Engler Patricia, Anderson Bradley, Herman Debra, Bishop Duane, Miller Ivan, Pirraglia Paul, Hayaki Jumi, Stein Michael
Rhode Island Hospital, Division of General Internal Medicine, 593 Eddy Street, Providence, RI 02903, USA.
Psychosom Med. 2006 Nov-Dec;68(6):985-92. doi: 10.1097/01.psy.0000245901.82935.cb.
The aim of this study was to examine the role of coping on caregiver burden among a heterogeneous group of caregivers of persons living with HIV during the era of highly active antiretroviral therapy.
Burden and coping were examined among 176 caregivers of persons living with HIV. Three styles of coping were examined using a 7-item scale: active-approach (task), blame-withdrawal (emotion), and distancing (avoidance).
A total of 58.8% of the caregivers were women. They had a mean age of 42 years; 61.9% cohabited with the persons living with HIV who had a mean CD4 count of 401. All three styles of coping were significantly positively correlated with caregiver burden. After controlling for demographic variables and caregiver depression, active-approach coping and distancing coping independently moderated the relationship between perceived severity of HIV-related symptoms (stress) and caregiver burden; however, some caregivers experienced burden even at low levels of stress.
These results indicate that in the era of highly active antiretroviral therapy, coping mitigates the effect of stress on burden.
本研究旨在探讨在高效抗逆转录病毒治疗时代，应对方式在不同类型的艾滋病毒感染者照料者的照料负担中所起的作用。
对176名艾滋病毒感染者的照料者的负担和应对方式进行了研究。使用一个7项量表对三种应对方式进行了考察：积极应对（任务导向）、自责退缩（情绪导向）和疏离（回避导向）。
共有58.8%的照料者为女性。她们的平均年龄为42岁；61.9%与艾滋病毒感染者同居，这些感染者的平均CD4细胞计数为401。所有三种应对方式均与照料负担显著正相关。在控制了人口统计学变量和照料者抑郁情绪后，积极应对和疏离应对独立调节了感知到的艾滋病毒相关症状严重程度（压力）与照料负担之间的关系；然而，一些照料者即使在压力水平较低时也会感到负担。
这些结果表明，在高效抗逆转录病毒治疗时代，应对方式减轻了压力对负担的影响。
