Nebhinani Naresh, Mattoo Surendra, Wanchu Ajay
Department of Psychiatry, All India Institute of Medical Science, Jodhpur, Rajasthan, India.
Consultant Psychiatrist, Newcastle North East Community Treatment Team, Cumbria, Northumberland, United Kingdom.
J Neurosci Rural Pract. 2022 Oct-Dec;13(4):725-729. doi: 10.25259/JNRP-2022-6-15. Epub 2022 Nov 18.
Enhancement of quality of life and social support havebecome important therapeutic goals among people living with HIV. However, research from developing countries is sparse in this area. Index study was aimed to assess association of social support, coping, and quality of life with psychological morbidity among people living with HIV.
In this cross-sectional study, 100 people with HIV were recruited through purposive sampling who were not receiving antiretroviral therapy. To assess social support, coping, and quality of life social support questionnaire, coping strategy check list and World Health Organization quality of life-HIV BREF were administered, respectively.
Quality of life domain scores fell in the moderate category and spirituality, religion, and personal belief domain had maximum score. Educated, married, employed, and male subjects reported better quality of life. Females reported greater use of internalization and emotional outlet coping strategies. Low social support, lower quality of life (in all domains and total score), and greater use of internalization coping strategy were significantly associated with psychiatric morbidity.
Internalization coping, low social support, and lower quality of life were associated with greater psychiatric morbidity. Therefore, to improve their mental health and overall course of HIV, multipronged interventions should be implemented for promoting the adaptive coping, social support and quality of life.
提高生活质量和社会支持已成为艾滋病毒感染者重要的治疗目标。然而，发展中国家在这一领域的研究较少。本指标研究旨在评估社会支持、应对方式和生活质量与艾滋病毒感染者心理疾病的关联。
在这项横断面研究中，通过立意抽样招募了100名未接受抗逆转录病毒治疗的艾滋病毒感染者。分别使用社会支持问卷、应对策略检查表和世界卫生组织生活质量-HIV简明量表来评估社会支持、应对方式和生活质量。
生活质量领域得分属于中等水平，精神、宗教和个人信仰领域得分最高。受过教育、已婚、就业和男性受试者的生活质量较好。女性报告更多地使用内化和情绪宣泄应对策略。低社会支持、较低的生活质量（所有领域和总分）以及更多地使用内化应对策略与精神疾病显著相关。
内化应对、低社会支持和较低的生活质量与更高的精神疾病发病率相关。因此，为改善艾滋病毒感染者的心理健康和整体病程，应实施多方面干预措施，以促进适应性应对、社会支持和生活质量。
