密西西比州感染艾滋病毒/艾滋病的非裔美国人创伤后成长的相关因素。

Shenell D Evans, Bryman E Williams, Cheng-Shiun Leu
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摘要

被诊断出感染艾滋病毒的人在确诊后会面临一系列挑战。艾滋病毒/艾滋病感染者有可能出现负面的心理结果,他们也可能经历创伤后成长(即艾滋病毒诊断后可能出现的积极的认知和情感变化)。尤其是非裔美国人,他们的社会心理和行为结果较差,与 HIV 相关的健康差异也较大,而且他们往往比欧裔美国人报告更多的创伤后成长。这项探索性研究调查了密西西比州 45 名感染 HIV 的非裔美国成年人的人口、社会心理和行为与创伤后成长的相关性。统计方法包括相关分析和独立样本 t 检验。根据创伤后成长量表(Posttraumatic Growth Inventory)的测量结果,创伤后成长与多个人口统计学变量(即年龄、教育程度、就业、收入)、社会心理学变量(即社会支持、应对自我效能、心理困扰[负面])和行为学变量(即教会出席率、戒毒、戒酒和戒烟)相关。研究结果表明,在服务不足、资源匮乏地区感染艾滋病毒的非裔美国人能够感知诊断后的创伤后成长。此外,研究还表明,感知到的积极成长与重要的社会文化、社会心理和行为因素有关,这些因素会直接和/或间接影响健康和治疗效果。本文讨论了研究结果的意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlates of posttraumatic growth among African Americans living with HIV/AIDS in Mississippi.

Individuals diagnosed with HIV face a host of challenges post-diagnosis. At risk for negative psychological outcomes, persons living with HIV/AIDS may also experience posttraumatic growth (i.e., positive cognitive and emotional changes that may occur following HIV diagnosis). African Americans, in particular, experience poorer psychosocial and behavioral outcomes and greater HIV-related health disparities, and also tend to report more posttraumatic growth than European Americans. This exploratory study examined demographic, psychosocial, and behavioral correlates of posttraumatic growth among 45 African American adults living with HIV in Mississippi. Statistical methods included correlational analyses and independent sample t-tests. As measured by the Posttraumatic Growth Inventory, posttraumatic growth was associated with several demographic (i.e., age, education, employment, income), psychosocial (i.e., social support, coping self-efficacy, psychological distress [negative]), and behavioral variables (i.e., church attendance, abstinence from drugs, alcohol, and cigarettes). Findings indicate that African Americans living with HIV in underserved, under-resourced areas are capable of perceiving posttraumatic growth post-diagnosis. Moreover, research has shown that perceived positive growth is associated with important sociocultural, psychosocial, and behavioral factors that directly and/or indirectly influence health and treatment outcomes. Implications of findings are discussed.

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