Acute stress reactions to recent life events among women and men living with HIV/AIDs
Acute stress reactions to recent life events among women and men living with HIV/AIDs
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DOI：
10.2190/ck2n-33nv-3pvf-glvr
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发表时间：
2002-01-01
影响因子：
2
通讯作者：
Spiegel, D
中科院分区：
文献类型：
--
作者：
Koopman, C;Gore-Felton, C;Spiegel, D
目的：本研究旨在探讨艾滋病病毒感染者/艾滋病患者对近期生活事件的急性应激反应的患病率。第二个目的是调查艾滋病毒感染者的急性应激反应与创伤后应激障碍（PTSD）症状和以前的创伤性生活事件之间的关系。方法：参与者包括64名艾滋病毒血清阳性者（33名男性和31名女性），他们来自一项更大的研究，研究小组治疗对生活质量和健康行为的影响。这些人在基线时评估了人口统计学和医疗状况特征以及（PTSD）症状，然后随机分配到接受团体治疗加教育或仅接受教育。三个月后，他们被评估对最近生活事件的急性应激反应。结果如下：近三分之一（31.3%）的参与者报告了对最近生活事件的急性应激反应水平，符合急性应激障碍诊断的所有症状标准。然而，只有9.4%的受访者描述了最近的压力生活事件，威胁到自己或他人的生命或身体完整性。对近期生活事件的急性应激反应与先前创伤性生活事件的PTSD症状显著正相关。急性应激没有显着差异的性别，艾滋病的状态，或参与者是否接受了12周的集体治疗，结论：一个子集的艾滋病毒/艾滋病患者的经验高水平的急性应激反应的生活事件被认为是非创伤性的。对持续的生活压力源反应强烈的艾滋病毒感染者更有可能因以前的创伤性生活事件而出现PTSD症状。
Objective: This study examined the prevalence of acute stress reactions to recent life events among persons living with HIV/AIDS. A second aim was to investigate the relationship of acute stress reactions among HIV-infected men and women to posttraumatic stress disorder (PTSD) symptoms to previous traumatic life events. Method: Participants included 64 HIV-seropositive persons (33 men and 31 women) drawn from a larger study examining the effects of group therapy on quality of life and health behavior. These individuals were assessed at baseline on demographic and medical status characteristics and (PTSD) symptoms and then randomly assigned to either receive group therapy plus education or education alone. Three months later they were assessed for acute stress reactions to recent life events. Results: Nearly a third (31.3 percent) of the participants reported levels of acute stress reactions to recent life events that met all symptom criteria for the diagnosis of acute stress disorder. However, only 9.4 percent of the respondents described a recent stressful life event that was threatening to the life or physical integrity of themselves or others. Acute stress reactions to recent life events were significantly and positively related to experiencing PTSD symptoms to prior traumatic life events. Acute stress did not differ significantly by gender, AIDS status, or whether or not participants had received 12 weeks of group therapy, Conclusions: A subset of individuals with HIV/AIDS experience high levels of acute stress reactivity to life events considered non-traumatic. HIV-infected individuals who react strongly to ongoing life stressors are more likely to have developed PTSD symptoms in response to previous traumatic life events.