Evans S, Ferrando S J, Rabkin J G, Fishman B
Department of Psychiatry, Weill Medical College of Cornell University, New York, NY 10021, USA.
J Psychosom Res. 2000 Aug;49(2):157-62. doi: 10.1016/s0022-3999(00)00157-4.
To investigate the relationship between health locus of control (HLOC), distress, and protease inhibitor (PI) utilization in gay/bisexual men in all stages of HIV illness.
A total of 173 men participating in a longitudinal study of the psychological effects of HIV illness were administered a number of psychological distress measures and the HLOC scale. The association between the HLOC subscales, distress, and PI utilization was evaluated.
In addition to physical symptoms, the attribution of health status to chance or fate significantly predicted depressive symptoms, feelings of hopelessness, and recent life stress. Results also demonstrated a significant relationship between strong, positive beliefs in doctors and other health care professionals and PI utilization.
The results of this study point to a strong association between beliefs that health status is related to chance or fate and distress. In addition, beliefs in physicians and other health care providers appear to contribute to decisions to initiate PI therapy.
探讨在感染HIV疾病各阶段的男同性恋者/双性恋男性中，健康控制点（HLOC）、痛苦与蛋白酶抑制剂（PI）使用之间的关系。
共有173名参与HIV疾病心理影响纵向研究的男性接受了多项心理痛苦测量和健康控制点量表测试。评估了健康控制点各子量表、痛苦与蛋白酶抑制剂使用之间的关联。
除身体症状外，将健康状况归因于机遇或命运能显著预测抑郁症状、绝望感和近期生活压力。结果还表明，对医生和其他医护人员的强烈、积极信念与蛋白酶抑制剂的使用之间存在显著关系。
本研究结果表明，认为健康状况与机遇或命运相关的信念和痛苦之间存在紧密关联。此外，对医生和其他医护人员的信念似乎有助于做出启动蛋白酶抑制剂治疗的决定。
