TRANSITION, HIV DISEASE, AND THE PARTNER RELATIONSHIP

描述：据保守估计，中国的自杀率 感染艾滋病毒的人比感染艾滋病毒的人多7到20倍 普通民众。这种疾病最常与 不确定性、不可预测和令人衰弱的症状、社会耻辱以及 经济上的贫困。拟议研究的目的将是 进行一项随机临床试验，测试4种简单干预措施 每期2小时，旨在加强PWA和PWA的关系 重要的另一半，从而减少情绪困扰(特别是 抑郁、焦虑、愤怒和内疚)，这两个人都在二元体中 都在经历着。干预的重点将是压力管理 利用教育/信息方法。一种实验设计 这包括随机分配给对照组或试验组的100个PWA双联体 将使用组。这种干预的目的是为了让它 将其纳入这方面的常规医疗保健是可行的 人口。因此，该项目的一个重要方面将是 为临床医生(即护士、社会工作者)编写一份手册，说明 干预的细节足够详细，很容易被复制。一个 由研究团队设计的评估量表将被测试和细化为 研究的一部分，然后包括在手册中，以帮助临床医生 评估这一目标人群的应对技能。这项研究将 由一个多学科团队执行，该团队由护理、社会和社会 工作、医学和精神病学。

DESCRIPTION: It is conservatively estimated that the suicide rate for individuals infected with HIV disease is 7 to 20 times greater than that of the general population. The illness is most often associated with uncertainty, unpredictable and debilitating symptoms, social stigma, and financial deprivation. The purpose of the proposed research will be to conduct a randomized clinical trial to test a brief intervention of 4 sessions, 2 hours each, designed to strengthen the relationship of a PWA and a significant other, thereby decreasing the emotional distress (specifically depression, anxiety, anger, and guilt) that both individuals within the dyad are experiencing. The focus of the intervention will be stress management utilizing an educational/informational approach. An experimental design that includes 100 PWA dyads randomly assigned to the control or experimental groups will be used. This intervention is designed so that it will be feasible to incorporate it within the routine health care for this population. Therefore, an important aspect of the project will be to develop a manual for clinicians (i.e., nurse, social worker) that describes the intervention in sufficient detail that it can readily be replicated. An assessment scale designed by the research team will be tested and refined as part of the study, and then included with the manual to aid clinicians' evaluation of the coping skills of this target population. This study will be carried out by a multidisciplinary team comprised of nursing, social work, medicine, and psychiatry.