HIV-stigma and Depression: Daily Reports from Couples

描述（由申请人提供）：尽管预期寿命更长，但大多数艾滋病毒/艾滋病感染者仍然报告至少有轻微的抑郁程度。这一痛苦指标至少可以部分解释为艾滋病毒/艾滋病诊断所附带的压倒性耻辱。每天处理与艾滋病毒有关的耻辱是PWHA慢性压力的一个来源，并可能影响疾病进展和药物依从性。此外，据报道，血清不一致的夫妻双方都直接或间接地经历了与艾滋病毒相关的耻辱。本研究旨在了解血清不和谐夫妻成员应对艾滋病毒相关污名的方式，以及这些应对过程对其心理社会（即抑郁、情绪、关系满意度）调整的影响。这项研究还旨在研究这些过程在日常水平上的波动以及夫妻之间的差异。夫妻双方将完成一份初步调查问卷和为期三周的每日日记部分，在此期间，双方将报告每日心理社会结果，血清检测呈阳性的伴侣将记录感知到的与艾滋病毒相关的耻辱事件。多层建模将用于分析夫妻、个人和日常级别的数据。

DESCRIPTION (provided by applicant): Despite a longer life expectancy, a majority of people living with HIV/AIDS continue to report at least mild levels of depression. This indicator of distress may be at least partially explained by the overwhelming stigmatization that is attached to the diagnosis of HIV/AIDS. Dealing with HIV-related stigma on a daily basis is a source of chronic stress for PWHA and may have implications for disease progression and medication adherence. Moreover, HIV-related stigma is reportedly experienced directly and indirectly by both members of serodiscordant couples. The proposed study seeks to understand the ways in which serodiscordant couples members cope with HIV-related stigma and the influence of these coping processes on their psychosocial (i.e., depression, mood, relationship satisfaction) adjustment. This study also aims to examine how these processes fluctuate at the daily level and differ between couples. Both couple members will complete an initial questionnaire and a three-week daily diary component during which both will report on daily psychosocial outcomes and seropositive partners will record perceived HIV-related stigma events. Multilevel modeling will be used to analyze data at the couple, individual, and daily levels.