Illness appraisals and depression in the first year after HIV diagnosis.
Illness appraisals and depression in the first year after HIV diagnosis.
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DOI：
10.1371/journal.pone.0078904
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Acree M
中科院分区：
文献类型：
--
作者：
Moskowitz JT;Wrubel J;Hult JR;Maurer S;Acree M
疾病评估为帮助理解个人应对慢性病的方式提供了重要的背景。在本研究中，对100名新诊断的艾滋病毒感染者的样本进行了定性的艾滋病毒诊断经验叙述分析，发现有五组人在最初的疾病评估中存在差异：艾滋病毒是慢性病，对死亡的担忧，污名化，身份威胁，以及其他威胁盖过了艾滋病毒。当对量化测量的抑郁情绪进行比较时，这些组在诊断后第一年的水平和轨迹上存在差异。尽管随着有效的抗逆转录病毒疗法(ART)的出现，艾滋病毒携带者的经历发生了显著变化，但这组在ART后被诊断出来的参与者和ART普及之前被诊断出来的参与者之间的评估有许多相似之处。检测后顾问和其他艾滋病毒服务提供者应该考虑到疾病评估中的个体差异，以帮助新的艾滋病毒阳性患者管理他们的医疗保健，并自适应地应对他们的诊断。
Illness appraisals provide important context to help understand the way individuals cope with chronic illness. In the present study, a qualitative approach to the analysis of HIV diagnosis experience narratives in a sample of 100 people newly diagnosed with HIV revealed five groups that differed in their initial illness appraisals: HIV as Chronic Illness, Concern about Dying, Stigmatization, Threat to Identity, and Other Threats Overshadow HIV. When compared on quantitatively measured depressive mood, the groups differed on level and trajectory over the course of the first year post-diagnosis. Although the experience of living with HIV has changed significantly with the advent of effective Antiretroviral Therapies (ART), there were a number of similarities between the appraisals of this group of participants who were diagnosed post ART and groups who were diagnosed before ART became widely available. Posttest counselors and other HIV service providers should take individual differences in illness appraisals into account in order to help newly HIV-positive clients manage their healthcare and cope adaptively with their diagnosis.
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DOI：
10.1080/09540121.2012.701716
发表时间：
2013-03-01
影响因子：
1.7
作者：
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通讯作者：
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影响因子：
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影响因子：
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影响因子：
5.4
作者：
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通讯作者：
Fife, BL
影响因子：
3.3
作者：
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通讯作者：
Imrie, J