Heckman Timothy G, Anderson Eileen S, Sikkema Kathleen J, Kochman Arlene, Kalichman Seth C, Anderson Timothy
Department of Psychology, Ohio University, Athens, OH 45701, USA.
Health Psychol. 2004 Jan;23(1):94-100. doi: 10.1037/0278-6133.23.1.94.
The study delineated depressive symptoms and modeled emotional distress in persons living with HIV disease in nonmetropolitan areas of 13 U.S. states. Participants (N=329) were enrolled in a randomized clinical trial of a telephone-delivered, coping improvement group intervention, and 60% reported moderate or severe levels of depressive symptomatology on the Beck Depression Inventory. Structural equation modeling indicated that participants who experienced more severe HIV symptomatology, received less social support, and engaged in more avoidant coping also experienced more emotional distress (a latent construct comprising depressive symptoms and emotional well-being). Greater HIV-related stigma and rejection by family led to more emotional distress, with social support and avoidant coping mediating almost entirely the effects of the former 2 variables. The model accounted for 72% of the variance in emotional distress in nonmetropolitan persons living with HIV disease.
该研究描述了美国13个州非大都市地区感染艾滋病毒者的抑郁症状，并对其情绪困扰进行了建模。参与者（N = 329）参加了一项通过电话提供的应对改善小组干预的随机临床试验，60%的参与者在贝克抑郁量表上报告有中度或重度抑郁症状。结构方程模型表明，经历更严重艾滋病毒症状、获得较少社会支持且采用更多回避应对方式的参与者也经历了更多的情绪困扰（一个包含抑郁症状和情绪幸福感的潜在结构）。更大的与艾滋病毒相关的耻辱感以及来自家人的排斥导致了更多的情绪困扰，社会支持和回避应对几乎完全介导了前两个变量的影响。该模型解释了非大都市地区感染艾滋病毒者情绪困扰变异的72%。
