Cramer Robert J, Burks Alixandra C, Plöderl Martin, Durgampudi Praveen
a School of Community & Environmental Health , Old Dominion University , Norfolk , VA , USA.
b Virginia Consortium Program in Clinical Psychology , Norfolk , VA , USA.
AIDS Care. 2017 Dec;29(12):1517-1523. doi: 10.1080/09540121.2017.1327650. Epub 2017 May 13.
To date very little literature exists examining theoretically-based models applied to day-to-day positive and negative affective well-being among lesbian, gay, and bisexual (LGB) persons living with HIV/AIDS (PLWHA). Grounded in the perspective of Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674-697. Minority Stress Model, the present study examined HIV- and sexual orientation-related factors influencing affective well-being (i.e., positive affect, negative affect, life satisfaction, and stress). Participants were 154 HIV-positive LGB adults from an urban area in the southwestern United States. Data were drawn from an archival database (i.e., Project Legacy). The study methodology featured a cross-sectional self-report survey of minority stress, victimization, coping, and emotional well-being, among other subjects. Primary regression results were: (1) males reported less general stress than females; (2) higher internalized HIV-related stigma was associated with elevated negative affect; (3) higher internalized homophobia was associated with elevations in negative affect and general stress; (4) higher coping self-efficacy was associated with lesser negative affect, lesser general stress, greater positive affect, and greater satisfaction with life; (5) a significant interaction between HIV-related victimization and coping self-efficacy showed that coping self-efficacy was positively associated with positive affect only (only for non-victims). Contrary to expectations, coping self-efficacy demonstrated the largest main effects on affective well-being. Results are discussed with regard to potential need for theoretical refinement of Minority Stress Model applied to PLWHA and affective well-being outcomes. Recommendations are offered for future research.
迄今为止，几乎没有文献研究基于理论的模型在感染艾滋病毒/艾滋病的女同性恋、男同性恋和双性恋（LGB）人群日常积极和消极情感幸福感中的应用。本研究以迈耶（I. H. Meyer，2003年）的观点为基础。《女同性恋、男同性恋和双性恋人群中的偏见、社会压力与心理健康：概念问题与研究证据》，《心理公报》，第129卷，第674 - 697页。少数群体压力模型，研究了影响情感幸福感（即积极情感、消极情感、生活满意度和压力）的与艾滋病毒及性取向相关的因素。参与者是来自美国西南部城市地区的154名艾滋病毒呈阳性的LGB成年人。数据取自一个档案数据库（即遗产项目）。该研究方法的特点是对少数群体压力、受害情况、应对方式和情绪幸福感等主题进行横断面自我报告调查。主要回归结果如下：（1）男性报告的总体压力低于女性；（2）较高的内化艾滋病毒相关耻辱感与消极情感升高有关；（3）较高的内化恐同症与消极情感和总体压力升高有关；（4）较高的应对自我效能感与较少的消极情感、较少的总体压力、较多的积极情感以及较高的生活满意度有关；（5）艾滋病毒相关受害情况与应对自我效能感之间的显著交互作用表明，应对自我效能感仅与积极情感呈正相关（仅针对未受侵害者）。与预期相反，应对自我效能感对情感幸福感的主要影响最大。讨论了对应用于感染艾滋病毒/艾滋病者和情感幸福感结果的少数群体压力模型进行理论完善的潜在需求。为未来研究提供了建议。
