Social support and disclosure as predictors of mental health in HIV-positive youth
Social support and disclosure as predictors of mental health in HIV-positive youth
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DOI：
10.1089/apc.2006.005
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发表时间：
2007-01-01
影响因子：
4.9
通讯作者：
Wright, Kathryn
中科院分区：
文献类型：
--
作者：
Lam, Phebe K.;Naar-King, Sylvie;Wright, Kathryn
这项研究的目的是描述66名HIV阳性青年(16-25岁)的心理健康症状，并评估社会支持、披露和身体状况作为症状的预测因子。数据收集自2002年1月至2003年5月。根据简明症状调查表(BSI)的衡量，50%的青少年在临床显著的精神健康症状方面得分高于临界值，从而突出了对精神健康服务的需求。较低的社会支持、较高的病毒载量、向熟人披露艾滋病毒状况、是男/女同性恋/双性恋(GLB)都与更多的心理健康症状有关，但向家人和亲密朋友披露以及与服务提供者接触不显著。此外，回归分析表明，社会支持、病毒载量和向熟人透露信息可以预测心理健康症状的32%的变异。成为GLB已经不再重要，很可能是因为社会支持较低的共同差异。结果表明心理健康干预的重要性，以及社会支持干预改善心理健康的潜力。有必要进一步研究艾滋病毒相关的污名和同性恋恐惧症的作用。
The purpose of this study was to describe mental health symptoms in a sample of 66 HIV-positive youth ( ages 16-25) and to evaluate social support, disclosure, and physical status as predictors of symptoms. Data were collected from January 2002 to May 2003. As measured by the Brief Symptom Inventory ( BSI), 50% of the youth scored above the cutoff for clinically significant mental health symptoms, thus highlighting the need for mental health services. Lower social support, higher viral load, HIV-status disclosure to acquaintances, and being gay/lesbian/bisexual (GLB) were all significantly correlated with more mental health symptoms, but disclosure to family and close friends and contact with service providers were not. Furthermore, regression analysis showed that social support, viral load, and disclosure to acquaintances predicted 32% of the variance in mental health symptoms. Being GLB was no longer significant, most likely because of shared variance with low social support. Results suggest the importance of mental health interventions, and the potential of social support interventions to improve mental health. Further research addressing the role of HIV-related stigma and homophobia is warranted.