Desmond Uchechukwu Onu, BSc, MSc, is a Doctoral Student and Lecturer, Department of Psychology, University of Nigeria, Nsukka, Nigeria. Dorothy Ugwu, BEd, MEd, PhD, is a Lecturer, Department of Human Kinetics and Physical Health, University of Nigeria, Nsukka, Nigeria. Charles Tochukwu Orjiakor, BSc, MSc, is a PhD Student and a Lecturer, Department of Psychology, University of Nigeria, Nsukka, Nigeria, and also works with the Health Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria Enugu-Campus, Enugu, Nigeria.
J Assoc Nurses AIDS Care. 2019 Nov-Dec;30(6):668-674. doi: 10.1097/JNC.0000000000000094.
HIV diagnosis and treatment are traumatic events, which may translate to positive growth and affect health outcomes of people living with HIV (PLWH). We hypothesized that the pathway between positive growth and health-related quality of life was impacted by event centrality (EC; how much HIV is integrated into self-definition). Two hundred and one PLWH in Nigeria who had been diagnosed/treated for at least 1 year completed measures of posttraumatic growth, EC, and health-related quality of life. Multiple regression analysis was used to investigate relationships between variables of interest. Growth from the trauma of HIV was significantly associated with improved mental health and relationship. Patients who highly centralized identity on HIV had poorer scores for mental health, relationship, and treatment impact and had less traumatic growth. EC moderated the relationship between posttraumatic growth and mental health, social relationship, and treatment impact. Clinicians should ask how PLWH think about events related to diagnosis and treatment when assessing quality of life.
HIV 的诊断和治疗是创伤性事件，可能会带来积极的成长，并影响 HIV 感染者（PLWH）的健康结果。我们假设，积极成长与健康相关的生活质量之间的关系受到事件中心性（EC；HIV 对自我定义的融入程度）的影响。在尼日利亚，201 名 HIV 感染者在被诊断/治疗至少 1 年后，完成了创伤后成长、EC 和健康相关生活质量的评估。采用多元回归分析来研究感兴趣变量之间的关系。HIV 带来的创伤后的成长与心理健康和人际关系的改善显著相关。将 HIV 作为自身主要特征的患者，其心理健康、人际关系和治疗影响评分较差，创伤后成长程度也较低。EC 调节了创伤后成长与心理健康、社会关系和治疗影响之间的关系。当评估生活质量时，临床医生应该询问 PLWH 如何看待与诊断和治疗相关的事件。
