Affective and behavioural reactions to positive and negative health-related social control in HIV plus men

Affective and behavioural reactions to positive and negative health-related social control in HIV plus men
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DOI:
10.1080/08870440801894674
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发表时间:
2009-01-01
影响因子:
3.3
通讯作者:
Druley, Jennifer Ann
Druley, Jennifer Ann
中科院分区:
医学3区
文献类型:
--
作者:
Fekete, Erin;Geaghan, Thomas R.;Druley, Jennifer Ann

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我们研究了接受积极和消极的健康相关的社会控制(即影响力)从主要网络成员,情感和行为反应(即行为改变)社会控制,和心理健康之间的关联在一项横断面研究中的91艾滋病毒阳性男性艾滋病毒感染者(MLWH)。接受积极控制与更多的自我照顾行为,更积极的应对努力,更少的抑郁症状。相反,接受消极控制与较少的自我照顾行为和更多的抑郁症状有关。消极情感反应控制调解积极和消极控制和抑郁症状之间的关联,积极控制和积极应对努力。行为改变仅介导积极控制和自我护理行为之间的关联。事后分析进一步显示,没有临床抑郁症风险的男性由于接受消极控制而进行了更多的行为改变。社会控制,激发行为改变,不引起负面影响,是有效的,促进更好的自我照顾行为和心理健康的MLWH。
We examined associations between the receipt of positive and negative health-related social control (i.e. influence) from a primary network member, affective and behavioural reactions (i.e. behaviour change) to social control, and psychosocial well-being in a cross-sectional study of 91 HIV+ men living with HIV (MLWH). Receiving positive control was associated with more self-care behaviours, more active coping efforts, and fewer depressive symptoms. In contrast, receiving negative control was associated with fewer self-care behaviours and more depressive symptoms. Negative affective reactions to control mediated the associations between positive and negative control and depressive symptoms, and between positive control and active coping efforts. Behaviour change only mediated the association between positive control and self-care behaviours. Post-hoc analyses further revealed that men who were not at risk for clinical depression engaged in more behaviour change as a result of receiving negative control. Social control that elicits behaviour change and does not arouse negative affect is effective in promoting better self-care behaviours and psychosocial well-being in MLWH.