Main and interactive effects of emotion dysregulation and HIV symptom severity on quality of life among persons living with HIV/AIDS.

Main and interactive effects of emotion dysregulation and HIV symptom severity on quality of life among persons living with HIV/AIDS.
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DOI:
10.1080/09540121.2016.1220484
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发表时间:
2017-04
期刊:
影响因子:
1.7
通讯作者:
Zvolensky MJ
Zvolensky MJ
中科院分区:
医学4区
文献类型:
--
作者:
Brandt CP;Jardin C;Sharp C;Lemaire C;Zvolensky MJ

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艾滋病毒症状与艾滋病毒/艾滋病感染者的生活质量较差有关。然而,对影响HIV症状严重程度与生活质量关系的情绪因素了解甚少。本研究考察了情绪失调和HIV症状严重程度对生活质量的主要和交互影响,包括身体(与HIV相关的身体问题的影响)、心理(负面情绪的频率)、独立性(日常生活中药物治疗的必要性)、社会(接受感)、环境(对生活条件和医疗服务的满意度)和精神(对未来的恐惧;对死亡的恐惧)。参与者(72.9%男性,年龄48.24岁,SD = 7.85)从美国艾滋病服务机构招募。结果表明,较高的HIV症状严重程度与较低的身体和独立生活质量显著相关,而较高的情绪失调与较低的生活质量所有测量方面的得分显著相关。此外,结果显示情绪失调和HIV症状严重程度的相互作用与身体和环境生活质量显著相关。观察到的显著相互作用的形式表明,在情绪失调程度较低(相对较高)的人群中,HIV症状严重程度与较差的生活质量有关。本研究结果表明,情绪失调与艾滋病感染者的生活质量有关,并可能与HIV症状严重程度相互作用,对生活质量的某些方面产生负面影响。鉴于HIV对生活质量的深远影响,这一发现对于从机制上理解这些关系具有重要意义,并且可能对开发新的心理治疗策略具有重要意义。
HIV symptoms are associated with a poorer quality of life (QOL) among persons living with HIV/AIDS (PLWHA). Yet, there is little understanding of emotional factors that impact the relation between HIV symptom severity and QOL. The present study examined the main and interactive effects of emotion dysregulation and HIV symptom severity on multiple indices of QOL, including physical (impact of physical problems related to HIV), psychological (frequency of negative feelings), independence (necessity of medical treatment to function in daily life), social (feelings of acceptance), environmental (satisfaction with living conditions and medical care) and spiritual (fear of the future; fear of death) among a sample of 74 PLWHA. Participants (72.9% male; Mage = 48.24, SD = 7.85) were recruited from AIDS Service Organizations in the United States. Results indicated that higher HIV symptom severity is significantly associated with lower physical and independence QOL, whereas higher emotion dysregulation is significantly associated with lower scores on all measured aspects of QOL. Additionally, results indicated that the interaction of emotion dysregulation and HIV symptom severity was significantly associated with both physical and environmental QOL. The form of the observed significant interactions indicated that HIV symptom severity was related to poorer QOL among those with lower (versus higher) emotion dysregulation. The present findings indicate that emotion dysregulation is related to QOL among PLWHA and may interact with HIV symptom severity to negatively impact certain aspects of QOL. Given the profound impact that HIV has on QOL, this finding is important in understanding these relations mechanistically, and may be important in the development of novel psychological treatment strategies.
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