Psychological well-being in persons receiving HIV-related mental health services: the role of personal meaning in a stress and coping model
Psychological well-being in persons receiving HIV-related mental health services: the role of personal meaning in a stress and coping model
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DOI：
10.1016/j.genhosppsych.2009.09.011
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发表时间：
2010-01-01
影响因子：
7
通讯作者：
Sharma, Sanjay M.
中科院分区：
文献类型：
--
作者：
Farber, Eugene W.;Bhaju, Jeshmin;Sharma, Sanjay M.
目的：这项调查研究了接受心理健康服务的艾滋病毒/艾滋病成人患者的个人意义与心理健康的关系。个人意义是指一个框架，用于描绘使生活有价值的目的和目标，并评估这些目的和目标实现的程度。假设个人意义与心理健康呈正相关，并且独立地影响心理健康的差异，超越社会支持、性格乐观和应对行为。方法：通过使用横断面设计，132 名艾滋病毒感染者在初次心理健康服务评估时完成了一套自我报告测量。使用相关和回归技术对数据进行分析。结果：个人意义与心理幸福感呈正相关，尽管在多因素回归模型中，个人意义对社会支持、乐观和应对行为之外的幸福感方差没有显着影响。事后分析显示，个人意义和幸福感之间的关联的乐观情绪起到了部分中介作用。结论：在理解和临床干预艾滋病毒感染者和同时出现的精神问题的个体时，应将个人意义与其他心理和行为应对因素一起考虑。 (C) 2010 Elsevier Inc. 保留所有权利。
Objective: This investigation examined the association of personal meaning to psychological well-being in adults living with HIV/AIDS receiving mental health services. Personal meaning refers to a framework for delineating the purposes and goals that make life worth living and for evaluating the degree to which these purposes and goals are being fulfilled. Personal meaning was hypothesized to be positively associated with psychological well-being and to contribute independently to the variance in psychological well-being over and above social support, dispositional optimism and coping behavior.Method: With the use of a cross-sectional design, a set of self-report measures were completed by 132 adults living with HIV disease at the time of their initial mental health services evaluation. Data were analyzed using correlation and regression techniques.Results: Personal meaning was positively associated with psychological well-being, although it did not contribute significantly to the variance in well-being over and above social support, optimism and coping behavior in a multifactorial regression model. Post hoc analysis showed partial mediation by optimism of the association between personal meaning and well-being.Conclusions: Personal meaning should be considered along with other psychological and behavioral coping factors in understanding and intervening clinically with individuals living with HIV disease and co-occurring psychiatric concerns. (C) 2010 Elsevier Inc. All rights reserved.