Disengagement and Engagement Coping with HIV/AIDS Stigma and Psychological Well-Being of People with HIV/AIDS.
Disengagement and Engagement Coping with HIV/AIDS Stigma and Psychological Well-Being of People with HIV/AIDS.
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与艾滋病毒/艾滋病患者的艾滋病毒/艾滋病污名和心理健康的脱离和互动应对。
DOI：
10.1521/jscp.2012.31.2.123
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发表时间：
2012-02-01
影响因子：
1.7
通讯作者：
Solomon SE
中科院分区：
文献类型：
--
作者：
Varni SE;Miller CT;McCuin T;Solomon SE
与艾滋病毒/艾滋病有关的耻辱对艾滋病毒/艾滋病患者构成心理挑战。我们假设，污名相关的压力源对心理健康的后果将取决于人们如何科普艾滋病毒/艾滋病污名的压力。200名艾滋病毒/艾滋病患者完成了一项自我报告措施，即制定的耻辱和感受到的耻辱，一项衡量他们如何应对艾滋病毒/艾滋病耻辱的措施，以及抑郁、焦虑和自尊的措施。一般来说，增加感觉耻辱（公众态度，负面的自我形象和披露问题的关注）加上参与者报告如何应对耻辱（通过脱离或参与耻辱压力源）预测自我报告的抑郁，焦虑和自尊。与那些报告相对较低水平的脱离应对的参与者相比，那些报告相对较高水平的脱离应对的参与者感到耻辱的增加与焦虑和抑郁的增加有关。感觉耻辱感的增加与自尊心的下降有关，但这种关联在参与者中被削弱，他们报告了相对较高的参与控制应对水平。数据还表明，在报告使用更多解脱应对的参与者中，制定的耻辱感增加预示着焦虑增加，但不是抑郁。与艾滋病毒阳性者一起工作的心理健康专业人员应该考虑他们的客户如何科普艾滋病毒/艾滋病耻辱，并考虑调整目前的治疗方法，以解决耻辱，应对和心理健康之间的关系。
The stigma associated with HIV/AIDS poses a psychological challenge to people living with HIV/AIDS. We hypothesized that that the consequences of stigma-related stressors on psychological well-being would depend on how people cope with the stress of HIV/AIDS stigma. Two hundred participants with HIV/AIDS completed a self-report measure of enacted stigma and felt stigma, a measure of how they coped with HIV/AIDS stigma, and measures of depression and anxiety, and self-esteem. In general, increases in felt stigma (concerns with public attitudes, negative self-image, and disclosure concerns) coupled with how participants reported coping with stigma (by disengaging from or engaging with the stigma stressor) predicted self-reported depression, anxiety, and self-esteem. Increases in felt stigma were associated with increases in anxiety and depression among participants who reported relatively high levels of disengagement coping compared to participants who reported relatively low levels of disengagement coping. Increases in felt stigma were associated with decreased self-esteem, but this association was attenuated among participants who reported relatively high levels of engagement control coping. The data also suggested a trend that increases in enacted stigma predicted increases in anxiety, but not depression, among participants who reported using more disengagement coping. Mental health professionals working with people who are HIV positive should consider how their clients cope with HIV/AIDS stigma and consider tailoring current therapies to address the relationship between stigma, coping, and psychological well-being.
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影响因子：
4.4
作者：
Heckman, Timothy G.;Carlson, Bruce
通讯作者：
Carlson, Bruce
DOI：
10.1016/s0065-2601(02)80007-7
发表时间：
2002-01-01
期刊：
ADVANCES IN EXPERIMENTAL SOCIAL PSYCHOLOGY, VOL 34
影响因子：
--
作者：
Major, B;Quinton, WJ;McCoy, SK
通讯作者：
McCoy, SK
影响因子：
5.4
作者：
Hayes, Andrew F.;Matthes, Joerg
通讯作者：
Matthes, Joerg
影响因子：
4.2
作者：
Crepaz, Nicole;Passin, Warren F.;Wolitski, Richard J.
通讯作者：
Wolitski, Richard J.
DOI：
10.1080/09540120802511877
发表时间：
2009-06-01
影响因子：
1.7
作者：
Logie, C.;Gadalla, T. M.
通讯作者：
Gadalla, T. M.