歧视知觉与男同性恋艾滋病感染者创伤后应激障碍的关系:应对方式的中介作用  

Perceived Stigma and PTSD among HIV-positive MSM in China:The Mediating Effect of Coping Strategies

作　　者：叶枝[1] 陈丽华[1] 郭葳[2] 林丹华[1] 

机构地区：[1]北京师范大学发展心理研究所,北京100875 [2]天津中医药大学学生心理咨询中心,天津300193

出　　处：《中国临床心理学杂志》2015年第1期76-79,140,共5页Chinese Journal of Clinical Psychology

基　　金：全球基金艾滋病项目(180)的资助

摘　　要：目的:探讨应对方式在歧视知觉与男同性恋艾滋病感染者的创伤后应激障碍(PTSD)关系中的中介作用。方法:采用问卷调查法测量145名男同性恋艾滋病感染者的歧视知觉、应对方式和创伤后应激障碍。结果:1歧视知觉与情感中心应对方式、PTSD均呈显著正相关,但与问题中心应对方式无显著相关。2情感中心应对方式在男同性恋艾滋病感染者群体的歧视知觉与创伤后应激障碍之间起部分中介作用。结论:歧视知觉既直接预测男同性恋艾滋病感染者PTSD的症状严重程度,也可以通过情感中心应对方式间接预测其PTSD严重程度。Objective： The current studyaimed to explore the mediating effects of coping strategy on the relationship be- tween perceived stigma and PTSD among HIV-positive MSM in Beijing, China. Methods： A total sample of 145 HIV-posi- tive MSM was recruited using convenience sampling in Beijing. Results： ①Pearson correlation analysis showed that perceived stigma was positively correlated with PTSD and emotion-focused eoping strategy, but not significantly related to problem-focused coping strategy. ②Emotion-focused coping strategy played a partial mediating role in the effect of perceived stigma on PTSD with the overall model explaining about 49% of the variance in PTSD. Conclusion： The current study suggested that perceivedstigma is significantly related with PTSD. We also found evidence that emotion-focused cop- ing strategy mediates the relationship of perceived stigma and PTSD among HIV-positive MSM.

关 键 词：歧视知觉 男同性恋艾滋病感染者 创伤后应激障碍 应对方式 

分 类 号：R395.2[哲学宗教—心理学]