Psychology Department, Bowling Green State University, Bowling Green, OH, USA.
AIDS Behav. 2010 Apr;14(2):379-89. doi: 10.1007/s10461-007-9332-6. Epub 2007 Dec 7.
The present study investigated the relationships between positive religious coping (e.g., seeking spiritual support) and spiritual struggle (e.g., anger at God) versus viral load, CD4 count, quality of life, HIV symptoms, depression, self-esteem, social support, and spiritual well-being in 429 patients with HIV/AIDS. Data were collected through patient interview and chart review at baseline and 12-18 months later from four clinical sites. At baseline, positive religious coping was associated with positive outcomes while spiritual struggle was associated with negative outcomes. In addition, high levels of positive religious coping and low levels of spiritual struggle were associated with small but significant improvements over time. These results have implications for assessing religious coping and designing interventions targeting spiritual struggle in patients with HIV/AIDS.
本研究调查了在 429 名 HIV/AIDS 患者中，积极的宗教应对（例如寻求精神支持）和精神挣扎（例如对上帝的愤怒）与病毒载量、CD4 计数、生活质量、HIV 症状、抑郁、自尊、社会支持和精神幸福感之间的关系。数据通过患者访谈和图表审查在基线和 12-18 个月后从四个临床地点收集。在基线时，积极的宗教应对与积极的结果相关，而精神挣扎与消极的结果相关。此外，高水平的积极宗教应对和低水平的精神挣扎与随时间的微小但显著的改善相关。这些结果对于评估 HIV/AIDS 患者的宗教应对和设计针对精神挣扎的干预措施具有重要意义。
