Psychological well-being among individuals aging with HIV: the value of social relationships.
Psychological well-being among individuals aging with HIV: the value of social relationships.
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DOI：
10.1097/qai.0b013e318199069b
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发表时间：
2009-05-01
期刊：
影响因子：
--
通讯作者：
Oslin DW
中科院分区：
文献类型：
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作者：
Mavandadi S;Zanjani F;Ten Have TR;Oslin DW
利用被诊断为艾滋病毒感染的成年人的异质样本，本研究试图探讨年龄，社会支持的各个方面以及心理和功能健康之间的关联。获取主观和工具性支持、社会互动、行为健康服务利用和心理健康（即，积极情绪和抑郁情绪），以及身体功能，收集了109名男性和女性艾滋病毒感染者。为了探索年龄组差异，将受试者按年龄分层（≤ 54岁vs. 55岁以上）。尽管赞同更大的医疗并发症，老年人报告显着较低的抑郁症，更大的积极影响，并不太可能报告看到一个行为健康专家比年轻的同行。没有年龄组的差异出现的工具性支持或社会互动的量。然而，老年人报告较高的主观支持，这反过来又与较低的抑郁症，更大的积极影响，和不利用行为健康服务。应更多地关注被诊断为艾滋病毒感染者的社会环境，因为社会关系的质量对于成功地心理适应艾滋病毒可能特别重要。
Utilizing a heterogeneous sample of adults diagnosed with HIV infection, the current study sought to explore associations among age, various dimensions of social support, and psychological and functional wellbeing. Cross-sectional data capturing subjective and instrumental support, social interaction, behavioral health service utilization, and psychological wellbeing (i.e., positive affect and depressive symptomatology), as well as physical functioning, were collected from 109 men and women living with HIV. In order to explore age group differences, participants were stratified by age (≤ 54 vs. 55+ yrs.). Despite endorsing greater medical comorbidity, older adults reported significantly lower depressive symptomatology, greater positive affect, and were less likely to report seeing a behavioral health specialist than their younger counterparts. No age group differences emerged for instrumental support or amount of social interaction. However, older adults reported higher subjective support, which in turn was associated with lower depressive symptomatology, greater positive affect, and non-utilization of behavioral health services. More attention should be paid to the social environment of individuals diagnosed with HIV, as the quality of social relationships may be particularly important for successful psychological adaptation to HIV.