Folkman S, Chesney M A, Cooke M, Boccellari A, Collette L
Department of Medicine, University of California, San Francisco 94105.
J Consult Clin Psychol. 1994 Aug;62(4):746-56. doi: 10.1037//0022-006x.62.4.746.
This study examines factors associated with caregiver burden in 82 HIV-positive (HIV+) and 162 HIV-negative (HIV-) partners of men with AIDS. We expected HIV+ caregivers to report more burden than HIV- caregivers because of the toll of their disease on their resources. HIV+ caregivers did report more burden and, compared with the HIV- caregivers, they were more religious or spiritual, had less income, and coped by using more positive reappraisal and cognitive escape-avoidance and by seeking social support. Comparisons of HIV+ caregivers with 61 HIV+ partners of healthy men indicated that most differences between HIV+ and HIV- caregivers were associated with HIV seropositivity rather than caregiving. However, of the variables associated with HIV seropositivity, only religiosity or spirituality contributed independently to burden in HIV+ caregivers, suggesting a relatively weak link between HIV seropositivity and caregiver burden. The model explained 62% of the variance in burden in HIV+ caregivers and 36% of the variance in HIV- caregivers.
本研究调查了82名艾滋病男性患者的HIV阳性（HIV+）伴侣和162名HIV阴性（HIV-）伴侣中与照顾者负担相关的因素。我们预计HIV+照顾者报告的负担会比HIV-照顾者更多，因为他们的疾病对其资源造成了损耗。HIV+照顾者确实报告了更多负担，并且与HIV-照顾者相比，他们更虔诚或更有精神信仰，收入更低，应对方式更多地是进行积极的重新评价、认知逃避和寻求社会支持。将HIV+照顾者与61名健康男性的HIV+伴侣进行比较表明，HIV+和HIV-照顾者之间的大多数差异与HIV血清阳性有关，而非照顾行为。然而，在与HIV血清阳性相关的变量中，只有宗教信仰或精神信仰独立导致了HIV+照顾者的负担，这表明HIV血清阳性与照顾者负担之间的联系相对较弱。该模型解释了HIV+照顾者负担差异的62%以及HIV-照顾者负担差异的36%。
