ASSESSMENT OF SELF-DISCLOSURE AMONG PAIENTS WITH AIDS

这项纵向问卷研究考察了诊断的自我表露。 在三组男性患者中：(A)艾滋病患者，(B) (C)HTLV-III检测呈阳性但确实 不符合艾滋病或ARC诊断标准。这项研究还 评估这些人在多大程度上进行性行为和 将他人置于感染艾滋病病毒风险中的吸毒行为。 该项目的具体目标是：(1)确定有多少艾滋病人，ARC， 和血清阳性的患者向其他人透露他们的诊断； 向他们透露的具体其他人(例如，稳定的情人，随意的性行为 合作伙伴、毒品合作伙伴、朋友、家人、医疗提供者)；以及 确定在诊断后的哪些时间点向特定的 目标。(2)考察菲什宾和阿杰森的逻辑信息加工 适用于自我披露诊断的行为模式。(3)至 检查心理、社会/环境和生理变量，如 信息披露的预言者。(4)研究披露资料的后果(如 由受试者感知)。(5)调查在何种程度上 患者没有向其他人透露他们的诊断结果，但仍在继续 参与性行为和吸毒行为，这会使其他人处于危险之中。 受试者将在拉丁美洲和加勒比南加州大学艾滋病诊所亲自招募 医疗中心。每个参与者将完成三个匿名的 问卷调查，三个时间点各一份。第一个调查将是 在确诊后一个月内完成，两次后续调查将 将在两四个月后完成。调查问卷将邮寄到家里 每名参与者的住处。这项研究的程序排除了 受试者和他们的回答之间的关联，但允许我们将 从每个受试者那里收集的三波数据。受试者的反应性 关于自我表露和行为的问题也将被评估。 患者将被随机分配到两种情况中的一种。合而为一 条件，第一次调查将不包括关于披露和 行为；在另一种情况下，它将包括这样的项。第二 第三个调查将包含关于表露和行为的项目，因此 允许评估行为测量在多大程度上 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.