Department of Psychological and Brain Sciences, Boston University, 648 Beacon Street, Room 227, Boston, MA, 02215, USA.
Cook County Health and Hospitals System, Hektoen Institute of Medicine, 2225 W. Harrison, Suite B, Chicago, IL, USA.
J Behav Med. 2018 Dec;41(6):875-889. doi: 10.1007/s10865-018-9944-5. Epub 2018 Jun 25.
This study examined how the expression of positive and negative affect words and word tense in autobiographical narratives of 98 HIV+ women, predominantly African American, predicted undetectable HIV viral load (UDVL), CD4+ cells/mm counts and antiretroviral therapy medication (ART) adherence assessed concurrently (T1) and at 3 to 9-month follow-up (T2). Logistic regressions revealed that higher past tense words predicted worse odds of UDVL, CD4+ cells/mm above 350 at T1, and worse odds of 95% ART adherence at T2. However, using both high past tense words and high positive affect words predicted better odds of CD4+ cells/mm > 350 at T2. Higher future tense words predicted better odds of CD4+ cells/mm > 350 at T1. Additionally, using both high present tense words and negative affect words predicted better odds of UDVL at T1. These findings provide preliminary evidence that the quality of affect expression significantly interacts with temporal context to relate to the health of women with HIV.
本研究考察了 98 名 HIV 阳性女性（主要为非裔美国人）的自传体叙述中积极和消极情绪词的表达以及词的时态如何预测不可检测的 HIV 病毒载量（UDVL）、CD4+ 细胞/mm 计数和抗逆转录病毒治疗药物（ART）的依从性，这些评估是同时进行的（T1）和在 3 至 9 个月的随访（T2）。逻辑回归显示，过去时态的单词使用越多，UDVL、T1 时 CD4+ 细胞/mm 计数超过 350 的可能性越低，T2 时 95%ART 依从性的可能性越低。然而，同时使用高过去时态词和高积极情绪词可预测 T2 时 CD4+ 细胞/mm 计数>350 的可能性更高。未来时态的单词使用越多，T1 时 CD4+ 细胞/mm 计数>350 的可能性越高。此外，同时使用高现在时态词和消极情绪词可预测 T1 时 UDVL 的可能性更高。这些发现初步表明，情绪表达的质量与时间背景显著相互作用，与 HIV 女性的健康有关。
