艾滋病护理家庭二元组中与艾滋病毒相关的创伤应激症状

HIV-related traumatic stress symptoms in AIDS caregiving family dyads.

作者信息

Wight R G, Beals K P, Miller-Martinez D, Murphy D A, Aneshensel C S

机构信息

Department of Community Health Sciences, University of California, Los Angeles School of Public Health, Los Angeles, CA 90095-1772, USA.

出版信息

AIDS Care. 2007 Aug;19(7):901-9. doi: 10.1080/09540120601163292.

DOI:10.1080/09540120601163292

PMID:17712694

Abstract

This study assesses HIV-related traumatic stress symptoms in 135 AIDS caregiving family dyads in which the caregiver is a midlife or older mother or wife, and the care-recipient is her HIV-infected adult son or husband. Symptoms of HIV-related traumatic stress can be reliably measured in these dyads, with both caregivers and care-recipients reporting avoidant and intrusive thoughts. Among care-recipients, high symptoms are associated with high daily living assistance requirements, low dyadic adjustment, and high constriction of social activities. Among caregivers, high symptoms of traumatic stress are associated with being HIV positive, feeling overloaded by caregiving demands, and perceiving high levels of HIV stigma. Caregiving mothers and wives may feel traumatized 'courtesy' of their loved one's HIV infection, the caregiving scenario, or the resultant caregiving stress.

摘要

本研究评估了135个艾滋病照料家庭二元组中与艾滋病相关的创伤应激症状，其中照料者为中年或老年母亲或妻子，受照料者为其感染艾滋病的成年儿子或丈夫。在这些二元组中，可以可靠地测量与艾滋病相关的创伤应激症状，照料者和受照料者均报告有回避性和侵入性想法。在受照料者中，高症状与高日常生活协助需求、低二元组适应性以及高社交活动受限有关。在照料者中，创伤应激的高症状与艾滋病病毒呈阳性、感到照料需求过重以及感知到高水平的艾滋病污名有关。照料母亲和妻子可能会因亲人感染艾滋病、照料情况或由此产生的照料压力而感到受到了创伤。