ASSESSMENT OF SELF-DISCLOSURE AMONG PAIENTS WITH AIDS

这项纵向问卷调查研究了自我披露的诊断 在三组男性患者中：（a）艾滋病患者，（B） 艾滋病相关综合征，以及（c）HTLV-III检测呈阳性但 不符合艾滋病或ARC诊断标准。 该研究还 评估这些人参与性行为的程度， 使他人处于感染艾滋病毒风险的吸毒行为。 该项目的具体目标是：（1）确定有多少艾滋病，ARC， 和血清反应阳性的患者向他人透露他们的诊断;以确定 他们向其透露的特定其他人（例如，稳定的情人，随意的性行为 合作伙伴，药物合作伙伴，朋友，家人，医疗提供者）;以及 确定在诊断后的什么时间点，他们揭示了一个特定的 目标 (2)检验菲什拜因和阿曾的逻辑信息处理 行为模式，因为它适用于自我披露的诊断。 (3)到 检查心理，社会/环境和物理变量， 披露的预测者。 (4)研究披露的后果（如 （受试者的感受）。 (5)为了调查在多大程度上 患者没有向他人透露他们的诊断，但继续 从事性行为和吸毒行为，使其他人处于危险之中。 受试者将在LAC-USC的艾滋病诊所亲自招募 医学中心 每个参与者将完成三个匿名 问卷调查，三个时间点各一份。 第一次调查将是 在诊断后一个月内完成，两次后续调查将 两个月和四个月后完成。 调查将邮寄到家里 每个参与者的住所。 研究程序排除了 主题和他们的反应之间的联系，但允许我们联系起来， 从每个受试者身上收集的三波数据。 受试者的反应 对自我表露和行为的问题也将进行评估。 患者将被随机分配到两个条件之一。 在一个 条件，第一次调查将不包括关于披露的项目， 行为;在其他条件下，它将包括这些项目。 第二 第三次调查将分别包含关于揭示和行为的项目， 允许评估行为的测量在多大程度上 第一份问卷影响了随后的行为。

This longitudinal questionnaire study examines self-disclosure of diagnosis among three groups of male patients: (a) those with AIDS, (b) those with AIDS-Related Complex, and (c) those who test positive for HTLV-III but do not meet the criteria for an AIDS or ARC diagnosis. The study also assesses the extent to which these individuals are engaging in sexual and drug-use behaviors that put others at risk of contracting the AIDS virus. The specific aims of the project are: (1) To determine how many AIDS, ARC, and seropositive patients disclose their diagnosis to others; to identify specific others to whom they reveal (e.g., steady lover, casual sexual partners, drug partners, friends, family, medical providers); and to determine at what time points after diagnosis they reveal to a specific target. (2) To examine Fishbein and Ajzen's logical information processing model of behavior as it applies to self-disclosure of diagnosis. (3) To examine psychological, social/environmental, and physical variables as predictors of disclosure. (4) To study the consequences of disclosure (as perceived by the subjects). (5) To investigate the extent to which patients are not revealing their diagnosis to others but are continuing to engage in sexual and drug-use behaviors that put those other at risk. Subjects will be recruited in person at the AIDS Clinic of the LAC-USC Medical Center. Each participant will complete three anonymous questionnaires, one at each of three time points. The first survey will be completed within one month of diagnosis and the two follow-up surveys will be completed two and four months later. Surveys will be mailed to the home residence of each participant. The procedures of the study preclude association between subjects and their responses but allow us to link-up the three waves of data collected from each subject. Subjects' reactivity to questions on self-disclosure and behavior will also be assessed. Patients will be randomly assigned to one of two conditions. In one condition, the first survey will not include items on disclosure and behavior; in the other condition it will include such items. The second and third surveys will each contain items on revealing and behavior thus permitting an assessment of the extent to which measurement of behavior on the first questionnaire affected subsequent behavior.