Psychological distress among HIV+ adolescents in the REACH study:: Effects of life stress, social support, and coping
Psychological distress among HIV+ adolescents in the REACH study:: Effects of life stress, social support, and coping
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DOI：
10.1016/s1054-139x(00)00158-0
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发表时间：
2000-12-01
影响因子：
7.6
通讯作者：
Muenz, LR
中科院分区：
文献类型：
--
作者：
Murphy, DA;Moscicki, AB;Muenz, LR
目的：调查生活事件、社会支持和应对方式对人类免疫缺陷病毒（HIV）感染青少年焦虑和抑郁的影响。据推测，较高水平的压力事件与较高水平的焦虑和抑郁相关，但这种相关性会受到社会支持满意度和适应性应对的调节。 方法：来自美国 13 个城市 16 个地点的 HIV 感染青少年（N = 230，中位年龄 16.09 岁，标准差 1.2，范围 13-19；77% 为女性）被招募到“追求卓越”项目中。青少年护理与健康 (REACH) 项目。 REACH 是第一个针对通过性行为或注射吸毒感染 HIV+ 青少年的大规模疾病进展研究。青少年评估是通过音频计算机辅助的自我访谈进行的。使用最小二乘回归来检验假设。结果：具有高影响力的生活事件与较高水平的抑郁和焦虑相关。经常报告的事件包括：服用处方药（74%）、家庭经济问题（61%）和父母酗酒（20%）。与预期相反，社会支持和适应性应对的缓冲假设没有得到支持。对社会支持和适应性应对方法的满意度都与较低水平的抑郁直接相关，但这两种测量方法与焦虑之间没有发现关联。结论：虽然生活事件困扰与心理困扰直接相关，但社会支持和适应性应对似乎都没有调节这种关联。然而，对支持和适应性应对的满意度与艾滋病毒感染青少年的抑郁症直接相关。 (C) 青少年医学协会，2000 年。
Purpose: To investigate the effects of life events, social support, and coping on anxiety and depression among human immunodeficiency virus (HIV)-infected adolescents. It was hypothesized that higher levels of stressful events would be associated with higher levels of anxiety and depression, but that this association would be moderated by satisfaction with social support and by adaptive coping.Methods: HIV-infected adolescents from 16 locations in 13 U.S. cities (N = 230, median age 16.09 years, standard deviation 1.2, range 13-19; 77% females) were recruited into the Reaching for Excellence in Adolescent Care and Health (REACH) project. REACH is the first large-scale disease progression study of HIV+ adolescents infected through sexual behavior or injection drug use. The adolescent assessment was conducted by audio-computer assisted self-interview. Least squares regressions were used to test hypotheses.Results: Life events with high impact were associated with higher levels of depression and anxiety. Frequently reported events included: being prescribed medications (74%), family financial problems (61%), and parental alcohol abuse (20%). Contrary to expectations, the buffering hypotheses of social support and adaptive coping were not supported. Satisfaction with social support and adaptive coping methods, were both associated directly with lower levels of depression, but no association was detected between these two measures and anxiety.Conclusions: Although life event distress was directly associated with psychological distress,neither social support nor adaptive coping seemed to moderate this association. However, both satisfaction with support and adaptive coping were associated directly with depression in HIV-infected adolescents. (C) Society for Adolescent Medicine, 2000.