艾滋病毒感染者的身体形象：系统回顾和叙事综合

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image Pub Date : 2025-04-18 DOI:10.1016/j.bodyim.2025.101880

Katarzyna Drabarek , Marcin Rzeszutek , Cecylia Poncyliusz , Magdalena Michałowska , Ella Guest

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引用次数: 0

摘要

目的本系统综述的目的是分析、综合和回顾现有的关于HIV感染者身体形象的研究。具体而言，本综述调查了身体形象与社会人口学和临床变量以及PLWH的心理相关因素的关系。方法采用Web of Science、PsycARTICLES、MedLine、ProQuest、Scopus等数据库进行综合文献检索，共获得699篇摘要。纳入标准包括发表的定量和同行评议的英文文章，专门针对艾滋病毒/艾滋病成年患者，并将有效的身体形象测量明确地作为结果变量。结果共纳入17篇文献进行系统评价和分析。采用STROBE观察性研究指南对研究质量进行评价。研究结果显示，身体形象障碍在PLWH中很常见，并受到脂肪营养不良、抑郁、焦虑、健康行为自我效能、社会支持、耻辱和生活质量等因素的影响。较高的身体形象障碍还与抗逆转录病毒治疗（ART）依从性较差和艾滋病毒性传播风险行为增加有关。结论身体形象是妇女心理社会功能的一个重要方面。尽管医学取得了进步，但PLWH仍然面临严重的身体形象障碍，影响了他们的生活质量。未来的研究应该集中在纵向研究，不同的地理环境和干预措施，旨在改善这一人群的身体形象。通过社会心理支持和治疗干预来解决身体形象问题，可以潜在地提高PLWH的整体福祉和健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Body image among people living with HIV: A systematic review and narrative synthesis

Objectives

The aim of this systematic review was to analyse, synthesise and review existing research on body image among people living with HIV (PLWH). Specifically, the review investigated the relationship of body image with sociodemographic and clinical variables and psychological correlates among PLWH.

Method

A comprehensive literature search was conducted using Web of Science, PsycARTICLES, MedLine, ProQuest and Scopus databases and yielded a total of 699 abstracts. The inclusion criteria encompassed quantitative and peer-reviewed articles published in English devoted to HIV/AIDS adult patients, with validated measurements of body image operationalized explicitly as an outcome variable.

Results

A total of 17 articles were accepted for systematic review and analysis. The quality of the studies was evaluated using STROBE guidelines for observational studies. The findings revealed that body image disturbances are common among PLWH and are influenced by factors such as lipodystrophy, depression, anxiety, self-efficacy in health behaviours, social support, stigma and quality of life. Higher body image disturbance was also linked to poorer adherence to antiretroviral therapy (ART) and increased HIV sexual transmission risk behaviours.

Conclusions

Body image is a crucial aspect of the psychosocial functioning of PLWH. Despite medical advancements, PLWH continue to face significant body image disturbances that impact their quality of life. Future research should focus on longitudinal studies, diverse geographical contexts and interventions aimed at improving body image among this population. Addressing body image concerns through psychosocial support and therapeutic interventions can potentially enhance the overall well-being and health outcomes of PLWH.

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来源期刊

Body Image Multiple-

CiteScore

8.70

自引率

28.80%

发文量

174

期刊介绍： Body Image is an international, peer-reviewed journal that publishes high-quality, scientific articles on body image and human physical appearance. Body Image is a multi-faceted concept that refers to persons perceptions and attitudes about their own body, particularly but not exclusively its appearance. The journal invites contributions from a broad range of disciplines-psychological science, other social and behavioral sciences, and medical and health sciences. The journal publishes original research articles, brief research reports, theoretical and review papers, and science-based practitioner reports of interest. Dissertation abstracts are also published online, and the journal gives an annual award for the best doctoral dissertation in this field.