San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
Department of Psychiatry, University of California San Diego, HIV Neurobehavioral Research Program, 220 Dickinson Street, Suite B (8231), San Diego, CA, 92103, USA.
J Clin Psychol Med Settings. 2024 Mar;31(1):174-185. doi: 10.1007/s10880-023-09962-4. Epub 2023 May 19.
People with HIV now have increased longevity; however, their health-related quality of life (HRQoL) still lags significantly compared to people without HIV. Perceived stress negatively impacts HRQoL, whereas psychosocial resources are linked to better HRQoL. This longitudinal analysis aims to explore the buffering role of psychosocial resources on the relationship between HRQoL and perceived stress. Participants (N = 240) included 142 persons with HIV (PwH) and 98 without HIV, M(SD) = 50.9(8.1) years. Multilevel models over four study years examined longitudinal relationships between HRQoL (outcome) and perceived stress (predictor) and potential moderation by psychosocial resources (personal mastery, social support, and resilience) by HIV serostatus. Among PwH only, personal mastery (p = 0.001), social support (p = 0.015), and resilience (p = 0.029) were associated with an attenuated effect of perceived stress (less negative slopes) for physical HRQoL over time. Bolstering personal mastery, social support, and resilience may have relevance for improving physical well-being among PwH.
现在，HIV 感染者的寿命有所延长；然而，与未感染 HIV 的人相比，他们的健康相关生活质量（HRQoL）仍显著滞后。感知压力对 HRQoL 有负面影响，而心理社会资源与更好的 HRQoL 相关。本纵向分析旨在探讨心理社会资源对 HRQoL 和感知压力之间关系的缓冲作用。参与者（N=240）包括 142 名 HIV 感染者（PwH）和 98 名未感染 HIV 的人，M（SD）=50.9（8.1）岁。在四年的研究中，多层次模型检验了 HRQoL（结果）和感知压力（预测因素）之间的纵向关系，以及心理社会资源（个人掌握、社会支持和韧性）对 HIV 血清状况的潜在调节作用。仅在 PwH 中，个人掌握（p=0.001）、社会支持（p=0.015）和韧性（p=0.029）与感知压力对身体 HRQoL 的影响减弱（斜率更负）有关。增强个人掌握、社会支持和韧性可能对改善 PwH 的身体幸福感具有重要意义。
