Coping with the threat of AIDS: the role of social support.
Coping with the threat of AIDS: the role of social support.
复制标题
应对艾滋病的威胁：社会支持的作用。
DOI：
10.1176/ajp.149.11.1514
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Evans,DL
中科院分区：
文献类型：
--
作者：
Leserman,J;Perkins,DO;Evans,DL
关于无症状艾滋病毒阳性男性如何应对艾滋病威胁的临床研究相对较少。本研究的目的是1）描述无症状的HIV阳性的男同性恋者使用的应对策略，2）检查的关系，应对烦躁和自尊，3）探讨种族和社会支持如何与copying.MethodThe研究组由52无症状的HIV阳性的男同性恋者。一组53名HIV阴性的同性恋男性被用于描述性比较。有关应对、社会支持、焦虑和自尊的数据来自自我报告措施;抑郁也通过汉密尔顿抑郁量表的访谈确定。结果作者发现：1）受试者主要通过采取战斗精神、重新定义压力以最大限度地提高个人成长、计划行动过程和寻求社会支持来应对艾滋病的威胁;（2）焦虑、自尊水平低与无助应对、斗志和个人成长水平低有关，而抑郁、愤怒和无助应对与否认有关;（3）对社会支持网络的满意度和对艾滋病社区的参与度与更健康的应对策略有关（如，战斗精神，个人成长）;和4）黑人科目表示更多的否认，更多的无助，和更少的社会supports.ConclusionsThese结果表明，卫生专业人员应鼓励更多的适应性应对策略，帮助患者使用现有的积极的社会支持来源，并协助患者，特别是黑人患者，在寻找社区支持网络。
ObjectiveThere has been relatively little clinical research on how asymptomatic HIV-positive men cope with the threat of AIDS. The present study was intended to 1) describe the coping strategies used by asymptomatic HIV-positive homosexual men, 2) examine the relationship of coping to dysphoria and self-esteem, and 3) explore how race and social support correlate with coping.MethodThe study group was composed of 52 asymptomatic HIV-positive homosexual men. A group of 53 HIV-negative homosexual men was used for descriptive comparison. Data on coping, social support, dysphoria, and self-esteem came from self-report measures; depression was also determined by interviews with the Hamilton Rating Scale for Depression.ResultsThe authors found that 1) subjects primarily coped with the threat of AIDS by adopting a fighting spirit, reframing stress to maximize personal growth, planning a course of action, and seeking social support; 2) more helpless coping, less fighting spirit, and less personal growth were related to dysphoria and poor self-esteem, whereas denial was related to more depression, anger, and helpless coping; 3) satisfaction with one's social support networks and participation in the AIDS community were related to more healthy coping strategies (eg, fighting spirit, personal growth); and 4) black subjects expressed more denial, more helplessness, and less social support.ConclusionsThese results suggest that health professionals should encourage more adaptive coping strategies, help patients use existing sources of positive social support, and assist patients, particularly black patients, in finding community support networks.