Yu Nancy Xiaonan, Chen Lihua, Ye Zhi, Li Xiaoming, Lin Danhua
a Department of Applied Social Sciences , City University of Hong Kong , Hong Kong , People's Republic of China.
b Institute of Developmental Psychology , Beijing Normal University , Beijing , People's Republic of China.
AIDS Care. 2017 Jan;29(1):79-85. doi: 10.1080/09540121.2016.1210073. Epub 2016 Jul 25.
The experience of HIV, as a life-transforming event, might produce both negative and positive outcomes. Guided by the stress appraisal model, the present study investigated the hypothesized pathways in predicting symptomatology and posttraumatic growth (PTG) in a sample of Chinese male patients with HIV (PHIV) who were mainly newly diagnosed, young, and homosexual. In this cross-sectional study, 141 Chinese male PHIV (87.2% of them were homosexual) completed measures of making negative/positive sense of adversity, resilience, depression, posttraumatic stress disorder (PTSD), and PTG. The path analysis results showed that making negative sense of adversity was associated with depression and PTSD, partially mediated by low levels of resilience, whereas making positive sense of adversity was associated with PTG, partially mediated by resilience. The results suggest that negative and positive outcomes of trauma are impacted by making negative and positive sense of adversity, respectively, via two separate pathways, both mediated by resilience. Our findings contribute to an understanding of the cognitive process of symptomatology and PTG in the HIV context. Theoretical considerations, clinical implications, and future directions are discussed.
感染艾滋病毒这一改变人生的经历可能会产生消极和积极的结果。本研究以压力评估模型为指导，调查了在中国主要为新诊断出、年轻且为同性恋的男性艾滋病毒感染者（PHIV）样本中，预测症状和创伤后成长（PTG）的假设途径。在这项横断面研究中，141名中国男性艾滋病毒感染者（其中87.2%为同性恋）完成了对逆境的消极/积极认知、心理韧性、抑郁、创伤后应激障碍（PTSD）和PTG的测量。路径分析结果表明，对逆境的消极认知与抑郁和创伤后应激障碍相关，部分通过低水平的心理韧性介导，而对逆境的积极认知与创伤后成长相关，部分通过心理韧性介导。结果表明，创伤的消极和积极结果分别通过两条独立途径受到对逆境的消极和积极认知的影响，两条途径均由心理韧性介导。我们的研究结果有助于理解艾滋病毒背景下症状和创伤后成长的认知过程。讨论了理论思考、临床意义和未来方向。
