Compassionate Love as a Predictor of Reduced HIV Disease Progression and Transmission Risk.
Compassionate Love as a Predictor of Reduced HIV Disease Progression and Transmission Risk.
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DOI：
10.1155/2013/819021
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Fletcher MA
中科院分区：
文献类型：
--
作者：
Kremer H;Ironson G;Kaplan L;Stuetzle R;Fletcher MA
目标。这项研究调查了慈悲之爱(CL)是否预测艾滋病毒疾病的进展和传播风险。对合作学习的科学研究随着安德伍德以他者为中心的合作学习工作模式的提出而兴起，定义了五个标准：自由选择、认知理解、重视/赋权、对精神的开放/接受和内心的反应。方法。这项为期10年的队列研究收集了南佛罗里达州177名艾滋病毒携带者的6个月访谈/文章，内容涉及应对艾滋病毒和创伤。对以他人为中心的化学发光的二次定性含量分析，归纳地增加了化学发光成分对自我的影响。推论，我们对CL的五个标准的存在进行了编码，并在6分的Likert量表上对CL的益处进行了评级。生长曲线模型(由于队列效应减少到4年)调查了CL是否预测CD4斜率(HIV疾病进展)和累积病毒载量检测(传播风险)。结果。重视/授权和认知理解是CL授予长期利益的基本标准。如果是自由选择，CL对接受者有更高的好处。接受(93%)和给予(77%)以自我为中心的学习策略得分较高。相反，那些对自我的CL得分较低的人，在接受(38%)和给予(49%)以他人为中心的CL时得分最低。生长曲线模型显示，CL倾向于自我预测的4年累计不可检测的病毒载量(独立于社会文化差异、物质使用障碍、基线CD4和病毒载量)。CL本身水平高与低的人，基线时病毒载量无法检测的可能性是2.25倍，随着时间的推移，病毒载量保持在不可检测的水平的可能性是1.49倍。在控制了CL给予的差异后，CL倾向于自我预测CD_4的保存。结论。对自我的认知是潜在的表达和接受认知认知的种子。卫生保健专业人员准备为那些忽视和孤立自己的人多走一步，这可能会打破恶性循环，因为那些缺乏CL自我的人最不可能从其他人那里收到CL。未来的研究应该检查CL对自身的任何增强是否可以转化为更慢的疾病进展和降低传播风险。
Objectives. This study examined if compassionate love (CL) predicts HIV disease progression and transmission risk. Scientific study of CL emerged with Underwood's working model of other-centered CL, defining five criteria: free choice, cognitive understanding, valuing/empowering, openness/receptivity for spirituality, and response of the heart. Method. This 10-year cohort study collected 6-monthly interviews/essays on coping with HIV and trauma of 177 people with HIV in South Florida. Secondary qualitative content analysis on other-centered CL inductively added the component of CL towards self. Deductively, we coded the presence of the five criteria of CL and rated the benefit of CL for the recipient on a 6-point Likert scale. Growth-curve modeling (reduced to 4 years due to cohort effects) investigated if CL predicts CD4 slope (HIV disease progression) and cumulative viral load detection (transmission risk). Results. Valuing/empowering and cognitive understanding were the essential criteria for CL to confer long-term benefits. CL had a higher benefit for recipients if given out of free choice. High scores of CL towards self were reciprocal with receiving (93%) and giving (77%) other-centered CL. Conversely, those rated low on CL towards self were least likely to score high on receiving (38%) and giving (49%) other-centered CL. Growth-curve modeling showed that CL towards self predicted 4-year cumulative undetectable viral load (independent from sociocultural differences, substance use disorder, baseline CD4 and viral load). Those high versus low on CL self were 2.25 times more likely to have undetectable viral load at baseline and 1.49 times more likely to maintain undetectable viral load over time. CL towards self predicted CD4 preservation after controlling for differences in CL giving. Conclusions. CL towards self is potentially the seed of being expressive and receptive of CL. Health care professionals prepared to walk the extra mile for those who neglect and isolate themselves may break a vicious circle since those lacking CL self were least likely to receive CL from others. Future studies should examine whether any enhancement of CL towards self may translate into slower disease progression and reduction of transmission risk.
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