Clinical Psychology, Graduate School of Health, University of Technology Sydney (UTS), Ultimo, NSW, Australia.
The Albion Centre, 150 Albion Street, Surry Hills, NSW, 2010, Australia.
AIDS Behav. 2023 Feb;27(2):545-557. doi: 10.1007/s10461-022-03790-7. Epub 2022 Jul 13.
HIV is a manageable chronic illness, due to advances in biomedical management. However, many people living with HIV (PLHIV) continue to experience psychosocial challenges, which have been associated with poorer quality of life (QoL). This study aimed to explore how psychosocial factors contributed to the QoL of PLHIV in Australia; specifically, the relationship between HIV-related stigma, social connectedness, mental health, and QoL. Participants were 122 PLHIV attending The Albion Centre (a tertiary HIV clinic in Sydney, Australia), who completed questionnaires which measured HIV-related stigma, social support, mental health symptomology and QoL. Results indicated that HIV-related stigma predicted poorer QoL, as did mental health symptomology. Conversely, social connectedness improved QoL. Additionally, social connectedness was found to mediate the relationship between HIV-related stigma and QoL, whereas the hypothesized moderating role of mental health symptomology on this model was not significant. These findings provide insight into the impact of psychosocial factors on QoL, offering practitioners various points of clinical intervention.
HIV 是一种可以通过生物医学管理进行控制的慢性疾病。然而，许多 HIV 感染者（PLHIV）仍然面临心理社会挑战，这与较差的生活质量（QoL）有关。本研究旨在探讨心理社会因素如何影响澳大利亚 PLHIV 的生活质量；具体来说，探讨了 HIV 相关污名、社会联系、心理健康和生活质量之间的关系。参与者是 122 名在澳大利亚悉尼的阿尔比恩中心（一家三级 HIV 诊所）就诊的 PLHIV，他们完成了衡量 HIV 相关污名、社会支持、心理健康症状和生活质量的问卷。结果表明，HIV 相关污名和心理健康症状均预示着较差的生活质量，而社会联系则改善了生活质量。此外，还发现社会联系在 HIV 相关污名和生活质量之间起到了中介作用，而心理健康症状对这一模型的假设调节作用则不显著。这些发现深入了解了心理社会因素对生活质量的影响，为从业者提供了多种临床干预点。
