Exploring self-esteem during expressive writing about trauma predicts decreased depression in people with HIV.
Exploring self-esteem during expressive writing about trauma predicts decreased depression in people with HIV.
复制标题
在有关创伤的表达性写作中探索自尊可以预测艾滋病毒感染者抑郁症的减少。
DOI：
10.1080/09540121.2023.2206098
复制
发表时间：
2023
期刊：
影响因子：
1.7
通讯作者：
Ironson,Gail
中科院分区：
文献类型：
--
作者：
Verhagen,RachelM;Carrico,AdamW;Hylton,EmilyM;Stuetzle,Rick;Ironson,Gail
自尊往往会受到创伤的负面影响。低自尊与艾滋病毒感染者（PWH）的抑郁症严重相关。本研究探讨了在4次强化创伤书写干预期间，与自尊相关的词语表达是否能预测6个月后的创伤后应激、抑郁症状和健康状况。在一项随机对照试验的干预组中，95名PWH患者完成了4次30分钟的强化创伤书写。其中一次扩大会议专门讨论自尊问题。两个人编码创伤论文的自尊词的数量。收集CD 4+和病毒载量数据，并在基线、1个月和6个月随访时使用Davidson PTSD量表和汉密尔顿抑郁评定量表。在控制了研究入组时的抑郁症状、年龄、种族和教育程度后，6个月时更大的总自尊词与更低的抑郁症状相关（t（80）=-2.235，SE =-0.239，SE = 0.283，p < 0.05，95%CI [-1.195，-0.069]）。总自尊的话没有预测创伤后应激障碍，病毒载量，或CD 4+在6个月。在书写和处理创伤事件时探索自尊可能是减少PWH抑郁症状的重要机制。需要研究来测试增强表达性写作干预措施，以支持PWH的自尊。
Self-esteem is often negatively impacted by trauma. Low self-esteem has been related to significantly worse depression in people with HIV (PWH). This study explores whether the expression of words related to self-esteem during a 4-session augmented trauma writing intervention predicted post-traumatic stress, depressive symptoms, and health outcomes 6-months later. Ninety-five PWH completed four 30-minute augmented trauma writing sessions in the intervention arm of a randomized controlled trial. One augmented session was devoted to self-esteem. Two individuals coded trauma essays for number of self-esteem words. CD4+ and viral load data were collected, and the Davidson PTSD Scale and the Hamilton Depression Rating Scale were administered at baseline, one-, and six-month follow-up. Greater total self-esteem words were related to lower depressive symptoms at 6-months, controlling for depressive symptoms at study entry, age, race, and education (t(80) = −2.235, ß = −0.239, SE = 0.283,p< 0.05, 95% CI [−1.195, −.069). Total self-esteem words were not predictive of PTSD, viral load, or CD4+ at 6-months. Exploring self-esteem when writing about and processing a traumatic event could be an important mechanism for decreasing depressive symptoms among PWH. Research is needed to test augmented expressive writing interventions that support efforts to bolster self-esteem in PWH.
登录
查看更多内容
影响因子：
8.8
作者：
Gray, IC;Stewart, LMD;Phillips, SMA;Hamilton, JA;Gray, NE;Watson, GJ;Spurr, NK;Snary, D
通讯作者：
Snary, D
影响因子：
8
作者：
Fisher, GH;Orsulic, S;Varmus, HE
通讯作者：
Varmus, HE
影响因子：
50.3
作者：
Wang, SY;Gao, J;Wu, H
通讯作者：
Wu, H
影响因子：
56.9
作者：
ADAMS, JM;CORY, S
通讯作者：
CORY, S
影响因子：
11.2
作者：
Liu, M;Howes, A;Abraham, RT
通讯作者：
Abraham, RT