Religiosity is associated with affective and immune status in symptomatic HIV-infected gay men.
Religiosity is associated with affective and immune status in symptomatic HIV-infected gay men.
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宗教信仰与有症状的艾滋病毒感染男同性恋者的情感和免疫状态有关。
DOI：
10.1016/s0022-3999(98)00078-6
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发表时间：
1999
影响因子：
4.7
通讯作者：
Kling,DW
中科院分区：
文献类型：
--
作者：
Woods,TE;Antoni,MH;Ironson,GH;Kling,DW
本研究调查了 106 名 HIV 血清阳性、轻度症状男同性恋者（CDC B 期）的宗教信仰与情感和免疫状态之间的关系。所有男性都完成了一次入院访谈、一套心理社会调查问卷，并提供了静脉血样本。对 12 个宗教导向的回答项目的因子分析揭示了宗教信仰的两个不同方面：宗教应对和宗教行为。宗教应对方式（例如，相信上帝、在宗教中寻求安慰）与贝克抑郁量表的较低分数显着相关，但与特定的免疫标记物无关。另一方面，宗教行为（例如，参加礼拜、祈祷、精神讨论、阅读宗教文献）与较高的辅助 T 诱导细胞 (CD4+) 计数和较高的 CD4+ 百分比显着相关，但与抑郁症无关。回归分析表明，宗教信仰与情感和免疫状态的关联并不是由受试者的自我效能感或积极应对健康状况的能力介导的。宗教信仰与情感和免疫状态之间的关联似乎也与症状状态无关。然而，自我效能似乎确实对降低抑郁分数有独特而显着的贡献。我们的结果表明，同时考虑受试者宗教信仰和自我效能感的检查可能比单独考虑任一变量的检查更能预测感染艾滋病毒的男同性恋者的抑郁症状。
This study examines the relationship between religiosity and the affective and immune status of 106 HIV-seropositive mildly symptomatic gay men (CDC stage B). All men completed an intake interview, a set of psychosocial questionnaires, and provided a venous blood sample. Factor analysis of 12 religiously oriented response items revealed two distinct aspects to religiosity: religious coping and religious behavior. Religious coping (e.g., placing trust in God, seeking comfort in religion) was significantly associated with lower scores on the Beck Depression Inventory, but not with specific immune markers. On the other hand, religious behavior (e.g., service attendance, prayer, spiritual discussion, reading religious literature) was significantly associated with higher T-helper-inducer cell (CD4+) counts and higher CD4+ percentages, but not with depression. Regression analyses indicated that religiosity’s associations with affective and immune status was not mediated by the subjects’ sense of self-efficacy or ability to actively cope with their health situation. The associations between religiosity and affective and immune status also appear to be independent of symptom status. Self-efficacy, however, did appear to contribute uniquely and significantly to lower depression scores. Our results show that an examination considering both subject religiosity as well as sense of self-efficacy may predict depressive symptoms in HIV-infected gay men better than an examination that considers either variable in isolation.