Erlen J A, Mellors M P, Sereika S M, Cook C
Center for Research in Chronic Disorders, School of Nursing, University of Pittsburgh, PA 15261, USA.
Qual Life Res. 2001;10(5):453-64. doi: 10.1023/a:1012583931564.
People living with AIDS (PLWA) are confronted with uncertainty and their own mortality at an earlier than expected age. Life review, an intervention that has the potential to increase life satisfaction in the elderly experiencing transition points in their lives, may have a similar effect when used with PLWA. Therefore, the purpose of this feasibility study was to explore the use of life review in a sample of 20 PLWA through a randomized controlled trial of its effectiveness in decreasing depressive symptoms and in increasing self esteem, quality of life, and purpose in life. Compared to the control group, the treatment group had an improved overall quality of life and self-esteem over 12 months, less depressive symptoms over 12 months, and a greater purpose in life at 3 months. The effects that were seen were mainly small to medium effects. The findings from this feasibility study suggest the potential value of life review to enhance quality of life, purpose in life, and self-esteem, and to decrease depressive symptoms in PLWA. Further research is needed with a larger sample and with other groups such as PLWA experiencing virologic failure.
艾滋病患者（PLWA）在比预期更早的年龄就面临不确定性和自身的死亡风险。生活回顾是一种有可能提高处于生活转折点的老年人生活满意度的干预措施，在艾滋病患者中使用时可能会有类似效果。因此，本可行性研究的目的是通过一项随机对照试验，探讨在20名艾滋病患者样本中使用生活回顾对减轻抑郁症状、提高自尊、生活质量和生活目的的有效性。与对照组相比，治疗组在12个月内总体生活质量和自尊得到改善，在12个月内抑郁症状减轻，在3个月时生活目的更强。所观察到的效果主要是小到中等程度的效果。这项可行性研究的结果表明，生活回顾对于提高艾滋病患者的生活质量、生活目的和自尊以及减轻抑郁症状具有潜在价值。需要对更大样本以及其他群体（如经历病毒学失败的艾滋病患者）进行进一步研究。
