Interview-Rated Meaning and Survival Over 17 Years in People Living With HIV.
Interview-Rated Meaning and Survival Over 17 Years in People Living With HIV.
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HIV 感染者 17 年的采访意义和生存情况。
DOI：
10.1097/psy.0000000000000963
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发表时间：
2021
影响因子：
3.3
通讯作者：
Hylton,Emily
中科院分区：
文献类型：
--
作者：
Ironson,Gail;Verhagen,Rachel;daRosa,Beatriz;Hylton,Emily
这项研究的主要目的是确定生命的意义是否可以预测艾滋病毒感染者（PLWH）17年以上的生存率。这项研究还探讨了面试官和成绩单评定的意义是否等同地预测生存。这项研究的第三个目的是调查是否在生活中的意义增加了预测的生存积极的emotional expression.MethodsA不同的样本的人与艾滋病毒（n= 177）完成了采访的压力和应对在基线和随访生存长达17年。通过访谈者对四个项目（有意义的目的、未完成的事业、寻找新的意义和有意义的活动）的评分来衡量意义。转录评定的意义由两个独立的评分员进行评估。考克斯比例风险回归，以确定是否意义预测生存超过17 years.ResultsMeaning在生活中预测生存显着提高，调整生物医学和社会人口学变量是否由面试官或成绩单评分评估。风险比表明，影响是中等到大的（2.66-3.45为顶部与底部三分之一; 2.05-2.49为顶部与底部一半）。在调整积极情绪后，显着性仍保持不变。结论通过采访（通过采访者和成绩单评分）评估的意义预测PLWH在17年内的生存率更高，并且在积极情绪之上也是如此。这增加了文献，主要是基于自我报告问卷。意义可能对PLWH的心理和生理健康都有有益的影响。
ObjectiveThe primary purpose of this study was to determine whether meaning in life predicts survival in people living with HIV (PLWH) over 17 years. This study also examined whether interviewer-and transcript-rated meanings predict survival equivalently. A third purpose of the study was to investigate whether meaning in life adds to the prediction of survival over positive emotional expression.MethodsA diverse sample of people with HIV (n= 177) completed an interview on stress and coping at baseline and were followed up for survival up to 17 years. Meaning was measured by interviewer rating of four items (meaningful purpose, unfinished business, finding new meaning, and meaningful activities). Transcript-rated meaning was assessed by two independent raters. Cox proportional hazards regression was used to determine whether meaning predicted survival over 17 years.ResultsMeaning in life predicted significantly greater survival, adjusting for biomedical and sociodemographic variables whether assessed by interviewer or by transcript raters. Hazard ratios suggest that the effect is moderate to large (2.66–3.45 for top versus bottom third; 2.05–2.49 for top versus bottom half). Significance was maintained after adjusting for positive emotion.ConclusionsMeaning assessed by interview (by both interviewer and transcript ratings) predicted greater survival over 17 years in PLWH and did so above positive emotion. This adds to a literature that is primarily based on self-report questionnaires. Meaning may have beneficial effects for both psychological and physical health in PLWH.
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DOI：
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发表时间：
2007-06
期刊：
IDrugs : the investigational drugs journal
影响因子：
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