HIV-stigma and Depression: Daily Reports from Couples

描述（由申请人提供）：尽管预期寿命较长，但大多数艾滋病毒/艾滋病感染者继续报告至少轻度抑郁。这一痛苦的指标至少可以部分地解释为对艾滋病毒/艾滋病的诊断所带来的压倒性的耻辱。每天处理与艾滋病毒有关的耻辱是PWHA慢性压力的来源，可能对疾病进展和药物依从性产生影响。此外，据报告，血清不一致的夫妇双方都直接或间接地经历了与艾滋病毒有关的耻辱。拟议的研究旨在了解血清不一致夫妇成员科普艾滋病毒相关污名的方式，以及这些应对过程对他们心理社会的影响（即，抑郁、情绪、关系满意度）调整。这项研究还旨在研究这些过程如何在日常水平上波动，以及夫妻之间的差异。两对夫妇都将完成一份初步调查问卷和为期三周的每日日记，在此期间，两人将报告每日心理社会结果，血清阳性伴侣将记录感知的艾滋病毒相关污名事件。多层次建模将用于分析数据在夫妇，个人和日常水平。

DESCRIPTION (provided by applicant): Despite a longer life expectancy, a majority of people living with HIV/AIDS continue to report at least mild levels of depression. This indicator of distress may be at least partially explained by the overwhelming stigmatization that is attached to the diagnosis of HIV/AIDS. Dealing with HIV-related stigma on a daily basis is a source of chronic stress for PWHA and may have implications for disease progression and medication adherence. Moreover, HIV-related stigma is reportedly experienced directly and indirectly by both members of serodiscordant couples. The proposed study seeks to understand the ways in which serodiscordant couples members cope with HIV-related stigma and the influence of these coping processes on their psychosocial (i.e., depression, mood, relationship satisfaction) adjustment. This study also aims to examine how these processes fluctuate at the daily level and differ between couples. Both couple members will complete an initial questionnaire and a three-week daily diary component during which both will report on daily psychosocial outcomes and seropositive partners will record perceived HIV-related stigma events. Multilevel modeling will be used to analyze data at the couple, individual, and daily levels.