Avoidance and Rumination as Predictors of Substance Use, Mental Health, and Pain Outcomes Among People Living With HIV

IF 3.4 2区 心理学 Q2 PSYCHIATRY
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Abstract

Pain, substance use, and mental health conditions are common among people living with HIV (PLWH), and avoidance and rumination may influence the co-occurrence of these conditions. The present study examined longitudinal associations between avoidance/rumination and pain outcomes, anxiety, anger, and substance use among PLWH. Participants (N = 187) with chronic pain and depressive symptoms completed self-report assessments over a 1-year period. Greater avoidance/rumination was positively associated with mental health outcomes (anxiety, anger), pain interference, and alcohol use across participants after controlling for depression severity. At time points with greater avoidance/rumination than average, participants also reported increased pain severity and interference, anxiety and anger symptoms, and alcohol use. No associations were found between avoidance/rumination and cannabis use. Results suggest a mechanistic effect of avoidance/rumination, such that increases in avoidance/rumination correspond with poorer health outcomes among PLWH over time. Targeting avoidance/rumination through intervention approaches may be beneficial for addressing comorbid health conditions among PLWH. Additional research is necessary to investigate this possibility and further characterize the effects of avoidance/rumination on health outcomes for PLWH.

回避和反刍是艾滋病毒感染者药物使用、心理健康和疼痛后果的预测因素
疼痛、药物使用和心理健康问题在艾滋病病毒感染者(PLWH)中很常见,而回避和反刍可能会影响这些问题的共同发生。本研究考察了回避/反刍与艾滋病病毒感染者的疼痛结果、焦虑、愤怒和药物使用之间的纵向联系。患有慢性疼痛和抑郁症状的参与者(N = 187)完成了为期一年的自我报告评估。在控制了抑郁严重程度后,回避/愤怒程度越高与心理健康结果(焦虑、愤怒)、疼痛干扰和酒精使用呈正相关。在回避/搓揉程度高于平均水平的时间点,参与者也报告了疼痛严重程度和干扰、焦虑和愤怒症状以及饮酒的增加。回避/妄想与大麻使用之间没有关联。研究结果表明,回避/搓麻具有机制效应,回避/搓麻的增加与 PLWH 随着时间的推移健康状况越来越差相对应。通过干预方法针对回避/搓麻可能有利于解决 PLWH 中的合并健康问题。有必要开展更多的研究来调查这种可能性,并进一步确定回避/迷恋对 PLWH 健康状况的影响。
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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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