Resilience, stress, and life quality in older adults living with HIV/AIDS.
Resilience, stress, and life quality in older adults living with HIV/AIDS.
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DOI：
10.1080/13607863.2014.1003287
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发表时间：
2015
影响因子：
3.4
通讯作者：
Hansen NB
中科院分区：
文献类型：
--
作者：
Fang X;Vincent W;Calabrese SK;Heckman TG;Sikkema KJ;Humphries DL;Hansen NB
这项研究测试了韧性对50岁及以上艾滋病毒/艾滋病（OPLWHA）感染者的生活压力与健康相关生活质量（HRQoL）之间关系的中介作用。从299 OPLWHA的数据进行了分析，使用结构方程模型（SEM）定义一个新的弹性结构（由应对自我效能，积极应对，希望/乐观和社会支持）和评估中介作用的弹性生活压力和HRQoL（身体，情绪和功能/全球福祉）之间的关联。SEM分析表明，令人满意的模型适合弹性和中介模型，弹性调解生活压力和身体，情绪和功能/全球福祉之间的关联。复原力可以减少生活压力对OPLWHA的身体，情感和功能/全球福祉的负面影响。建立个人能力、应对技能和社会支持的干预措施可能有助于更好地管理艾滋病毒/艾滋病并提高HRQoL。
This study tested the mediating effect of resilience on the relationship between life stress and health-related quality of life (HRQoL) in older people living with HIV/AIDS (OPLWHA) 50 years of age and older. Data from 299 OPLWHA were analyzed using structural equation modeling (SEM) to define a novel resilience construct (represented by coping self-efficacy, active coping, hope/optimism and social support) and assess mediating effects of resilience on the association between life stress and HRQoL (physical, emotional, and functional/global well-being). SEM analyses showed satisfactory model fit for both resilience and mediational models, with resilience mediating the associations between life stress and physical, emotional, and functional/global well-being. Resilience may reduce the negative influence of life stress on physical, emotional, and functional/global well-being in OPLWHA. Interventions that build personal capacity, coping skills, and social support may contribute to better management of HIV/AIDS and increase HRQoL.