HIV-stigma and Depression: Daily Reports from Couples

艾滋病毒耻辱和抑郁症：夫妻每日报告

• 批准号: 7254902
• 负责人: Amelia E. Talley
• 金额: $ 2.98万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-30 至 2008-06-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7254902
• 关键词: AIDS/HIV diagnosis; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Affect; Chronic stress; Couples; Cross-Sectional Studies; Daily; Data; Data Analyses; Diagnosis; Disclosure; Discrimination; Disease Progression; Distress; Event; Funding; Goals; HIV; Homosexuals; Individual; Length; Life; Life Expectancy; Measures; Mediating; Mental Depression; Moods; Outcome; Participant; Patients; Perception; Prejudice; Process; Psychosocial Factor; Questionnaires; Reporting; Research; Social Aspects of Cancer; Social Behavior; Social support; Source; Stigmata; Stigmatization; Time; Week; base; coping; diaries; experience; improved; male; medication compliance; member; multilevel analysis; positive mood; programs; psychosocial; response; satisfaction; social stigma; therapy design

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.

描述（由申请人提供）：尽管预期寿命较长，但大多数艾滋病毒/艾滋病患者仍会继续报告至少温和的抑郁水平。这种遇险指标至少可以通过与艾滋病毒/艾滋病的诊断相关的压倒性污名化来部分解释。每天处理与HIV相关的污名是PWHA慢性应激的根源，可能对疾病进展和药物依从性有影响。此外，据报道，与艾滋病毒相关的污名是由夫妻的两位成员直接和间接地经历的。拟议的研究试图了解夫妻夫妻应对与HIV相关的污名的方式以及这些应对过程对他们的社会心理（即抑郁，情绪，关系满意度）调整的影响。这项研究还旨在检查这些过程在每日水平上如何波动以及夫妻之间的不同。两位成员将填写初始问卷和为期三周的日记部分，在此期间，两者都将报告每日社会心理结局，血清阳性伴侣将记录与感知的与HIV相关的污名事件。多级建模将用于分析夫妻，个人和每日级别的数据。