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“请别让我寻求帮助”:中国HIV感染者的隐性社会支持与心理健康

"Please Don't Make Me Ask for Help": Implicit Social Support and Mental Health in Chinese Individuals Living with HIV.

作者信息

Yang Joyce P, Leu Janxin, Simoni Jane M, Chen Wei Ti, Shiu Cheng-Shi, Zhao Hongxin

机构信息

Department of Psychology, University of Washington, Seattle, WA, USA,

出版信息

AIDS Behav. 2015 Aug;19(8):1501-9. doi: 10.1007/s10461-015-1041-y.

Abstract

China faces a growing HIV epidemic; psychosocial needs of HIV-positive individuals remain largely unaddressed. Research is needed to consider the gap between need for mental healthcare and lack of sufficiently trained professionals, in a culturally acceptable manner. This study assessed explicit and implicit forms of social support and mental health symptoms in 120 HIV-positive Chinese. Explicit social support refers to interactions involving active disclosure and discussion of problems and request for assistance, whereas implicit social support refers to the emotional comfort one obtains from social networks without disclosing problems. We hypothesized and found using multiple linear regression, that after controlling for demographics, only implicit, but not explicit social support positively predicted mental health. Future research is warranted on the effects of utilizing implicit social support to bolster mental health, which has the potential to circumvent the issues of both high stigma and low professional resources in this population.

摘要

中国面临着日益严重的艾滋病毒疫情;艾滋病毒呈阳性者的心理社会需求在很大程度上仍未得到满足。需要开展研究,以一种文化上可接受的方式,考量心理保健需求与缺乏充分培训的专业人员之间的差距。本研究评估了120名中国艾滋病毒呈阳性者的显性和隐性社会支持形式及心理健康症状。显性社会支持是指涉及积极披露和讨论问题以及请求帮助的互动,而隐性社会支持是指一个人在不披露问题的情况下从社交网络中获得的情感慰藉。我们通过多元线性回归进行了假设并发现,在控制人口统计学因素后,只有隐性而非显性社会支持能正向预测心理健康。有必要对利用隐性社会支持来增强心理健康的效果开展未来研究,这有可能规避该人群中高污名化和专业资源匮乏的问题。

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