Appearance Concerns and Psychological Distress Among HIV-Infected Individuals with Injection Drug Use Histories: Prospective Analyses
Appearance Concerns and Psychological Distress Among HIV-Infected Individuals with Injection Drug Use Histories: Prospective Analyses
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DOI：
10.1089/apc.2012.0122
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发表时间：
2012-09-01
影响因子：
4.9
通讯作者：
Safren, Steven A.
中科院分区：
文献类型：
--
作者：
Blashill, Aaron J.;Gordon, Janna R.;Safren, Steven A.
身体组成的形态学改变在HIV感染者中很常见，这些变化与外观问题的增加有关。以前的横断面数据表明，艾滋病毒感染者的外观问题与心理困扰水平的增加有关。然而，到目前为止，还没有关于这些关系的已知前瞻性数据发表。本研究的目的是解决时间预测的外观关注抑郁和焦虑的严重程度。数据来自一项前瞻性随机对照试验，该试验研究了有注射吸毒史（IDU）的个体的抑郁症和药物依从性的认知行为治疗。参与者是89名HIV感染者，他们被随机分配到认知行为治疗或常规治疗组。线性混合水平模型显示，临床医生管理和自我报告措施评定的外观问题的水平升高与抑郁和焦虑的增加有前瞻性相关。抑郁症、IDU、HIV感染者对外表的关注与心理困扰的变化有关。心理社会干预应考虑外表的作用，因为它与心理功能有关。
Morphologic alterations in body composition are common among HIV-infected individuals, and these changes are associated with increased appearance concerns. Previous cross-sectional data indicate that appearance concerns among HIV-infected individuals are related to increased levels of psychological distress. However, to date, no known prospective data have been published on these relationships. The purpose of the current study was to address the temporal prediction of appearance concerns on depression and anxiety severity. Data were culled from a prospective, randomized controlled trial of cognitive behavioral therapy for depression and medication adherence in individuals with a history of injection drug use (IDU). Participants were 89 HIV-infected individuals who were randomized to either a cognitive behavioral therapy or treatment as usual condition. Linear mixed-level modeling revealed elevated levels of appearance concerns were prospectively related to increased depression and anxiety, as rated by both clinician-administered and self-report measures. Appearance concerns among depressed, IDU, HIV-infected individuals are associated with changes in psychological distress. Psychosocial interventions should consider the role of appearance as it relates to psychological functioning.