Kemppainen Jeanne K, MacKain Sally, Alexander Melissa, Reid Paula, Jackson Morgan Parks
J Assoc Nurses AIDS Care. 2017 Mar-Apr;28(2):216-225. doi: 10.1016/j.jana.2016.06.001. Epub 2016 Jun 8.
Posttraumatic stress disorder (PTSD) and stressful life events are frequent and distressing problems for women living with HIV (WLWH). Studies have independently focused on the impact of these problems, but little work has examined the relationship between PTSD and stressful life events. Our cross-sectional study examined relationships between PTSD and recent stressful life events in WLWH. A sample of 60 women recruited through HIV community agencies in southeastern North Carolina completed the Stressful Life Events Questionnaire and the PTSD Checklist-Civilian Version (PCL-C). PTSD prevalence was high (43.2%). Two-thirds (66%) reported three or more recent life stressors. Women who experienced a higher number of recent life stressors scored higher on the PCL-C than those with fewer life stressors (p < .001). Recent stressful life events may accelerate PTSD symptoms. Findings underscore the importance of addressing mental health issues in HIV treatment settings. Implications for nursing practice are provided.
创伤后应激障碍（PTSD）和应激性生活事件是感染艾滋病毒的女性（WLWH）常见且令人痛苦的问题。此前的研究分别聚焦于这些问题的影响，但很少有研究探讨PTSD与应激性生活事件之间的关系。我们的横断面研究调查了WLWH中PTSD与近期应激性生活事件之间的关系。通过北卡罗来纳州东南部的艾滋病毒社区机构招募了60名女性样本，她们完成了应激性生活事件问卷和创伤后应激障碍检查表平民版（PCL-C）。PTSD患病率很高（43.2%）。三分之二（66%）的人报告称近期有三个或更多生活应激源。近期生活应激源数量较多的女性在PCL-C上的得分高于生活应激源较少的女性（p < 0.001）。近期的应激性生活事件可能会加速PTSD症状。研究结果强调了在艾滋病毒治疗环境中解决心理健康问题的重要性。同时也给出了对护理实践的启示。
