【摘要】 目的了解深圳市HIV/AIDS患者艾滋病污名状况以及和自评症状之间的关系,为艾滋病污名干预提供依据。方法在深圳市内5个区和1个定点治疗医院随机抽取353名HIV/AIDS患者,用Berger-HIV污名量表,SCL-90和社会支持评定量表进行心理学测量,用自行编制问卷进行一般社会人口学信息和患病情况调查。结果深圳市HIV/AIDS患者Berge污名总分均值为(109.41±16.55),关联分析显示Berger污名量表的担心公众歧视、负面自我印象两个维度和SCL-90中的精神病性偏执,以及人际关系敏感因子的相关性较大(R>0.400,P<0.01)。多因素线性回归模型结果显示社会支持(β=-0.260),疾病类型(HIV或AIDS)(β=-0.111),文化程度(β=0.105)影响艾滋病污名总分差异有统计学意义(P<0.05)。结论艾滋病污名的维度(担心公众歧视、负面自我印象)能够激活一系列内在负性情感和认知表达(如怀疑、警惕等精神病性症状和偏执等),负性的情感认知状态可能导致患者负面的行为表达(人际关系敏感、负面印象管理),提示HIV/AIDS患者积极的认知模式和社会支持可能是患者艾滋病污名的有效干预措施。更多还原

【Abstract】 Objective To investigate the status of HIV/AIDS stigma and the relationship between HIV/AIDS stigma and self-reporting symptoms among HIV/AIDS patients in Shenzhen City so as to provide evidence for intervention of HIV/AIDS stigma. Methods Three hundred and thirty-five HIV/AIDS patients were randomly sampled from 5districts and a designated treatment hospital in Shenzhen City.Berger-HIV stigma scale,SCL-90 and social support scale were used for their psychological measurement.Self-made questionnaires were employed to survey their general demographic information and sickness status. Results The average total score of Berge stigma in the HIV/AIDS patients in Shenzhen City was(109.41±16.55).Stronger correlations were found in the two dimensions(including worry about discrimination from the public and negative self image)in Berger stigma scale and three factors(including psychosis,paranoia and interpersonal sensitiveness)in SCL-90(all R>0.400,P=0.000).Multiple linear regression model showed that social support(β=-0.260),type of disease(HIV or AIDS)(β=-0.111)and the degree of education(β=0.111)had significant effects on the total score of HIV/AIDS stigma(P<0.05). Conclusions The dimensions concerning HIV/AIDS stigma(including worry about discrimination from the public and negative self image)can activate the expression of a series of internal negative emotion and cognition(e.g.,doubt,vigilance and other psychotic symptoms as well as paranoid).Negative emotion and cognition expression may lead to negative behavior like interpersonal relationship sensitiveness and negative image management.The results suggest that positive emotion and cognition mode and social support may be the effective intervention measures against HIV/AIDS stigma among the HIV/AIDS patients.更多还原