Crepaz N, Marks G
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
Health Psychol. 2001 Jul;20(4):291-9. doi: 10.1037//0278-6133.20.4.291.
This meta-analytic review examined whether negative affective states (depressive symptomatology, anxiety, anger) are associated with sexual behaviors that place people at risk for contracting or transmitting HIV. The results from 34 study samples were included in the analysis. Contrary to popular belief, the findings as a whole provide little evidence that negative affect is associated with increased sexual risk behavior. The average weighted correlation for the overall association was .05. The effect size was nonsignificantly higher for anger (r = .10) than for depressive symptoms (r = .04) or anxiety (r = .03). The variability of effect sizes was not accounted for by type of sexual risk measure, subject population, or methodological aspects of the studies. Conceptual and methodological limitations of the literature are identified and directions for future research are discussed.
这项荟萃分析综述考察了消极情绪状态（抑郁症状、焦虑、愤怒）是否与使人面临感染或传播艾滋病毒风险的性行为有关。分析纳入了34个研究样本的结果。与普遍看法相反，总体研究结果几乎没有证据表明消极情绪与性风险行为增加有关。总体关联的平均加权相关系数为0.05。愤怒（r = 0.10）的效应量比抑郁症状（r = 0.04）或焦虑（r = 0.03）略高，但无显著差异。效应量的变异性无法通过性风险测量类型、研究对象群体或研究的方法学方面来解释。本文指出了文献在概念和方法上的局限性，并讨论了未来研究的方向。
