Fang Xindi, Vincent Wilson, Calabrese Sarah K, Heckman Timothy G, Sikkema Kathleen J, Humphries Debbie L, Hansen Nathan B
Aging Ment Health. 2015;19(11):1015-21. doi: 10.1080/13607863.2014.1003287.
This study tested the mediating effect of resilience on the relationship between life stress and health-related quality of life (HRQoL) in older people, 50 years of age and older, living with HIV/AIDS (OPLWHA).
Data from 299 OPLWHA were analyzed using structural equation modeling (SEM) to define a novel resilience construct (represented by coping self-efficacy, active coping, hope/optimism, and social support) and to assess mediating effects of resilience on the association between life stress and HRQoL (physical, emotional, and functional/global well-being).
SEM analyses showed satisfactory model fit for both resilience and mediational models, with resilience mediating the associations between life stress and physical, emotional, and functional/global well-being.
Resilience may reduce the negative influence of life stress on physical, emotional, and functional/global well-being in OPLWHA. Interventions that build personal capacity, coping skills, and social support may contribute to better management of HIV/AIDS and increase HRQoL.
本研究检验了复原力在50岁及以上感染艾滋病毒/艾滋病的老年人（OPLWHA）的生活压力与健康相关生活质量（HRQoL）之间关系中的中介作用。
使用结构方程模型（SEM）分析了299名OPLWHA的数据，以定义一种新的复原力结构（由应对自我效能、积极应对、希望/乐观和社会支持表示），并评估复原力对生活压力与HRQoL（身体、情感和功能/总体幸福感）之间关联的中介作用。
SEM分析显示，复原力模型和中介模型的模型拟合度均令人满意，复原力介导了生活压力与身体、情感和功能/总体幸福感之间的关联。
复原力可能会降低生活压力对OPLWHA身体、情感和功能/总体幸福感的负面影响。培养个人能力、应对技能和社会支持的干预措施可能有助于更好地管理艾滋病毒/艾滋病并提高HRQoL。
