Simoni J M, Ng M T
Ferkauf Graduate School of Psychology, Yeshiva University, 1300 Morris Park Avenue, Bronx, NY 10461, USA.
AIDS Care. 2000 Oct;12(5):567-80. doi: 10.1080/095401200750003752.
Among 230 HIV-positive women in New York City, we examined the association of retrospective self-reports of sexual and physical abuse, current coping strategies and depressive symptomatology (CES-D scores). Results revealed a high prevalence of abuse in childhood (50%) and adulthood (68%); 7% reported physical assault or rape in the last 90 days. As expected, childhood abuse was significantly correlated with both adult and recent trauma, and each type of trauma correlated with CES-D scores. Childhood abuse also positively correlated with the frequency of current adaptive and avoidant coping strategies, although avoidant coping had a stronger (negative) association with CES-D scores. Hierarchical regression analyses revealed the association between childhood abuse and CES-D scores persisted even after controlling for relevant demographic variables, more recent trauma and coping strategies. Implications for improving the psychological functioning of women living with HIV/AIDS are discussed.
在纽约市的230名艾滋病毒呈阳性的女性中，我们研究了性虐待和身体虐待的回顾性自我报告、当前应对策略与抑郁症状（CES-D评分）之间的关联。结果显示，童年期虐待的患病率很高（50%），成年期虐待的患病率也很高（68%）；7%的女性报告在过去90天内遭受过身体攻击或强奸。正如预期的那样，童年期虐待与成年期创伤和近期创伤均显著相关，且每种类型的创伤都与CES-D评分相关。童年期虐待还与当前适应性应对策略和回避性应对策略的频率呈正相关，尽管回避性应对与CES-D评分的关联更强（呈负相关）。分层回归分析显示，即使在控制了相关人口统计学变量、近期创伤和应对策略之后，童年期虐待与CES-D评分之间的关联仍然存在。本文讨论了改善艾滋病毒/艾滋病女性心理功能的意义。
