Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
AIDS Patient Care STDS. 2012 Sep;26(9):557-61. doi: 10.1089/apc.2012.0122. Epub 2012 Jul 13.
Morphologic alterations in body composition are common among HIV-infected individuals, and these changes are associated with increased appearance concerns. Previous cross-sectional data indicate that appearance concerns among HIV-infected individuals are related to increased levels of psychological distress. However, to date, no known prospective data have been published on these relationships. The purpose of the current study was to address the temporal prediction of appearance concerns on depression and anxiety severity. Data were culled from a prospective, randomized controlled trial of cognitive behavioral therapy for depression and medication adherence in individuals with a history of injection drug use (IDU). Participants were 89 HIV-infected individuals who were randomized to either a cognitive behavioral therapy or treatment as usual condition. Linear mixed-level modeling revealed elevated levels of appearance concerns were prospectively related to increased depression and anxiety, as rated by both clinician-administered and self-report measures. Appearance concerns among depressed, IDU, HIV-infected individuals are associated with changes in psychological distress. Psychosocial interventions should consider the role of appearance as it relates to psychological functioning.
人体成分的形态变化在 HIV 感染者中很常见，这些变化与外观关注度的增加有关。先前的横断面数据表明，HIV 感染者对外貌的关注与心理困扰程度的增加有关。然而，迄今为止，尚未发表关于这些关系的前瞻性数据。本研究的目的是探讨对外貌关注的时间预测对抑郁和焦虑严重程度的影响。数据来自一项针对有注射吸毒史的个体的抑郁认知行为治疗和药物依从性的前瞻性、随机对照试验。参与者是 89 名 HIV 感染者，他们被随机分配到认知行为治疗或常规治疗组。线性混合水平模型显示，外观关注度的升高与抑郁和焦虑的增加呈前瞻性相关，这是由临床医生评估和自我报告的措施共同评估的。在患有抑郁症、注射吸毒史、HIV 感染的个体中，对外貌的关注与心理功能的变化有关。心理社会干预措施应考虑到与心理功能相关的外貌作用。
