HIV/AIDS患者社会支持和感知歧视对抑郁影响的路径分析

Path analysis of social support and perceived stigma on depression for people living with HIV/AIDS

目的 探讨社会支持和感知歧视对HIV/AIDS患者抑郁的影响路径及关系效应.方法 采用抑郁自评量表、社会支持评定量表和中文版Berger HIV感知歧视量表（BHSS）,对114例HIV/AIDS患者进行调查.采用Amos 7.0软件进行路径分析.结果 患者抑郁、社会支持和BHSS总分分别为（52.22±10.28）、（29.09±5.98）和（109.02±14.59）分;上述三变量间存在相关性（r=0.425~0.676,P＜0.05）.社会支持对抑郁有直接负效应,并通过BHSS对抑郁产生间接影响,总效应值为-0.47.BHSS对抑郁有直接正效应,也是社会支持与抑郁的中介变量,总效应值为0.64.结论 HIV/AIDS患者抑郁状况、社会支持和感知歧视水平均不理想.抑郁受到社会支持和BHSS的直接、间接影响.可从各环节制订心理干预措施,改善抑郁状况.

Objective To explore the impact of social support and perceived stigma on depression for people living with HIV/AIDS. Methods A total of 114 patients recruited into our study. Date were collected by Self-rating Depression Scale （SDS）, Social Supporting Rating Scale （SRSS） and Berger HIV Stigma Scale （BHSS） for patients. Analysis of Moment Structures （AMOS） version 7.0 software was used to conduct the path analysis. Results The total score of patients′depression, SRSS and BHSS were （52.22± 10.28）, （29.09±5.98）, （109.02±14.59） points, and there was correlation between the three （r=0.425-0.676, P〈0.05）. Social support revealed direct effects on depression and affected depression indirectly via BHSS.The paths′ total coefficients was-0.47. BHSS as intermediary variable between social support and depression, the paths′ total coefficients was 0.64. Conclusions The level of depression, SRSS and BHSS were not fine for HIV/AIDS. Depression are directly affected by SRSS and BHSS, BHSS has a greater moderating effect on these relationships. Interventions developed on the basis of influencing factors of depression should be applied to improve patients′depression status.