Department of Psychology, La Salle University, Philadelphia, PA, USA.
Department of Psychiatry and Human Behavior, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
AIDS Care. 2021 Jun;33(6):818-826. doi: 10.1080/09540121.2020.1769836. Epub 2020 May 23.
Despite the connection between self-compassion, shame, and HIV/AIDS health outcomes in the literature, little is known about the relationship among these variables. Shame and self-compassion work independently of each other and experiences of shame can impede one's ability to engage in self-compassionate responses, which could prevent future health declines. Although shame has been found to mediate the relationship between self-compassion and a variety of mental health outcomes, it has not been examined in the context of HIV/AIDS. The purpose of the current study was to examine how shame mediates the relationship of self-compassion and adherence to HIV/AIDS medications, as well as how shame mediates the relationship of self-compassion and health-related quality of life (HRQL) in people living with HIV (PLWH). This is the first study to look at trait-based shame in PLWH in a sample of 34 patients at an urban outpatient integrated care facility for PLWH. Self-compassion was not correlated with HIV adherence behaviors or HRQL, and shame did not mediate the relationship between self-compassion and adherence or HRQL. However as expected, less shame was related to and predicted better HRQL in PLWH. Self-compassion' relationship to shame, adherence, and HRQL may be context dependent.
尽管文献中已经证实了自我同情、羞耻感与 HIV/AIDS 健康结果之间存在联系，但我们对这些变量之间的关系知之甚少。羞耻感和自我同情彼此独立，而羞耻感的体验可能会阻碍人们进行自我同情的反应，从而可能导致未来健康状况的恶化。尽管已经发现羞耻感在自我同情与各种心理健康结果之间的关系中起中介作用，但在 HIV/AIDS 背景下尚未对此进行研究。本研究的目的是检验羞耻感在多大程度上可以调节自我同情与 HIV/AIDS 药物治疗依从性之间的关系，以及自我同情与 HIV 感染者的健康相关生活质量（HRQL）之间的关系，同时检验羞耻感在多大程度上可以调节这种关系。这是第一项在城市门诊综合关怀设施中对 HIV 感染者样本中的特质性羞耻感进行的研究，共纳入了 34 名患者。自我同情与 HIV 依从性行为或 HRQL 无关，羞耻感也不能调节自我同情与依从性或 HRQL 之间的关系。然而，正如预期的那样，羞耻感越少，与 HIV 感染者的 HRQL 越好。自我同情与羞耻感、依从性和 HRQL 的关系可能取决于具体情况。
