Robbins Michael, Szapocznik José, Tejeda Manuel, Samuels Deanne, Ironson Gail, Antoni Michael
University of Miami School of Medicine.
J Black Psychol. 2003 Feb;29(1):17-37. doi: 10.1177/0095798402239227.
This study examined the role of family functioning and social support in protecting HIV-positive African American women from the adverse psychological consequences associated with deterioration in their CD4 cell count. Participants were 38 African American HIV-positive women who had recently given birth. Results demonstrated that changes in CD4 cell counts were inversely predictive of psychological distress and were moderated by family functioning and social support satisfaction. Women with good family functioning were less affected by changes in their CD4 cell counts, and women with poor family functioning were more emotionally responsive to changes in CD4 cell count. Unexpectedly, women from families where conflicts tended to be clearly laid out and discussed were also more responsive to both changes in CD4 cell counts. Interventions are recommended that increase a client's social support satisfaction, foster an adaptive level of connectedness to family, and enhance the family's range of conflict resolution styles.
本研究探讨了家庭功能和社会支持在保护感染艾滋病毒的非裔美国妇女免受与CD4细胞计数下降相关的不良心理后果方面所起的作用。参与者为38名近期分娩的感染艾滋病毒的非裔美国妇女。结果表明，CD4细胞计数的变化与心理困扰呈负相关，且受家庭功能和社会支持满意度的调节。家庭功能良好的妇女受CD4细胞计数变化的影响较小，而家庭功能较差的妇女对CD4细胞计数变化的情绪反应更强。出乎意料的是，来自冲突往往清晰呈现并得到讨论的家庭的妇女，对CD4细胞计数的变化也更敏感。建议采取干预措施，提高客户的社会支持满意度，培养与家庭适度的联系水平，并增加家庭解决冲突的方式。
