Internalised HIV-stigma, loneliness, depressive symptoms and sleep quality in people living with HIV
Internalised HIV-stigma, loneliness, depressive symptoms and sleep quality in people living with HIV
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DOI：
10.1080/08870446.2017.1357816
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发表时间：
2018-01-01
影响因子：
3.3
通讯作者：
Skinta, Matthew D.
中科院分区：
文献类型：
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作者：
Fekete, Erin M.;Williams, Stacey L.;Skinta, Matthew D.
目的：艾滋病毒感染者（PLWH）通常报告睡眠障碍，这与长期健康后果（包括疾病进展）相关。艾滋病毒携带者还因其艾滋病毒状况而遭受内在的耻辱，这可能与孤独和抑郁的增加有关。很少有人关注这些因素对睡眠的影响。因此，我们研究了内化的艾滋病污名是否通过更高水平的孤独和抑郁症状间接与更差的睡眠质量有关。设计：来自美国各地的181名PLWH完成了一项在线调查。主要研究指标：使用HIV-污名量表评估内化的HIV-污名，使用UCLA-孤独量表-简表评估孤独，抑郁症状采用流行病学中心抑郁指数进行评估，睡眠质量采用匹兹堡睡眠质量指数进行评估。内在的艾滋病毒-耻辱感通过孤独和抑郁症状与整体睡眠质量较差和白天睡眠功能障碍间接相关。经历艾滋病毒相关耻辱的PLWH可能会经历更大的孤独感，这与抑郁症状增加和睡眠质量较差有关。针对改善PLWH睡眠的干预措施应关注影响睡眠的多种因素，包括社会心理因素，如耻辱，社会孤立和抑郁症状。
Objective: People living with HIV (PLWH) commonly report sleep disturbances which are associated with long-term health consequences, including disease progression. PLWH also experience internalised stigma as a result of their HIV status, which can be associated with increased loneliness and depression. Little attention focuses on the impact of these factors on sleep. Therefore, we examined whether internalised HIV-stigma was indirectly related to poorer sleep quality through higher levels of loneliness and depressive symptoms.Design: 181 PLWH from across the United States completed an online survey.Main Study Measures: Internalised HIV-stigma was assessed using the HIV-Stigma Scale, loneliness was assessed using the UCLA-Loneliness Scale-Short Form, depressive symptoms were assessed with the Center for Epidemiologic Studies-Depression Index, and Sleep Quality was assessed using the Pittsburgh Sleep Quality Index.Results: Internalised HIV-stigma was indirectly associated with poorer global sleep quality and daytime sleep dysfunction through both loneliness and depressive symptoms.Conclusions: PLWH who experience HIV-related stigma may experience greater feelings of loneliness, which are related to increased depressive symptoms and poorer sleep quality. Interventions focused on improving sleep in PLWH should focus on multiple factors that influence sleep, including psychosocial factors such as stigma, social isolation and depressive symptoms.