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中国受艾滋病毒/艾滋病影响儿童所感知到的社会支持的功能及来源

Functions and sources of perceived social support among children affected by HIV/AIDS in China.

作者信息

Zhao Guoxiang, Li Xiaoming, Fang Xiaoyi, Zhao Junfeng, Hong Yan, Lin Xiuyun, Stanton Bonita

机构信息

Department of Psychology, Henan University, Kaifeng, China.

出版信息

AIDS Care. 2011 Jun;23(6):671-9. doi: 10.1080/09540121.2010.525619.

Abstract

While the relationship between perceived social support (PSS) and psychosocial well-being has been well documented in the global literature, existing studies also suggest the existence of multiple domains in definition and measurement of PSS. The current study, utilizing data from 1299 rural children affected by HIV/AIDS in central China, examines the relative importance of PSS functional measures (informational/emotional, material/tangible, affectionate, and social interaction) and PSS structural measures (family/relatives, teachers, friends, and significant others) in predicting psychosocial outcomes including internalizing problems, externalizing problems, and educational resilience. Both functional and structural measures of PSS provided reliable measures of related but unique aspects of PSS. The findings of the current study confirmed the previous results that PSS is highly correlated with children's psychosocial well-being and such correlations vary by functions and sources of the PSS as well as different psychosocial outcomes. The findings in the current study suggested the roles of specific social support functions or resources may need to be assessed in relation to specific psychosocial outcome and the context of children's lives. The strong association between PSS and psychosocial outcomes underscores the importance of adequate social support to alleviate stressful life events and improve psychosocial well-being of children affected by HIV/AIDS. Meanwhile, the study findings call for gender and developmentally appropriate and situation-specific social support for children and families affected by HIV/AIDS.

摘要

虽然全球文献中已充分记载了感知社会支持(PSS)与心理社会幸福感之间的关系,但现有研究也表明,在PSS的定义和测量方面存在多个领域。本研究利用中国中部1299名受艾滋病毒/艾滋病影响的农村儿童的数据,考察了PSS功能指标(信息/情感、物质/有形、情感和社会互动)和PSS结构指标(家庭/亲属、教师、朋友和重要他人)在预测心理社会结果(包括内化问题、外化问题和教育恢复力)方面的相对重要性。PSS的功能和结构指标都为PSS相关但独特的方面提供了可靠的测量方法。本研究结果证实了先前的结果,即PSS与儿童的心理社会幸福感高度相关,且这种相关性因PSS的功能和来源以及不同的心理社会结果而异。本研究结果表明,可能需要根据特定的心理社会结果和儿童生活背景来评估特定社会支持功能或资源的作用。PSS与心理社会结果之间的紧密关联凸显了充足社会支持对于缓解压力性生活事件以及改善受艾滋病毒/艾滋病影响儿童心理社会幸福感的重要性。同时,研究结果呼吁为受艾滋病毒/艾滋病影响的儿童和家庭提供适合性别和发展阶段且针对具体情况的社会支持。

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