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探索痛苦耐受力作为艾滋病毒/艾滋病感染者消极情感与焦虑/抑郁关系的潜在机制。

Exploring Distress Tolerance as an Underlying Mechanism in the Relation Between Negative Affectivity and Anxiety/Depression Among Persons Living with HIV/AIDS.

作者信息

San Miguel Guadalupe G, Paulus Daniel J, Brandt Charles P, Ditre Joseph, Lemaire Chad M, Mayorga Nubia A, Leonard Amy D, Zvolensky Michael J

机构信息

Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX, 77204, United States.

Houston OCD Program, 708 E. 19 Street, Houston, TX, 77008, United States.

出版信息

J HIV AIDS Soc Serv. 2018;17(4):369-383. doi: 10.1080/15381501.2018.1502707. Epub 2018 Sep 28.

DOI:10.1080/15381501.2018.1502707
PMID:31531002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6748336/
Abstract

Persons living with HIV/AIDS (PLHIV) suffer disproportionately from a variety of mood disorders relative to the general population, yet, there is little understanding of the underlying nature behind this. The present study explored the indirect effect of perceived distress tolerance in relation between negative affectivity and anxiety/depressive symptoms and disorders among PLHIV. Participants included 97 PLHIV (60.8% male; 66% Minority; = 48.5 years, = 7.7). Results revealed indirect effects of negative affectivity via perceived distress tolerance in relation to social anxiety, depression symptoms, as well as the existence of any anxiety disorder; findings were evident after controlling for covariates. Perceived distress tolerance may serve as a construct to aid understanding in the relation between negative affectivity and the expression of anxiety/depressive symptoms and disorders among PLHIV. Future work may consider addressing distress tolerance in efforts to offset the severity of the expression of anxiety/depressive symptoms among PLHIV.

摘要

与普通人群相比,艾滋病毒/艾滋病感染者(PLHIV)患各种情绪障碍的比例过高,但人们对其背后的潜在本质了解甚少。本研究探讨了在PLHIV中,感知到的痛苦耐受力在消极情感与焦虑/抑郁症状及障碍之间关系中的间接作用。参与者包括97名PLHIV(男性占60.8%;少数族裔占66%;平均年龄 = 48.5岁,标准差 = 7.7)。结果显示,消极情感通过感知到的痛苦耐受力对社交焦虑、抑郁症状以及任何焦虑症的存在产生间接影响;在控制协变量后,这些结果很明显。感知到的痛苦耐受力可能是一个有助于理解PLHIV中消极情感与焦虑/抑郁症状及障碍表达之间关系的结构。未来的工作可能会考虑解决痛苦耐受力问题,以努力减轻PLHIV中焦虑/抑郁症状表达的严重程度。

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本文引用的文献

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A Novel Integrated Cognitive-Behavioral Therapy for Anxiety and Medication Adherence Among Persons Living With HIV/AIDS.一种针对感染艾滋病毒/艾滋病患者焦虑及药物依从性的新型综合认知行为疗法。
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Anxiety, depression, and HIV symptoms among persons living with HIV/AIDS: the role of hazardous drinking.感染艾滋病毒/艾滋病者的焦虑、抑郁及艾滋病毒症状:危险饮酒的作用
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Behav Ther. 2013 Sep;44(3):432-42. doi: 10.1016/j.beth.2013.03.008. Epub 2013 Apr 6.
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The role of negative affectivity and negative reactivity to emotions in predicting outcomes in the unified protocol for the transdiagnostic treatment of emotional disorders.消极情感特质和对情绪的消极反应在预测情绪障碍跨诊断统一治疗方案中的作用。
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