Affect regulation and HIV risk among youth in therapeutic schools.

Affect regulation and HIV risk among youth in therapeutic schools.
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DOI:
10.1007/s10461-012-0220-3
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发表时间:
2012-11
期刊:
影响因子:
4.4
通讯作者:
Mello, Justin
Mello, Justin
中科院分区:
医学2区
文献类型:
--
作者:
Brown, Larry K.;Houck, Christopher;Lescano, Celia;Donenberg, Geri;Tolou-Shams, Marina;Mello, Justin

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在有心理健康问题的青少年中,情感调节技能的获得通常会受损或延迟,但情感调节障碍与风险行为之间的关系尚未得到很好的研究。从治疗学校环境中招募的青少年(N =418;年龄13-19)的基线数据研究了情感失调,物质使用,自我切割和性风险行为之间的关系。协方差分析表明,在最近一次性行为中没有使用安全套,曾经自我切割,企图自杀,使用酒精和其他药物以及在情绪激动时使用安全套的自我效能感较低的青少年比没有表现出这些行为的同龄人更有可能报告更大的情感调节困难(p <0.01)。情绪调节困难的一般模式可能与HIV风险行为有关,包括在最后一次性行为中使用避孕套。青少年在心理健康治疗中的艾滋病毒预防策略应针对与多种风险行为有关的情绪调节。
The acquisition of affect regulation skills is often impaired or delayed in youth with mental health problems but the relationship between affect dysregulation and risk behaviors has not been well studied. Baseline data from adolescents (N =418; ages 13–19) recruited from therapeutic school settings examined the relationship between affect dysregulation, substance use, self-cutting, and sexual risk behavior. Analyses of covariance demonstrated that adolescents who did not use condoms at last sex, ever self-cut, attempted suicide, used alcohol and other drugs and reported less condom use self-efficacy when emotionally aroused were significantly more likely (p < .01) to report greater difficulty with affect regulation than peers who did not exhibit these behaviors. General patterns of difficulty with affect regulation may be linked to HIV risk behavior, including condom use at last sex. HIV prevention strategies for youth in mental health treatment should target affect regulation in relation to multiple risk behaviors.
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