HIV/AIDS患者病耻感和心理健康的关系:心理弹性的中介效应  

Relationships between Stigma and Mental Health among Patients with HIV/AIDS: Mediating Effect of Psychological Resilience

作　　者：王东方 姚瑶[4] 游霞 黄玉洁 朱锋 王敏 杨新华 邓奇坚[1,2] 刘哲宁[1,2] 王红红[7] 欧阳萱[1,2] WANG Dong-fang;YAO Yao;YOU Xia;HUANG Yu-jie;ZHU Feng;WANG Min;YANG Xin-hua;DENG Qi-jian;LIU Zhe-ning;WANG Hong-hong;OUYANG Xuan(Department of Psychiatry,the Second Xiangya Hospital,Central South University,Changsha 410011,China;Mental Health Institute of the Second Xiangya Hospital,Central South University,Changsha 410011,China;College of Education,Hunan Agriculture University,Changsha 410128,China;The Blood Transfusion Apartment,the Second Xiangya Hospital,Central South University,Changsha 410011,China;Department of Infectious Disease,Changsha Hospital Affiliated to University of South China,Changsha 410000,China;Institute for HIV/AIDS,The First Hospital of Changsha,Changsha 410153,China;Xiangya Nursing School,Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅二医院精神科,长沙410011 [2]中南大学湘雅二医院精神卫生研究所,长沙410011 [3]湖南农业大学教育学院,长沙410128 [4]中南大学湘雅二医院输血科,长沙410011 [5]南华大学附属长沙医院传染科,长沙410000 [6]长沙市第一医院艾滋病研究所,长沙410153 [7]中南大学湘雅护理学院,长沙410013

出　　处：《中国临床心理学杂志》2020年第2期374-378,共5页Chinese Journal of Clinical Psychology

基　　金：美国国家卫生研究院Fogarty中心项目(D43TW009579);国家自然科学基金青年项目(81801353);湖南省研究生科研创新项目(CX2018B397)。

摘　　要：目的:探讨HIV/AIDS患者的病耻感和心理健康的关系以及心理弹性的中介效应。方法:采用社会影响量表(SIS)、广泛性焦虑障碍量表(GAD-7)、患者健康问卷(PHQ-9)、社区精神病性体验评估问卷(CAPE-8)和CornorDavidson心理弹性简表(CD-RISC-10)对湖南省333例HIV/AIDS患者进行调查。结果:HIV/AIDS患者的病耻感越高,心理弹性水平越低,焦虑/抑郁症状和精神病性体验也更严重;心理弹性在HIV/AIDS患者的病耻感与焦虑、抑郁及精神病性体验之间均存在显著的部分中介效应。结论:心理弹性可以部分中介HIV/AIDS患者的病耻感对心理健康的影响。Objective: To examine the relationships between stigma and mental health in patients with HIV/AIDS, and the mediating effect of psychological resilience. Methods: 333 patients with HIV/AIDS in Hunan were assessed by using the Social Impact Scale(SIS), Generalized Anxiety Disorder Assessment(GAD-7),Patient Health Questionnaire(PHQ-9),Community Assessment of Psychic Experiences(CAPE-8) and Cornor-Davidson Resilience Scale(CD-RISC-10). Results: The higher stigma was, the lower psychological resilience was, and the more severe anxiety/depression symptoms and psychotic-like experiences were in patients with HIV/AIDS;Psychological resilience partially mediated the relationships between stigma and mental health(i.e. anxiety/depression symptom and psychotic-like experiences). Conclusion: Psychological resilience could partially mediate the effect of stigma on mental health of HIV/AIDS patients.

关 键 词：HIV/AIDS 病耻感 心理弹性 焦虑 抑郁 精神病性体验 

分 类 号：R395.2[哲学宗教—心理学]