摘要
目的探讨与验证艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)中亲密度、社会支持与抑郁的关系,为有效提高HIV/AIDS病人心理健康提供实证依据。方法采用横断面研究设计,通过方便抽样方法和自行设计的调查问卷,于2013年3-6月对广州市第八人民医院住院及门诊部的411名HIV/AIDS病人进行面对面问卷调查。通过问卷调查收集病人的社会人口学特征、社会网络、社会支持与抑郁情况等信息,并对其中有配偶或固定性伴的病人进行分析。建立亲密度、社会支持与抑郁的结构方程模型,探讨亲密度对抑郁的直接与间接作用。结果 411名HIV/AIDS病人中,55.00%(226名)有配偶或固定性伴,其中社会支持得分中位数及四分位间距为52.6分(35.5,72.4),抑郁得分中位数及四分位间距为14分(6,23)。单因素分析显示,月平均收入、社会支持以及与配偶或固定性伴间的亲密度和抑郁相关。对社会支持与抑郁构建测量模型显示,测量模型拟合良好(Chi-Square=35.18,RMSEA=0.06,CFI=0.99,TLI=0.98,SRMR=0.05)。在校正月平均收入后,对亲密度、社会支持和抑郁构建结构模型显示,模型亦拟合良好(ChiSquare=61.83,RMSEA=0.06,CFI=0.98,TLI=0.97,SRMR=0.06)。中介效应分析显示,社会支持在亲密度与抑郁之间的间接作用具有统计学意义(β=-0.27,P=0.03),亲密度与抑郁之间的直接作用无统计学意义(β=-0.43,P=0.21)。社会支持在亲密度与抑郁之间呈完全中介作用。结论今后对感染者心理状况的干预中,应鼓励感染者加强与其配偶/固定性伴的沟通,增进亲密度,有利于提高感染者的社会支持,从而降低其抑郁水平。
Objective To examine the relationships of intimacy, social support, and depression among people living with HIV/AIDS（PLWHA）. Methods A cross-sectional survey by convenience sampling was conducted among 411 PLWHA between March and June, 2013 in Guangzhou, China. Participants were interviewed to know about their socio-demographic characteristics, social network, social support, and depression. Analysis was focused on PLWHA who had spouse/regular sexual partners. Structural equation model（SEM） was used to examine the direct and indirect associations between intimacy and depression. Results 55.0%（226/411） of 411 PLWHA had spouse/regular sexual partners. The median（IQR） score of social support and depression was 52.6（35.5, 72.4） and 14（6, 23）, respectively. The univariate analyses indicated that monthly income, intimacy, and social support were correlated with depression. Results of the measurement model of social support and depression showed a good model fit（Chi-Square=35.18, RMSEA=0.06, CFI=0.99, TLI=0.98, SRMR=0.05）, aswell as results of SEM（Chi-Square=61.83, RMSEA=0.06, CFI=0.98, TLI=0.97, SRMR=0.06）. Mediation analysis indicated that the indirect pathway between intimacy and depression was significant（β=-0.27, P=0.03）, but the direct pathway between them was not（β=-0.43, P=0.21）. There was a complete mediating effect of social support on the association between intimacy and depression. Conclusion Interventions to enhance the communication betweenPLWHA and their spouse/regular sexual partners may improve the social support and reduce depression in PLWHA.
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2017年第11期1050-1053,共4页
Chinese Journal of Aids & STD
基金
国家自然科学基金面上项目(71573290)
国家自然科学基金青年项目(81302517)
中国全球基金艾滋病项目(cso-2012-研42)~~
