Trastorno límite de la personalidad y su asociación con el VIH/SIDA en gestantes

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.