Dibb Bridget, Kamalesh Tamra
Department of Psychology, Brunel University, Uxbridge, UK.
AIDS Care. 2012;24(2):143-8. doi: 10.1080/09540121.2011.597710. Epub 2011 Jul 25.
Research into living with HIV/AIDS has to date mainly focused on quality of life and there is little on the adjustment process for this group. The numbers of African women living with HIV/AIDS in the UK is growing and yet little is known about the adjustment experience for these women. This study explored aspects of positive adjustment to living with HIV/AIDS among a sample of African women living in London, UK. Transcripts of semi-structured interviews with 12 women were analysed using interpretative phenomenological analysis (IPA). Two superordinate themes emerged inductively from the data: positive changes in coping (subthemes: positive interpretation of their situation and positive behavioural changes) and positive growth since the HIV diagnosis (subthemes: changes in the value of life and, changes in goals and opportunities). While these women acknowledged the negative impact of living with HIV/AIDS, all participants mentioned changes in health behaviours to help regain mastery of their lives and comparing with others better-off and worse-off was used to enhance self-esteem and view their situation positively. The data show evidence for Taylor's Cognitive Adaptation Theory.
迄今为止，关于感染艾滋病毒/艾滋病后的生活研究主要集中在生活质量方面，而针对这一群体的适应过程的研究却很少。在英国，感染艾滋病毒/艾滋病的非洲女性人数正在增加，但对于这些女性的适应经历却知之甚少。本研究探讨了英国伦敦的一部分感染艾滋病毒/艾滋病的非洲女性积极适应生活的各个方面。运用解释现象学分析（IPA）方法对12名女性的半结构化访谈记录进行了分析。从数据中归纳出两个上位主题：应对中的积极变化（子主题：对自身状况的积极解读和积极的行为改变）以及自艾滋病毒诊断以来的积极成长（子主题：生活价值观的变化、目标和机会的变化）。虽然这些女性承认感染艾滋病毒/艾滋病带来的负面影响，但所有参与者都提到了健康行为的改变，以帮助重新掌控自己的生活，并且通过与境况更好和更差的人比较来增强自尊并积极看待自己的处境。数据为泰勒的认知适应理论提供了证据。
