患有人类免疫缺陷病毒的人患抑郁症的风险:一项基于全国人口的匹配队列研究
Cecilie V Vollmond1, Malte M Tetens1, Fie W Paulsen1
1Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
概括
患有人类免疫缺陷病毒 (HIV) 的人患抑郁症的风险更高. 家庭因素似乎无法解释被诊断为艾滋病毒感染者的风险增加.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 人类免疫缺陷病毒 (HIV) 感染是抑郁症的一个已知的危险因素.
- 之前的研究还没有广泛探讨家庭因素在这种关联中的作用.
研究的目的:
- 调查艾滋病毒感染与抑郁症之间的关联,考虑家庭因素.
- 检查艾滋病毒感染者 (PWH) 患抑郁症,使用抗抑郁药物,电疗法 (ECT) 和自杀的风险.
主要方法:
- 在丹麦 (1995-2021) 进行了一项全国性的,基于人口的,匹配的队列研究.
- 在研究队伍中包括个人的兄弟姐妹,以评估家庭因素.
- 对抑郁症和相关结果的危险比率 (HR) 的计算,将PWH与对照队列和兄弟姐妹进行比较.
主要成果:
- PWH显示患有抑郁症,服用抗抑郁药,ECT和自杀的风险增加,特别是在诊断后的最初几年.
- 在艾滋病毒诊断之前和之后,观察到精神病医院接触和抗抑郁药物的使用量增加.
- 与PWH本身相比,PWH的兄弟姐妹中这些结果的风险明显较低.
结论:
- 艾滋病毒感染者面临抑郁症的风险较高.
- 家庭因素不太可能是PWH抑郁症风险增加的主要解释.
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