HIV-stigma and Depression: Daily Reports from Couples

描述(申请人提供)：尽管预期寿命较长，但大多数艾滋病毒/艾滋病携带者仍报告至少有轻度抑郁。这一痛苦的指标至少可以部分解释为对艾滋病毒/艾滋病的诊断带有压倒性的污名。每天处理与艾滋病毒相关的污名是PWHA慢性压力的来源，并可能对疾病进展和用药依从性产生影响。此外，据报告，血清不一致夫妇的双方成员都直接或间接地感受到与艾滋病毒有关的耻辱。这项拟议的研究试图了解血清不一致的夫妇成员如何应对艾滋病毒相关的污名，以及这些应对过程对他们的心理社会(即抑郁、情绪、关系满意度)调整的影响。这项研究还旨在研究这些过程在日常水平上是如何波动的，以及不同夫妇之间的差异。两名夫妇成员将完成一份初始问卷和为期三周的每日日记部分，在此期间，双方都将报告每日的心理社会结果，血清阳性的伴侣将记录感觉到的与艾滋病毒相关的耻辱事件。将使用多级别建模来分析夫妻、个人和日常级别的数据。

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.