Coping with HIV Stigma: Do Proactive Coping and Spiritual Peace Buffer the Effect of Stigma on Depression?
Coping with HIV Stigma: Do Proactive Coping and Spiritual Peace Buffer the Effect of Stigma on Depression?
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DOI：
10.1007/s10461-011-0039-3
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发表时间：
2012-11-01
影响因子：
4.4
通讯作者：
Hiers, Kathie M.
中科院分区：
文献类型：
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作者：
Chaudoir, Stephenie R.;Norton, Wynne E.;Hiers, Kathie M.
尽管艾滋病毒耻辱是抑郁症的重要预测因素，但我们对哪些因素可以最有效地缓冲或减弱这种影响知之甚少。我们以 465 名艾滋病毒/艾滋病患者 (PLWHA) 为样本，研究了两个与应对相关的因素——积极应对和精神平静——是否改变了艾滋病毒耻辱对抑郁可能性的影响。在横断面分析中，我们进行了层次逻辑回归，以研究艾滋病毒耻辱、积极应对、精神平静及其相互作用对显着抑郁症状可能性的影响。在高水平而非低水平的艾滋病毒耻辱下，精神平静可以减轻艾滋病毒耻辱对抑郁症的影响。主动应对没有观察到这样的效果。研究结果表明，精神上的平静可能有助于抵消艾滋病毒耻辱对抑郁症的负面影响。因此，增强精神平静的干预措施可能是帮助艾滋病毒感染者应对艾滋病毒耻辱的有效策略。
Although HIV stigma is a significant predictor of depression, little is known about which factors might most effectively buffer, or attenuate, this effect. We examined whether two coping-related factors-proactive coping and spiritual peace-modified the effect of HIV stigma on likelihood of depression among a sample of 465 people living with HIV/AIDS (PLWHA). In a cross-sectional analysis, we conducted hierarchical logistic regressions to examine the effect of HIV stigma, proactive coping, spiritual peace, and their interactions on likelihood of significant depressive symptoms. Spiritual peace moderated the effect of HIV stigma on depression at high-but not low-levels of HIV stigma. No such effect was observed for proactive coping. Findings suggest that spiritual peace may help counteract the negative effect of HIV stigma on depression. Intervention components that enhance spiritual peace, therefore, may potentially be effective strategies for helping PLWHA cope with HIV stigma.