Rzeszutek Marcin, Gruszczyńska Ewa, Firląg-Burkacka Ewa
Faculty of Psychology, University of Warsaw, Stawki 5/7, 00-183, Warsaw, Poland.
Health Psychology Department, University of Social Sciences and Humanities, Chodakowska 19/31, 03-815, Warsaw, Poland.
Qual Life Res. 2017 Oct;26(10):2805-2814. doi: 10.1007/s11136-017-1612-7. Epub 2017 Jun 5.
The aim of this study was to investigate the relationship between coping strategies and subjective well-being (SWB) among people living with HIV (PLWH) using the latent profile analysis (LPA) with control for socio-medical covariates.
The sample comprised five hundred and thirty people (N = 530) with a confirmed diagnosis of HIV+. The study was cross-sectional with SWB operationalized by satisfaction with life (Satisfaction with Life Scale) and positive and negative affect (PANAS-X). Coping with stress was measured by the Brief COPE Inventory, enriched by several items that assessed rumination and enhancement of positive emotional states. Additionally, the relevant socio-medical variables were collected.
The one-step model of LPA revealed the following: (1) a solution with five different coping profiles suited the data best; (2) socio-medical covariates, except for education, were not related to the profiles' membership. Further analysis with SWB as a distal outcome showed that higher intensity coping profiles have significantly worse SWB when compared with lower intensity coping profiles. However, the lowest SWB was noted for mixed intensity coping profile (high adaptive/low maladaptive).
The person-centered approach adopted in this study informs about the heterogeneity of disease-related coping among PLWH and its possible reactive character, as the highest SWB was observed among participants with the lowest intensity of coping.
本研究旨在通过潜在剖面分析（LPA）并控制社会医学协变量，调查艾滋病毒感染者（PLWH）应对策略与主观幸福感（SWB）之间的关系。
样本包括530名确诊为HIV+的患者。该研究为横断面研究，主观幸福感通过生活满意度（生活满意度量表）以及积极和消极情绪（PANAS-X）来衡量。应对压力通过简短应对量表进行测量，并补充了一些评估沉思和积极情绪状态增强的项目。此外，还收集了相关的社会医学变量。
LPA的一步模型显示如下结果：（1）一个包含五种不同应对模式的解决方案最适合该数据；（2）除教育外，社会医学协变量与模式成员身份无关。以主观幸福感作为远端结果的进一步分析表明，与低强度应对模式相比，高强度应对模式的主观幸福感显著更差。然而，混合强度应对模式（高适应性/低适应不良性）的主观幸福感最低。
本研究采用的以人为本的方法揭示了艾滋病毒感染者中与疾病相关应对方式的异质性及其可能的反应性特征，因为在应对强度最低的参与者中观察到了最高的主观幸福感。
