Garrido-Hernansaiz Helena, Alonso-Tapia Jesús
J Assoc Nurses AIDS Care. 2017 Nov-Dec;28(6):849-861. doi: 10.1016/j.jana.2017.06.007. Epub 2017 Jun 19.
Social support usually decreases following HIV diagnosis, and decreased support is related to worsening mental health. We investigated the evolution of social support after HIV diagnosis and its relationship to anxiety, depression, and resilience, and sought to develop a social support prediction model. There were 119 newly diagnosed Spanish speakers who participated in this longitudinal study, completing measures of social support, internalized stigma, disclosure concerns, degree of disclosure, coping, anxiety, depression, and resilience. Bivariate associations and multiple regression analyses were performed. Results showed that the highest levels of support arose from friends, health care providers, and partners, and that social support decreased following diagnosis. Subsequent social support was negatively predicted by avoidance coping and positively by approach coping, steady partnership, and disclosure. It was significantly associated with decreased anxiety and depression and higher resilience. Interventions should seek to promote mental health in people living with HIV by increasing social support.
在艾滋病病毒诊断后，社会支持通常会减少，而支持的减少与心理健康状况恶化有关。我们调查了艾滋病病毒诊断后社会支持的演变及其与焦虑、抑郁和心理韧性的关系，并试图建立一个社会支持预测模型。有119名新确诊的讲西班牙语的人参与了这项纵向研究，完成了社会支持、内化耻辱感、披露担忧、披露程度、应对方式、焦虑、抑郁和心理韧性的测量。进行了双变量关联分析和多元回归分析。结果表明，最高水平的支持来自朋友、医疗保健提供者和伴侣，并且诊断后社会支持减少。随后的社会支持通过回避应对方式得到负向预测，通过积极应对方式、稳定的伴侣关系和披露得到正向预测。它与焦虑和抑郁的减轻以及更高的心理韧性显著相关。干预措施应通过增加社会支持来促进艾滋病病毒感染者的心理健康。
