Abstract

FILHO, Nelson Silva  and  SOUZA, Lenice do Rosário de. Association among the Diagnosis Adaptive, Indicators of Clinical Evolution and the Test of Relationships Objects in Patient Infection Carriers for HIV-1, sick or not . Psic., Saúde & Doenças [online]. 2004, vol.5, n.2, pp.195-213. ISSN 1645-0086.

Thirty-one individuals with HIV-1 infection were evaluated in theAmbulatório Especial da Área de Doenças Tropicais, da Faculdade de Medicina of Botucatu, Brazil,UNESP. Sixteen went through psychological evaluations in different moments, being used the Object Relations Test and the Adaptive Operationalized Diagnostic Scale. Associations among epidemic, clinical, laboratorials and psychodynamics data, considering the natural history of the disease were verified. The infection acquired through drugs consumption, implied in aids development, neurological diseases, internments and serious ineffective adaptation. Individuals with: aids, prevalence of the psychotic operation of the mind, pregnancy and/or precocious sexuality, impulsivity and irritability presented deterioration of adaptive effectiveness along time. Patients with suicidal ideation and/or severe or serious ineffective adaptation present a falling line of tendency of CD₄⁺ CD₈⁺ and a high viral load. Most of them presented chronic depression of the psychotic type. Positive correlation was observed among TRO and EDAO-R, TRO and CD₄ ⁺, and EDAO-R and CD₈⁺ was observed.

Keywords : Adaptive effectiveness; Adaptive balance; Aids (Disease); Clinical psychology; HIV infections.

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