Uchechukwu Onu Desmond, Iorfa Steven Kator, Ugwu Dorothy I
Department of Psychology, University of Nigeria, Nsukka, Enugu State, Nigeria.
Department of Human Kinetics and Health Education, University of Nigeria, Nsukka, Enugu State, Nigeria.
Afr J AIDS Res. 2020 Sep;19(3):206-213. doi: 10.2989/16085906.2020.1797842. Epub 2020 Sep 5.
Over-integration of HIV-related trauma into the client's memory in a negative emotional valence could be a serious health debilitating process which may result in negative post-traumatic health outcomes, affecting health-related quality of life (HRQoL) of people living with HIV (PLWH). We hypothesized that post-traumatic stress disorder (PTSD) symptoms are the mediating link between negative event centrality (NEC) and HRQoL among PLWH. Nine hundred and sixty-nine PLWH in Nigeria completed measures of NEC, PTSD symptoms and HRQoL. Model 4 of Hayes' regression-based PROCESS macro version 3.0 for SPSS was employed to investigate relationships between variables of interest. NEC was positively associated with all domains of HRQoL. PLWH who had high negatively centralized identity on HIV also had high scores on PTSD symptoms. PTSD symptoms were also positively associated with all domains of HRQoL. PTSD symptoms also mediated the relationship between NEC and all domains of HRQoL. Assessing and treating PTSD symptoms among PLWH by clinicians could be helpful in enhancing HRQoL.
与艾滋病相关的创伤以负面情绪效价过度融入服务对象的记忆中，可能是一个严重损害健康的过程，这可能会导致创伤后负面的健康结果，影响艾滋病病毒感染者（PLWH）与健康相关的生活质量（HRQoL）。我们假设创伤后应激障碍（PTSD）症状是艾滋病病毒感染者负面事件中心性（NEC）与健康相关生活质量之间的中介环节。尼日利亚的969名艾滋病病毒感染者完成了负面事件中心性、创伤后应激障碍症状和健康相关生活质量的测量。使用海斯基于回归的SPSS PROCESS宏版本3.0的模型4来研究感兴趣变量之间的关系。负面事件中心性与健康相关生活质量的所有领域呈正相关。在艾滋病方面具有高度负面集中身份的艾滋病病毒感染者在创伤后应激障碍症状方面也得分较高。创伤后应激障碍症状也与健康相关生活质量的所有领域呈正相关。创伤后应激障碍症状还介导了负面事件中心性与健康相关生活质量所有领域之间的关系。临床医生对艾滋病病毒感染者的创伤后应激障碍症状进行评估和治疗可能有助于提高健康相关生活质量。
