University of Miami, Psychology, Coral Gables, 33146, USA.
Psychol Health. 2009 Jun;24(5):501-15. doi: 10.1080/08870440801894674.
We examined associations between the receipt of positive and negative health-related social control (i.e. influence) from a primary network member, affective and behavioural reactions (i.e. behaviour change) to social control, and psychosocial well-being in a cross-sectional study of 91 HIV+ men living with HIV (MLWH). Receiving positive control was associated with more self-care behaviours, more active coping efforts, and fewer depressive symptoms. In contrast, receiving negative control was associated with fewer self-care behaviours and more depressive symptoms. Negative affective reactions to control mediated the associations between positive and negative control and depressive symptoms, and between positive control and active coping efforts. Behaviour change only mediated the association between positive control and self-care behaviours. Post-hoc analyses further revealed that men who were not at risk for clinical depression engaged in more behaviour change as a result of receiving negative control. Social control that elicits behaviour change and does not arouse negative affect is effective in promoting better self-care behaviours and psychosocial well-being in MLWH.
我们在一项横断面研究中调查了来自主要网络成员的积极和消极健康相关社会控制（即影响）的接受情况、对社会控制的情感和行为反应（即行为改变），以及 91 名 HIV 阳性男性（HIV+ 男性）的心理社会健康之间的关联。接受积极控制与更多的自我护理行为、更多的积极应对努力和更少的抑郁症状有关。相比之下，接受消极控制与较少的自我护理行为和更多的抑郁症状有关。对控制的消极情感反应在积极和消极控制与抑郁症状之间以及积极控制与积极应对努力之间的关联中起中介作用。行为改变仅在积极控制与自我护理行为之间的关联中起中介作用。事后分析进一步表明，没有临床抑郁风险的男性由于接受了消极控制而更多地改变了行为。引发行为改变而不引起负面情绪的社会控制有助于促进 HIV+ 男性更好的自我护理行为和心理社会健康。
