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Psychological status of men with haemophilia and HIV infection: two-year follow-up
Authors:ELENA PASQUAL MARSETTIN M.D.  Senior Registrar    NICOLA CIAVARELLA M.D.  Director    CATERINA LOBACCARO M.D.  Psychiatrist    ALESSANDRO GHIRARDINI M.D.    RINO BELLOCCO Statistician   NICOLA SCHINAIA M.D.
Affiliation:Institute of Psychiatry, University of Bari, and Haemophilia Centre, Ospedale Consorziale Bari and Istituto Superiore di Sanita, Rome, Italy
Abstract:This study aimed to assess the psychological status of men with haemophilia and HIV infection and to monitor changes in psychlogical status over time, in order to evaluate the need for psychological support. The study included 24 HIV seropositive men and a control group of 21 HIV seronegative men who attended the Haemophilia Centre in Bari (Italy). Subjects underwent psychological tests (STAl-Y: State and Trait Anxiety Inventory; SDS: Self-Rating Depression Scale) and completed a questionnaire on the emotional impact of AIDS. Assessment was repeated at 6-monthly intervals over a 2-year period. Contrary to expectation, HIV seronegative men with haemophilia had worse anxiety and depression scores, reported more confusion and fear, and had more reluctance towards the use of blood products (despite their present safety) than HIV seropositives. Possible reasons for these findings are considered, and their implications for clinical practice discussed.
Keywords:Keywords:    haemophilia    HIV infection    psychological status.
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