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目的了解遵义市两城区艾滋病高危人群的心理健康状况和人格特征。方法采用便利抽样方法,对遵义市两城区的63名男男性行为者(MSM)和42名静脉注射吸毒者,进行症状自评量表(SCL-90)和艾森克人格问卷成人式(EPQ)问卷调查。结果 SCL-90量表中,MSM的躯体化、强迫症状、人际关系、抑郁、焦虑和恐怖等因子(P<0.01)和精神病性因子(P<0.05)得分均显著高于全国常模;静脉注射吸毒者的躯体化、强迫症状、抑郁和焦虑因子(P<0.01)与人际关系、敌对、恐怖、偏执和精神病性因子(P<0.05)得分显著高于全国常模。MSM的EPQ精神质、内外向和神经质三个分量表的得分均显著高于全国常模(P<0.01);男性静脉注射吸毒者的精神质、内外向(P<0.01)和神经质(P<0.05)量表的得分,以及女性静脉注射吸毒者的精神质量表得分均显著高于全国常模(P<0.05)。结论遵义市的艾滋病高危人群存在严重的心理健康问题,其中男性群体具有外向且情绪不稳定的人格特征。
Objective To understand the mental health status and personality characteristics of AIDS high risk population in Zunyi city. Methods A total of 63 male MSM and 42 intravenous drug addicts in two districts of Zunyi City were enrolled in this study. The SCL-90 and EPQ )Questionnaire. Results The score of somatization, obsessive compulsive symptom, interpersonal relationship, depression, anxiety and terror (P <0.01) and psychotic factors (P <0.05) of MSM in SCL-90 scale were significantly higher than those in national norms; Injecting somatization, obsessive compulsive symptoms, depression and anxiety (P <0.01) and interpersonal relationships, hostility, terror, paranoid and psychotic factors (P <0.05) scores were significantly higher than the national norm. The scores of EPQ, extroversion and neuroticism in MSM were significantly higher than those in the national norm (P <0.01). The psychoticism, extroversion (P <0.01) and neuroticism (P < 0.05) scale scores, as well as mental health scores of female intravenous drug users were significantly higher than the national norm (P <0.05). Conclusion There are serious mental health problems in high risk population of AIDS in Zunyi City, in which the male population has the characteristics of extroversion and emotional instability.