Mark Brennan-Ing, Sabina Haberlen, Deanna Ware, Steven Meanley, Frank J Palella, Robert Bolan, Judith A Cook, Chukwuemeka N Okafor, M Reuel Friedman, Michael W Plankey
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引用次数: 0
摘要
由于对身体形象不满意和内化的年龄歧视,老年男同性恋者和双性恋者可能会产生消极的自我形象,从而导致心理困扰。由于研究发现 HIV 与加速衰老有关,因此感染 HIV 的男同性恋者和双性恋者可能面临更大的心理压力风险。我们研究了自我形象与心理困扰之间的关联、潜在的中介效应(复原力、健身参与),以及这些关系是否受 HIV 血清状态的调节。我们利用感染 HIV 的男同性恋者和双性恋者(n = 525,Mage = 57.6)和未感染 HIV 的男同性恋者和双性恋者(n = 501,Mage = 62.2)的数据,通过结构方程模型检验了我们的假设。我们观察到,自我形象与痛苦之间存在明显的正相关关系,并且存在明显的中介效应(抗逆力、健身参与),这些效应受 HIV 血清状态的调节(抗逆力仅对感染 HIV 的男性显著)。我们的结论是,抗逆力干预措施可能有利于减轻感染艾滋病毒的老年男同性恋者和双性恋者因负面自我形象而产生的困扰。
Does Resilience Mediate the Relationship Between Negative Self-Image and Psychological Distress in Middle-Aged and Older Gay and Bisexual Men?
Aging gay and bisexual men may have negative self-images due to body image dissatisfaction and internalized ageism, resulting in psychological distress. Gay and bisexual men with HIV may be at greater risk for distress because of research linking HIV to accelerated aging. We examined associations between self-image and psychological distress, and potential mediating effects (resilience, fitness engagement), and whether these relationships were moderated by HIV serostatus. We tested our hypotheses with structural equation modeling using data from gay and bisexual men with HIV (n = 525,Mage = 57.6) and without HIV (n = 501,Mage = 62.2). We observed significant positive associations between self-image and distress and significant mediation effects (resilience, fitness engagement) that were moderated by HIV serostatus (resilience was only significant for men with HIV). We conclude that resilience interventions may be beneficial in alleviating distress from negative self-image among aging gay and bisexual men with HIV.
期刊介绍:
Research on Aging is an interdisciplinary journal designed to reflect the expanding role of research in the field of social gerontology. Research on Aging exists to provide for publication of research in the broad range of disciplines concerned with aging. Scholars from the disciplines of sociology, geriatrics, history, psychology, anthropology, public health, economics, political science, criminal justice, and social work are encouraged to contribute articles to the journal. Emphasis will be on materials of broad scope and cross-disciplinary interest. Assessment of the current state of knowledge is as important as provision of an outlet for new knowledge, so critical and review articles are welcomed. Systematic attention to particular topics will also be featured.