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德黑兰艾滋病毒阳性患者的艾滋病相关耻辱感、心理健康与生活质量之间的关系。

Relationship Among HIV-Related Stigma, Mental Health and Quality of life for HIV-Positive Patients in Tehran.

机构信息

Department Infections Iranian Research Center for HIV/AIDS, Iranian Research Center of HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.

HIV/AIDS & Clinical Psychologist of Department of Infections, Iranian Research Center for HIV/AIDS, Tehran University of Medical Science & Maternal Neonatal & Fetal Health Research Center Vali Asr Hospital, Imam Khomeini Hospital Complex Tehran University of Medical Science (TUMS), Tehran, Iran.

出版信息

AIDS Behav. 2018 Dec;22(12):3773-3782. doi: 10.1007/s10461-017-2023-z.

DOI:10.1007/s10461-017-2023-z
PMID:29297112
Abstract

People living with HIV/AIDS (PLHA) face several challenges in terms of the medical management of their disease. Alongside this are stigma, discrimination and psychosocial issues associated with HIV infection. In this study, the relationships associated with HIV-related stigma, mental health and quality of life for HIV-positive patients were investigated. This cross-sectional study examined a sample of 450 HIV positive patients from the Infectious Diseases and Behavioral Health Clinic of Imam Khomeini Hospital in the city of Tehran, Iran. PLWHA completed Socio-Demographic Characteristics, Berger Scale Stigma (BSS), General Health Questionnaire (GHQ-28), WHO Quality of life-BREF (WHOQOL-BREF) and Philips Social Support Appraisals (SSA). Stigma was significantly correlated with psychological variables, social support, and quality of life. A prevalence of psychiatric disorders was reported by 78.8%. Findings suggested that psychosocial interventions reduce HIV related stigma, address psychological disorders and build social support to improve quality of life for people living with HIV.

摘要

艾滋病毒/艾滋病感染者(PLHA)在疾病的医疗管理方面面临着若干挑战。除此之外,艾滋病毒感染还伴随着耻辱、歧视和社会心理问题。在这项研究中,调查了与艾滋病毒相关耻辱、心理健康和艾滋病毒阳性患者生活质量相关的关系。这项横断面研究检查了来自伊朗德黑兰伊玛目霍梅尼医院传染病和行为健康诊所的 450 名艾滋病毒阳性患者的样本。PLWHA 完成了社会人口特征、伯杰量表耻辱感(BSS)、一般健康问卷(GHQ-28)、世界卫生组织生活质量简表(WHOQOL-BREF)和飞利浦社会支持评估(SSA)。耻辱感与心理变量、社会支持和生活质量显著相关。报告的精神障碍患病率为 78.8%。研究结果表明,社会心理干预措施可减少艾滋病毒相关耻辱感,解决心理障碍,并建立社会支持,以改善艾滋病毒感染者的生活质量。

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