Willie Tiara C, Overstreet Nicole M, Peasant Courtney, Kershaw Trace, Sikkema Kathleen J, Hansen Nathan B
Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT, USA.
Division of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.
AIDS Behav. 2016 Aug;20(8):1609-20. doi: 10.1007/s10461-016-1298-9.
There is a critical need to examine protective and risk factors of anxiety and depressive symptoms among people living with HIV in order to improve quality of life. Structural equation modeling was used to examine the associations between HIV-related shame, sexual abuse-related shame, posttraumatic growth, and anxiety and depressive symptoms among a cohort of 225 heterosexual women and men who have sex with men (MSM) living with HIV who have experienced childhood sexual abuse (CSA). Higher sexual abuse-related shame was related to more anxiety and depressive symptoms for heterosexual women. Higher posttraumatic growth predicted less anxiety symptoms for only heterosexual women. Higher posttraumatic growth predicted less depressive symptoms for heterosexual women and MSM, but the magnitude of this effect was stronger for heterosexual women than MSM. Psychosocial interventions may need to be tailored to meet the specific needs of heterosexual women and MSM living with HIV and CSA.
为了提高生活质量，迫切需要研究艾滋病毒感染者中焦虑和抑郁症状的保护因素和风险因素。采用结构方程模型来研究225名感染艾滋病毒且曾遭受儿童期性虐待（CSA）的异性恋女性和男男性行为者（MSM）队列中，与艾滋病毒相关的羞耻感、与性虐待相关的羞耻感、创伤后成长与焦虑和抑郁症状之间的关联。对于异性恋女性而言，较高的与性虐待相关的羞耻感与更多的焦虑和抑郁症状相关。仅对于异性恋女性而言，较高的创伤后成长预示着较少的焦虑症状。较高的创伤后成长预示着异性恋女性和男男性行为者的抑郁症状较少，但这种影响的程度在异性恋女性中比在男男性行为者中更强。心理社会干预可能需要进行调整，以满足感染艾滋病毒且遭受儿童期性虐待的异性恋女性和男男性行为者的特定需求。
