The relationship between sexual trauma, peritraumatic dissociation, posttraumatic stress disorder, and HIV-related health in HIV-positive men.
The relationship between sexual trauma, peritraumatic dissociation, posttraumatic stress disorder, and HIV-related health in HIV-positive men.
复制标题
DOI：
10.1080/15299732.2013.873376
复制
发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Gore-Felton C
中科院分区：
文献类型：
--
作者：
Yiaslas TA;Kamen C;Arteaga A;Lee S;Briscoe-Smith A;Koopman C;Gore-Felton C
本研究测试了创伤症状与健康结果之间关系的新扩展模型，并具体应用于HIV阳性男性。从旧金山弗朗西斯科湾地区HIV诊所招募的167名HIV阳性男性的不同样本完成了人口统计学、医疗、创伤史和症状问卷。中介分析进行了使用提出的方法。回归分析发现，性再受害（SR）显着介导的儿童性虐待（CSA）和围创伤分离（PD）和PD介导的SR和当前创伤后应激（PTS）症状严重程度之间的关系。PTS症状部分介导SR和当前HIV症状严重程度之间的关系。研究结果表明，在艾滋病毒阳性男子中，再次遭受性伤害的男子是一个易受伤害的群体，容易出现创伤后分裂，这使他们有可能患上创伤后应激障碍，并使艾滋病毒相关健康状况恶化。此外，创伤应激症状与更严重的艾滋病毒相关症状有关，这表明PTS症状介导了创伤和健康结果之间的联系。这项研究强调了未来研究的必要性，以确定在HIV阳性个体的PTSD健康关系的生物行为介质。
This study tested a novel extension of model of the relationships between trauma symptoms and health outcomes, with the specific application to HIV-positive men. A diverse sample of 167 HIV-positive men recruited from San Francisco Bay Area HIV Clinics completed demographic, medical, trauma history and symptom questionnaires. Mediation analyses were conducted using the method proposed by. Regression analyses found sexual revictimization (SR) significantly mediated the relationship between child sexual abuse (CSA) and peritraumatic dissociation (PD) and PD mediated the relationship between SR and current posttraumatic stress (PTS) symptom severity. PTS symptoms partially mediated the relationship between SR and current HIV symptom severity. The findings indicate that among HIV-positive men, sexually revictimized men constitute a vulnerable group that is prone to peritraumatic dissociation, which places them at risk for posttraumatic stress disorder and worsened HIV-related health. Furthermore, traumatic stress symptoms were associated with worse HIV-related symptoms, suggesting that PTS symptoms mediate the link between trauma and health outcomes. This study highlights the need for future research to identify the bio-behavioral mediators of the PTSD-health relationship in HIV-positive individuals.