Department of Psychology, University of Nigeria, Nsukka, Enugu State, Nigeria.
J Clin Psychol Med Settings. 2023 Sep;30(3):561-569. doi: 10.1007/s10880-022-09928-y. Epub 2022 Nov 21.
Stigma is a strong concern in the effort to manage the impact of many chronic diseases on patients and affects the quality of life (QoL) of patients, but little is understood regarding how this happens. We explored the perspective that stigma reduces health-related QoL (HRQoL) by evoking the traumatic experiences associated with HIV diagnosis. Outpatients (n = 250) receiving HIV-related care were recruited from 2 hospitals in the southeastern region of Nigeria. Participants completed measures of stigma, posttraumatic stress symptoms, and HRQoL. Mediation analyses were conducted using Hayes PROCESS Macro for SPSS. Result showed that stigma was negatively associated with HRQoL; patients who reported more traumatic symptoms also reported poorer HRQoL. Traumatic stress symptoms mediated the path between stigma and all the dimensions of HRQoL. Findings suggest that recognizing and addressing trauma symptoms are important in the management of PLWH. Perhaps addressing trauma would reduce the impact of stigma on HRQoL.
污名是管理许多慢性病对患者影响的努力中的一个强烈关注点，影响患者的生活质量（QoL），但对于污名如何产生影响知之甚少。我们探讨了这样一种观点，即污名将通过唤起与 HIV 诊断相关的创伤经历来降低与健康相关的生活质量（HRQoL）。从尼日利亚东南部的 2 家医院招募了正在接受 HIV 相关护理的门诊患者（n=250）。参与者完成了污名、创伤后应激症状和 HRQoL 的测量。使用 SPSS 的 Hayes PROCESS Macro 进行中介分析。结果表明，污名与 HRQoL 呈负相关；报告有更多创伤症状的患者也报告了较差的 HRQoL。创伤后应激症状在污名和 HRQoL 的所有维度之间的关系中起中介作用。研究结果表明，识别和处理创伤症状在 PLWH 的管理中很重要。也许解决创伤问题会减轻污名对 HRQoL 的影响。
