International Center for Child Health and Development (ICHAD) Brown School, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO, 63130, USA.
International Center for Child Health and Development (ICHAD), Masaka, Uganda.
Child Psychiatry Hum Dev. 2023 Dec;54(6):1771-1778. doi: 10.1007/s10578-022-01374-z. Epub 2022 Jun 7.
This study examined the relationship between HIV-related shame, stigma and the mental health of adolescents (10-14 years) living with HIV in Uganda. Cross sectional data from a 2-year pilot study for adolescents living with HIV (N = 89) were analyzed. Multiple linear regression analyses were conducted to determine the relation between HIV-related shame, as measured by the Shame Questionnaire, stigma, and adolescents' mental health functioning, including depressive symptoms, hopelessness, PTSD symptoms, loneliness and self-concept. The average age was 12.2 years, and 56% of participants were female. HIV-related shame was associated with higher levels of depressive symptoms (p < 0.05), hopelessness (p < 0.001), PTSD symptoms (p < 0.001), loneliness (p < 0.01), and low levels of self-concept (p < 0.01). HIV stigma was not associated with any of the outcomes. Findings support the need for the development of strategies to help adolescents overcome the shame of living with HIV and mitigate the effects of shame on adolescents' mental health and treatment outcomes.
本研究探讨了乌干达感染艾滋病毒的青少年（10-14 岁）的艾滋病毒相关羞耻感、污名与心理健康之间的关系。分析了针对感染艾滋病毒青少年的为期两年的试点研究的横断面数据（N=89）。采用多元线性回归分析来确定羞耻感问卷衡量的艾滋病毒相关羞耻感、污名与青少年心理健康功能（包括抑郁症状、绝望感、创伤后应激症状、孤独感和自我概念）之间的关系。参与者的平均年龄为 12.2 岁，其中 56%为女性。艾滋病毒相关羞耻感与更高水平的抑郁症状（p<0.05）、绝望感（p<0.001）、创伤后应激症状（p<0.001）、孤独感（p<0.01）和低水平的自我概念（p<0.01）相关。艾滋病毒污名与任何结果均无关。研究结果支持制定策略的必要性，以帮助青少年克服感染艾滋病毒的羞耻感，并减轻羞耻感对青少年心理健康和治疗结果的影响。
