Siegel Karolynn, Schrimshaw Eric W
Center for the Psychosocial Study of Health & Illness, Mailman School of Public Health, Columbia University, 100 Haven Avenue, Suite 6A , New York, NY 10032, USA.
AIDS Behav. 2007 May;11(3):421-33. doi: 10.1007/s10461-006-9186-3. Epub 2006 Nov 14.
This study examines whether the perception of having experienced growth as a result of a stressful event, often termed benefit finding, moderates the effects of stress (both physical symptomatology and social conflict) on psychological distress and well-being. For this cross-sectional study, an ethnically diverse sample (N = 138) of women living with HIV/AIDS completed a series of self-report measures. Hierarchical regression analysis demonstrated that physical symptoms, social conflict, and benefit finding were associated with psychological distress and positive affect, even after controlling for social support, locus of control, and demographic confounds. Significant interactions revealed that among women with a high number of HIV-related physical symptoms, benefit finding moderated the negative effects of physical symptoms on both depressive and anxious symptoms. Benefit finding was not found to moderate the effects of social conflict. These findings suggest a potential mechanism (i.e., stress buffering) by which benefit finding could promote psychological adjustment. Further, the finding that benefit finding only moderated the growth-inducing stressor (e.g., the illness), but not the effects of other stressors (e.g., social conflict), suggests possible limits to the stress-buffering role of benefit finding.
本研究探讨经历应激事件后所产生的成长感知(通常称为益处发现)是否会缓和应激(包括身体症状和社会冲突)对心理困扰和幸福感的影响。在这项横断面研究中,一个具有种族多样性的感染艾滋病毒/艾滋病的女性样本(N = 138)完成了一系列自我报告测量。分层回归分析表明,即使在控制了社会支持、控制点和人口统计学混杂因素之后,身体症状、社会冲突和益处发现仍与心理困扰和积极情绪相关。显著的交互作用表明,在有大量与艾滋病毒相关身体症状的女性中,益处发现缓和了身体症状对抑郁和焦虑症状的负面影响。未发现益处发现缓和社会冲突的影响。这些发现提示了一种潜在机制(即压力缓冲),通过该机制益处发现可促进心理调适。此外,益处发现仅缓和了引发成长的应激源(如疾病)的影响,而未缓和其他应激源(如社会冲突)的影响,这一发现提示了益处发现的压力缓冲作用可能存在的局限性。