男男性行为艾滋病病毒感染者的感知歧视与自我超越生命意义  

Relationship between perceived stigma and self-traascendence meaning of life among men who have sex with men with HIV/AIDS

作　　者：卢林鑫 余婷 张旭 蔺秀云 LU Linxin;YU Ting;ZHANG Xu;LIN Xiuyun(Shool of Special Education,Anshun University,Anshun 561000,Guizhou Province,China;Chinese Red Cross Foundation,Beijing 100010,China;Shool of Psychology and Mental Health,North China University of Science and Technology,Tangshan 063210,Hebei Province,China;Institute of Developmental Psychology,Beijing Normal University,Beijing 100875,China)

机构地区：[1]安顺学院特殊教育学院,贵州安顺561000 [2]中国红十字基金会,北京100010 [3]华北理工大学心理与精神卫生院,河北唐山063210 [4]北京师范大学发展心理研究院,北京100875

出　　处：《中国心理卫生杂志》2024年第6期534-541,共8页Chinese Mental Health Journal

基　　金：国家社会科学基金项目(18CSH042)。

摘　　要：目的:探讨感染艾滋病病毒的大学生男男性行为者感知歧视与自我超越生命意义的关系,及惧怕否定评价、人生意义追寻、视角转换在其中的作用。方法:选取感染艾滋病病毒的大学生男男性行为者474人,采用简化Berger艾滋病耻辱量表(BHSS)、惧怕否定评价量表(FNE)、中文人生意义问卷(C-MLQ)、意义应对量表(MFCQ)、自我超越生命意义量表(SMLS)进行测查。结果:BHSS总分与SMLS总分负相关(r=-0.69,P<0.001);FNE得分与人生意义追寻得分是BHSS总分与SMLS总分之间的中介变量,效应估计值分别为-0.13和-0.11,且FNE得分与人生意义追寻得分在BHSS总分与SMLS总分中起链式中介作用,效应估计值为-0.16;MFCQ视角转化得分在人生意义追寻总分和SMLS总分中起调节作用(β=0.07,P<0.05)。结论:感染艾滋病病毒的大学生男男性行为者的惧怕否定评价和人生意义追寻在感知歧视与自我超越生命意义之间起中介作用,视角转换在人生意义追寻与自我超越生命意义之间起调节作用。Objective:To explore the relationship between perceived stigma and self-transcendence meaning of life among male college students who have sex with men with HIV,and the role of fear of negation evaluation,seeking for meaning,perspective change in it.Methods:A total of 474 male college students who had sex with men with HIV were selected and tested with the simplified Berger HIV Stigma Scale(BHSS),Fear of Negative Evaluation Rating Scale(FNE),Chinese Meaning in Life Questionnaire (C-MLQ),Meaning-focused Coping Questionnaire(MFCQ),and Self-transcendence Meaning of Life Scale(SMLS).Results:The BHSS total scores were negatively correlated with the SMLS total scores(r=0.69,P<0.001).The FNE scores and the seeking for meaning scores were mediating variables between the BHSS total scores and the SMLS total scores,with estimated effects of-0.13 and-0.11,respectively.The FNE score and seeking for meaning score played a chain mediating role in the total scores of BHSS and SMLS,with estimated effects of-0.16,the perspective change score played a moderating role in the score of the seeking for meaning and the SMLS total score(β=0.07,P<0.05).Conclusion:Fear of negation evaluation and seeking for meaning play a mediating role between perceived stigma and self-transcendence meaning of life,as well as the moderating effect of perspective change between the search for meaning and self-transcendence meaning of life.

关 键 词：男男性行为 获得性免疫综合征 自我超越生命意义 歧视知觉 惧怕否定评价 意义追寻 视角转换 

分 类 号：R593.32[医药卫生—内科学] B846[医药卫生—临床医学]