School of Psychology, Trinity College Dublin, College Green, Dublin 2, Ireland.
AIDS Behav. 2013 Jun;17(5):1809-18. doi: 10.1007/s10461-013-0482-4.
This study investigated the relationship between posttraumatic growth (PTG), an improvement in functioning as a trauma outcome, and internalised HIV-related stigma (IHRS), the acceptance of societal devaluation by a person living with HIV. Cross-sectional data were gathered from 56 males and 18 females infected with HIV, recruited though five HIV-support agencies in the Republic of Ireland and Northern Ireland. Multiple regression analyses revealed that (A) IHRS was associated with poorer outcomes in the PTG domains associated with veridical growth, (B) mode of transmission of HIV was associated with outcomes in all PTG domains, with the least stigmatised mode of transmission being associated with the greatest degree of growth, and (C) resilience was significantly and positively associated with outcomes in two domains of PTG. The results highlight the relevance of stigma for clinicians wishing to promote growth among those living with HIV. Clinical implications, limitations, and areas for future research are discussed.
本研究调查了创伤后成长（PTG）与内化的艾滋病毒相关耻辱感（IHRS）之间的关系，PTG 是创伤后功能改善的一种表现，而 IHRS 是指艾滋病毒感染者对社会贬低的接受。本研究通过爱尔兰共和国和北爱尔兰的五个艾滋病毒支持机构招募了 56 名男性和 18 名女性艾滋病毒感染者，收集了他们的横断面数据。多元回归分析显示：（A）IHRS 与与真实成长相关的 PTG 领域的不良结果相关；（B）艾滋病毒传播模式与所有 PTG 领域的结果相关，受污名化程度最低的传播模式与最大程度的成长相关；（C）适应力与 PTG 的两个领域的结果呈显著正相关。研究结果强调了耻辱感对希望促进艾滋病毒感染者成长的临床医生的重要性。讨论了临床意义、局限性和未来研究的领域。
