UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

Analysis of the role of socio-demographic and psychosocial factors of the occurrence of maladaptive behavior among patients with Human immunodefi ciency virus

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Abstract

A comprehensive clinical and psychodiagnostic examination of 114 HIVinfected patients with non-psychotic mental disorders was carried out, including a clinical diagnostic interview using an independently developed patient research map, pathological and experimental psychological methods, in particular (SCL-90-R and the Schmiszek questionnaire).

The age of the examined ranged from 21 to 62 years, the average age of which was 39.77 years. Among the examined, there were 49.12 % of men and 50.88 % of women with secon dary specialized education (50 %), with physical work (67.54 %), single people (69.3 %) heterosexual orientation (89.47 %), unemployed — 24.78 %. The duration of HIV infection in them ranged from 1 month to 24 years and averaged 5.0 years. 48.25 % of patients took HAART regularly, 31.58 % took HAART irregularly, 20.18 % did not take HAART.

The leading psychosocial factors in the emergence of maladaptive behavior among HIV patients were the absence of close relationships (80.39 %; p < 0.05).

Characteristic features of HIV patients: hyperimmunity, emotivism, anxiety, cyclotimism, exaltation and demonstrativeness. Among HIV-infected people with deviant behavior, indicators of anxiety and dysthymia are violated.

Socio-demographic factors of maladaptive behavior among HIV-infected people are included: low level of education, the predominance of physical labor, lack of social support, a complex diagnostic and treatment route. The above factors, combined with the psychosocial characteristics of this group of patients, can aff ect the development and progression of deviant behavior, which in turn leads to a complication of the course of the disease and mental disorders.

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