Mental Health Status And Intervention Effect Of HIV/AIDS Population In Chengdu

Research Objectives:The purpose of this study is to understand the mental health status of HIV/AIDS population in Chengdu,analyze the influencing factors of anxiety,depression and other symptoms as well as the relationship between medical coping style and anxiety and depression symptoms,and evaluate the effect of comprehensive psychological behavior intervention on HIV/AIDS population,so as to provide research evidence for promoting the physical and mental health of HIV/AIDS population.Subjects and Methods:The HIV/AIDS patients who received treatment in Chengdu Public Health ClinicalMedical Center from November 2021 to June 2022 were selected as the research objects.General situation questionnaire,Self-rating Anxiety Scale(SAS),self-rating Depression Scale(SDS)and Medical Coping Style Questionnaire(MCMQ)were used to collect the information of the subjects.Data related to the subject’s diagnosis and treatment were collected from the hospital HIS system.To describe the distribution of anxiety,depression and other mental health conditions and medical coping styles in HIV/AIDS population,and to compare with national norms.Univariate analysis,correlation analysis,multi-factor logistics regression analysis and multifactor linear regression analysis were used to explore the related factors causing anxiety and depression symptoms in HIV/AIDS population.People with positive scores in SAS and SDS questionnaires were selected as the study subjects,and psychological and behavioral comprehensive intervention was given once a month according to the plan.Subjects who completed all six or more times of counseling were included in the experimental group,and the rest were included in the control group.The mental health status of the two groups before and after the intervention and the intervention effects of different groups of people were compared.Result:1.Among 351 subjects,the detection rates of anxiety and depression were 23.08%and 26.50%,respectively.Compared with the national norm,the scores of anxieties and depression were higher than those of the national norm,the differences were statistically significant(P<0.001).2.Univariate analysis showed that working status(P=0.013),monthly income(P=0.002),opportunistic infection(P=0.002),CD4~+T lymphocyte count(P=0.003).The single factors affecting depressive symptoms were working status(P=0.003),monthly income(P<0.001),opportunistic infection(P<0.001),CD4~+T lymphocyte count(P<0.001),and physical condition(P=0.007).3.Multivariate analysis showed that the infection route was same or unclear(P=0.027,P=0.007),and CD4~+T lymphocyte count<500/mm3group(P=0.025)was a risk factor for anxiety symptoms.Opportunistic infection(P=0.016)and CD4~+T lymphocyte count<500/mm3(P=0.005)were risk factors for positive depressive symptoms.Monthly income>10000 yuan(P=0.038)was a protective factor for positive depressive symptoms.4.The results of medical coping style analysis showed that the scores of facing dimension were lower than the national norm,and the scores of avoidances and submission dimension were higher than the national norm,the differences were statistically significant(P<0.001).The score of face dimension was negatively correlated with the score of depression and anxiety symptom(P=0.006,P<0.001).Yield dimension score was positively correlated with anxiety symptom score(P<0.001).Avoidance dimension score was positively correlated with anxiety and depression symptom score(P<0.001).The scores of people with anxiety and depression were lower than those without anxiety and depression(P=0.045,P<0.001).In the avoidance dimension,the scores of people with anxiety symptoms were higher than those without anxiety symptoms(P=0.001,P<0.001).In the yield dimension,the scores of people with anxiety and depression symptoms were higher than those of people without anxiety and depression symptoms(P<0.001,P<0.001).5.The results of the intervention experiment showed that anxiety and depression symptom scores of the experimental group decreased more than those of the control group(P<0.001),and the differences were statistically significant compared with the scores before intervention(P<0.001).The difference of depression scores before and after intervention in the control group was statistically significant(P<0.001),but the decrease was small.6.The intervention effect analysis of the subgroups with different population characteristics in the experimental group and the control group showed that the difference of SAS score before and after intervention was related to the route of infection(P=0.036).The SDS score difference was related to marital status(P=0.018),sexual orientation(P=0.008)and infection route(P=0.023).There was no significant difference in SAS and SDS scores between the control group and the subgroups before and after intervention.Conclusion:1.Compared with the national situation,the anxiety and depression symptoms of HIV/AIDS population in Chengdu were more serious,suggesting that the management of HIV/AIDS population in Chengdu should pay attention to the mental health problems of this population to prevent the further deterioration of mental health problems.Mental and mental health initiatives need to be strengthened to improve the quality of life of this population.2.Comprehensive psychological behavior intervention has a certain effect on improving the relief of psychological symptoms of HIV/AIDS population,especially for unmarried,homosexual and homosexual infected people,which suggests that AIDS management can improve the cognitive attitude of HIV/AIDS population,increase treatment confidence,improve drug dependence,improve adverse psychological symptoms.Overall improve the quality of life of the population.