI：10.13401/j.cnki.jsumc.2025.03.006
中图分类号:R512.91
引用信息:
[1]黄俊阳,邓永芳,叶羞花,等.认知行为疗法改善症状自评量表筛查阳性HIV/AIDS患者心理状态与心理弹性的效果分析[J].汕头大学医学院学报,2025,38(03):153-158.DOI:10.13401/j.cnki.jsumc.2025.03.006.
2025-09-30
2025-09-30