Proactive coping and spirituality among patients who left or remained in antiretroviral treatment in St Petersburg, Russian Federation.
Proactive coping and spirituality among patients who left or remained in antiretroviral treatment in St Petersburg, Russian Federation.
复制标题
俄罗斯联邦圣彼得堡离开或继续接受抗逆转录病毒治疗的患者的积极应对和灵性。
DOI：
10.1080/09540121.2015.1096895
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发表时间：
2016
期刊：
影响因子：
1.7
通讯作者：
Woody,GeorgeE
中科院分区：
文献类型：
--
作者：
Pecoraro,Anna;Pacciolla,Aureliano;O'Cleirigh,Conall;Mimiaga,Matthew;Kwiatek,Piotr;Blokhina,Elena;Verbitskaya,Elena;Krupitsky,Evgeny;Woody,GeorgeE
Positive Psychology, the study of “positive” factors or strengths and evidence-based interventions to increase them, is a rapidly developing field that is beginning to be applied to HIV care. Proactive coping and spirituality are two positive characteristics that have been examined in multiple chronic serious health conditions. In the present study, lost-to-care (LTCs; did not attend treatment for ≥12 months;n= 120) and engaged-in-care HIV clinic patients (EICs; attended treatment for ≥12 months and adherent with antiretrovirals;n= 120) in Leningrad Oblast, Russian Federation were compared on the Proactive Coping Inventory and View of God Scale. EICs had higher scores in proactive coping [t(229) = 3.69;p= .001] and instrumental [t(232) = 2.17;p= .03] and emotional [t(233) = 2.33;p= .02] support, indicating that they engage in autonomous goal setting and self-regulate their thoughts and behaviors; obtain advice and support from their social network; and cope with emotional distress by turning to others. LTCs had higher scores in avoidance coping [t(236) = −2.31;p= .02]. More EICs were spiritual, religious, or both [χ2(1,N= 239) = 7.49,p= .006]. EICs were more likely to believe in God/Higher Power [χ2(1,N= 239 = 8.89,p= .002] and an afterlife [χ2(1,N= 236) = 5.11,p= .024]; have a relationship with God/Higher Power [χ2(1,N= 237) = 12.76,p= .000]; and call on God/Higher Power for help, healing, or protection [χ2(1,N= 239) = 9.61]. EICs had more positive [t(238) = 2.78;p= .006] and less negative [t(236) = −2.38;p= .002] views of God. Similar proportions, but slightly more EICs than LTCs were members of a faith community; members of a12-step group; or attended religious or spiritual services, meetings, or activities. More EICs than LTCs engaged in private spiritual or religious activities, such as prayer or meditation [χ2(1,N= 239) = 9.226,p= .002].
