A path model of the effects of spirituality on depressive symptoms and 24-h urinary-free cortisol in HIV-positive persons
A path model of the effects of spirituality on depressive symptoms and 24-h urinary-free cortisol in HIV-positive persons
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DOI：
10.1016/j.jpsychores.2006.04.005
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发表时间：
2006-07-01
影响因子：
4.7
通讯作者：
Schneiderman, Neil
中科院分区：
文献类型：
--
作者：
Carrico, Adam W.;Ironson, Gail;Schneiderman, Neil
目的：本次调查研究了抑郁症状和 24 小时尿游离皮质醇排出量之间的关联、积极的重新评估应对和获益发现。方法：在初次筛查预约后，264 名接受高效抗逆转录病毒治疗的人类免疫缺陷病毒阳性男性和女性提供了 24 小时尿液样本，并完成了一系列心理社会测量。结果：灵性与更高的积极重新评估应对和更大的利益发现相关。反过来，获益发现和积极的重新评估应对评分都与较低的抑郁症状有关。最后，我们确定获益发现可以唯一预测 24 小时无尿皮质醇排出量的减少。结论：积极的重新评估应对和利益发现可能共同介导灵性对抑郁症状的影响，而利益发现可以独特地解释灵性对 24 小时皮质醇输出的影响。 (c) 2006 年，爱思唯尔公司出版。
Objective: The present investigation examined the associations, positive reappraisal coping, and benefit finding as they relate to depressive symptoms and 24-h urinary-free-cortisol output. Methods: Following an initial screening appointment, 264 human-immunodeficiency-virus-positive men and women on highly active antiretroviral therapy provided 24-h urine samples and completed a battery of psychosocial measures. Results: Spirituality was associated with higher positive reappraisal coping and greater benefit finding. Benefit finding and positive reappraisal coping scores were, in turn, both related to lower depressive symptoms. Finally, we determined that benefit finding was uniquely predictive of decreased 24-h urinary-free cortisol output. Conclusion: Positive reappraisal coping and benefit finding may co-mediate the effect of spirituality on depressive symptoms, and benefit finding may uniquely explain the effect of spirituality on 24-h cortisol output. (c) 2006 Published by Elsevier Inc.