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Perinatología y reproducción humana

Print version ISSN 0187-5337

Abstract

GONZALEZ, ITZEL; DOMINGUEZ, YASMÍN; PEREZ CALDERON, MARTHA  and  LARTIGUE, TERESA. Trastorno límite de la personalidad y su asociación con el VIH/SIDA en gestantes. Perinatol. Reprod. Hum. [online]. 2004, vol.18, n.2, pp.103-118. ISSN 0187-5337.

Aims: To establish if HIV+ pregnant women present more psychiatric symptoms and illnesses than pregnant women without sexually transmitted infections (STI's). Material and methods: A psychiatric diagnostic assessment was performed, based on the Structured Clinical Interviews (SCID-I and II) for the DSM-IV, as well as the Personality Questionnaire for axis II (PQ-II), complemented by the Inventory of Personality Organization (IPO), the General Health Questionnaire (GHQ), the Edinburgh Perinatal Depression Scale (EPDS) and the Test of nonverbal intelligence BETA-IIR. The HIV group was conformed by 37 HIV+ women and the control group by 115 pregnant women without an STI. The tests used were the Kolmogorov-Smirnov test or the chi-square, as well as odds ratio with a 95% CI. Results: The HIV group was conformed by women in a lower range of age (p < 0.048), schooling (0.000) and socioeconomic level (0.000), they were single (0.000) and had a paid job (0.051) than the control group. The HIV group manifested a higher number of depression symptoms (EPDS, p < 0.005). Having a borderline personality disorder constitutes a potential risk 45 times higher to acquire HIV (CI 95% 5.40 - 386.35); in both groups a high rate of depression was found (0.444 and 0.322) however, the risk potential was 17 times higher for the HIV group (CI 2.18 - 140.53), having a personality disorder was also a risk factor for infection (OR 14.72 CI 1.40 - 155.08). There is a significant association between having a mental disorder and the acquisition of HIV/AIDS (OR 23.01 CI 95% 3.021 - 175.353). Conclusions: Both social (poverty, lower level of education, not having a partner) as well as psychiatric (personality disorders) cumulative vulnerabilities intervene in the infection with HIV.

Keywords : Pregnancy; personality disorders; mood disorders; sexually transmitted infections; HIV/AIDS.

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