印度加尔各答HIV阳性人群的抑郁状况及应对技巧评估。
Evaluation of depression and coping skill among HIV-positive people in Kolkata, India.
作者信息
Talukdar Arunansu, Talukdar Payel Sengupta, Ghosal Malay Kumar, Bal Runa, Ghosh Puspen, Goswami D N
机构信息
1Department of Medicine, North Bengal Medical College, West Bengal, India.
出版信息
J Int Assoc Physicians AIDS Care (Chic). 2012 Mar-Apr;11(2):115-20. doi: 10.1177/1545109710393309. Epub 2011 Mar 25.
The objectives of the present study were to evaluate depressive symptoms and coping strategy among HIV-positive women and men. This cross-sectional study was done among 164 newly diagnosed HIV-positive people through a structured questionnaire. Beck Depression Inventory (BDI) scale was used to measure depression. A 16-items coping scale, Coping with AIDS - Fleishman (CWAF) Instrument, was used to assess coping strategy. χ(2) test was used to compare proportions. Men had significantly higher mean BDI somatic score. Odds for being depressed were 3.6 times higher among men (P value .001, 95% C.I. 1.64-8.07). Analysis of the coping strategies showed that women had better coping skill. Significant correlation was observed between BDI score and emotion-focused coping score (correlation coefficient -0.258, P value .01). HIV-positive men had more depression. Gender-sensitive strategies needed to provide better care for them.
本研究的目的是评估艾滋病毒呈阳性的女性和男性的抑郁症状及应对策略。这项横断面研究通过结构化问卷对164名新诊断出的艾滋病毒呈阳性者进行。采用贝克抑郁量表（BDI）来测量抑郁程度。使用一个包含16个条目的应对量表，即应对艾滋病 - 弗莱什曼（CWAF）工具，来评估应对策略。采用χ²检验比较比例。男性的BDI躯体平均得分显著更高。男性患抑郁症的几率高出3.6倍（P值为0.001，95%置信区间为1.64 - 8.07）。对应对策略的分析表明，女性具有更好的应对技巧。观察到BDI得分与以情绪为中心的应对得分之间存在显著相关性（相关系数为 -0.258，P值为0.01）。艾滋病毒呈阳性的男性抑郁程度更高。需要采用对性别敏感的策略为他们提供更好的护理。
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