Abstract Background The HIV/AIDS crisis of the 1980s and 1990s was catastrophic, both in the scope of morbidity and mortality, as well as in the lasting implications for those who survived. As the introduction of effective antiretroviral treatment restructured the perception of HIV, which is now a manageable, chronic disease, the pattern of psychological sequelae that long-term survivors may experience has become a growing field of inquiry. Case Presentation We present the case of a 59-year-old male who was diagnosed with HIV in 1991, a time when the diagnosis carried a terminal prognosis and the United States had seen over 150,000 AIDS-related deaths. Although the patient ultimately survived, he experienced a cascade of psychological symptoms over the subsequent 29 years, with detriment to emotional, interpersonal, and occupational domains. During his initial evaluation, the source of these symptoms was initially overlooked due to the lack of adequate screening for trauma- and stressor-related symptoms secondary to his experiences during the HIV/AIDS crisis. Once the source of the symptoms was identified, utilization of targeted psychotherapy resulted in substantial improvement. Conclusion Although there are existing formulations regarding psychological syndromes in this context, including Survivor Guilt, Lazarus Syndrome, and AIDS Survivor Syndrome, there is currently insufficient literature to adequately characterize this presentation, and, with an aging population of long-term HIV survivors, further characterization of the syndrome to facilitate accurate screening and assessment is paramount in ensuring appropriate treatment in this population.

中文翻译：

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在艾滋病危机中幸存下来的创伤后遗症：一个案例报告

摘要 背景 1980 年代和 1990 年代的 HIV/AIDS 危机在发病率和死亡率方面以及对幸存者的持久影响方面都是灾难性的。随着有效抗逆转录病毒治疗的引入，人们对艾滋病毒（现在是一种可控的慢性疾病）的看法重新认识，长期幸存者可能经历的心理后遗症模式已成为一个日益增长的研究领域。案例介绍 我们介绍了一个 59 岁男性的案例，他在 1991 年被诊断出患有 HIV，当时诊断结果为绝症，并且美国有超过 150,000 例与 AIDS 相关的死亡。尽管患者最终活了下来，但在随后的 29 年里，他经历了一系列的心理症状，对情感、人际关系和职业领域造成了损害。在他最初的评估中，由于缺乏对继发于 HIV/AIDS 危机期间的创伤和压力相关症状的充分筛查，这些症状的来源最初被忽视了。一旦确定了症状的来源，针对性心理治疗的使用就会带来实质性的改善。结论 尽管在这种情况下有关于心理综合征的现有表述，包括幸存者内疚、拉撒路综合征和艾滋病幸存者综合征，但目前没有足够的文献来充分描述这种表现，而且随着长期 HIV 幸存者人口老龄化，进一步对综合征进行表征以促进准确筛查和评估对于确保对该人群进行适当治疗至关重要。这些症状的来源最初被忽视了，因为他在艾滋病毒/艾滋病危机期间的经历没有对创伤和压力源相关的症状进行充分筛查。一旦确定了症状的来源，针对性心理治疗的使用就会带来实质性的改善。结论 尽管在这种情况下有关于心理综合征的现有表述，包括幸存者内疚、拉撒路综合征和艾滋病幸存者综合征，但目前没有足够的文献来充分描述这种表现，而且随着长期 HIV 幸存者人口老龄化，进一步对综合征进行表征以促进准确筛查和评估对于确保对该人群进行适当治疗至关重要。这些症状的来源最初被忽视了，因为他在艾滋病毒/艾滋病危机期间的经历没有对创伤和压力源相关的症状进行充分筛查。一旦确定了症状的来源，针对性心理治疗的使用就会带来实质性的改善。结论 尽管在这种情况下有关于心理综合征的现有表述，包括幸存者内疚、拉撒路综合征和艾滋病幸存者综合征，但目前没有足够的文献来充分描述这种表现，而且随着长期 HIV 幸存者人口老龄化，进一步对综合征进行表征以促进准确筛查和评估对于确保对该人群进行适当治疗至关重要。