Cognition, Coping, and Psychological Distress in HIV.
Cognition, Coping, and Psychological Distress in HIV.
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DOI：
10.1007/s10461-021-03462-y
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发表时间：
2022-04
影响因子：
4.4
通讯作者：
Ironson G
中科院分区：
文献类型：
--
作者：
Banerjee N;Goodman ZT;McIntosh R;Ironson G
采用结构方程模型，对209名以中等病为主的不同种族成年人的HIV相关神经认知功能障碍、回避性应对、认知性应对和心理困扰之间的相互关系进行了研究。用艾滋病毒-痴呆量表评估的全球神经认知缺陷与较高的回避性应对水平、较低的认知应对水平和较高的回避性/认知性应对比率有关，这每一项又与通过包括抑郁、焦虑和与艾滋病毒相关的痛苦想法的症状的潜在因素衡量的更高的心理痛苦有关。通过回避性应对和较高的回避性/认知性应对比率有显著的间接影响。结果表明，HIV相关神经认知缺陷的存在可能会干扰基于认知的应对策略的使用，并增加对更多适应不良策略的依赖，这反过来可能会导致心理痛苦报告的增加。这些发现可能有助于为旨在减少回避性应对和心理困扰的干预措施提供参考，这两个因素与艾滋病毒疾病加速发展有关。
Interrelationships among HIV-associated neurocognitive dysfunction, avoidant coping, cognitively-oriented coping, and psychological distress were examined using structural equation modeling in an ethnically diverse sample of 209 adults predominantly in the mid-range of illness. Global neurocognitive deficits, assessed with the HIV-dementia scale, were associated with higher levels of avoidant coping, lower levels of cognitive coping, and a higher avoidant/cognitive coping ratio, which were each in turn associated with higher psychological distress measured by a latent factor comprising symptoms of depression, anxiety, and HIV-related distressing thoughts. There were significant indirect effects through avoidant coping and a higher avoidant/cognitive coping ratio. Results suggest the presence of HIV-associated neurocognitive deficits may interfere with the utilization of cognitive-based coping strategies and increase reliance on more maladaptive strategies, which in turn may translate to elevated reports of psychological distress. Findings may help inform interventions aimed at reducing avoidant coping and psychological distress, two factors associated with accelerated HIV disease progression.
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影响因子：
7.2
作者：
Hinkin, CH;Castellon, SA;Goodkin, K
通讯作者：
Goodkin, K
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
4.4
作者：
Braganca, Miguel;Palha, Antonio
通讯作者：
Palha, Antonio
DOI：
10.1017/s1355617704102130
发表时间：
2004-05-01
影响因子：
2.6
作者：
Heaton, RK;Marcotte, TD;Grant, I
通讯作者：
Grant, I
影响因子：
3.2
作者：
Heaton, Robert K.;Franklin, Donald R.;Ellis, Ronald J.;McCutchan, J. Allen;Letendre, Scott L.;LeBlanc, Shannon;Corkran, Stephanie H.;Duarte, Nichole A.;Clifford, David B.;Woods, Steven P.;Collier, Ann C.;Marra, Christina M.;Morgello, Susan;Mindt, Monica Rivera;Taylor, Michael J.;Marcotte, Thomas D.;Atkinson, J. Hampton;Wolfson, Tanya;Gelman, Benjamin B.;McArthur, Justin C.;Simpson, David M.;Abramson, Ian;Gamst, Anthony;Fennema-Notestine, Christine;Jernigan, Terry L.;Wong, Joseph;Grant, Igor
通讯作者：
Grant, Igor