HIV阳性男男性行为者感知歧视与心理困扰反刍思维的中介作用研究

Perceived stigma and psychological distress in HIV-infected men who have sex with men:mediating effect of rumination

目的分析反刍性沉思在艾滋病病毒(HIV)抗体阳性的男男性行为者(MSM)感知歧视与心理困扰间的作用机制。方法于2018年9-11月采用一般资料调查表、Berger HIV感知歧视量表、简体中文版事件相关反刍性沉思问卷及简易心理状况评定量表,对保定市传染病医院的306名HIV阳性MSM进行调查。结果306例HIV阳性MSM中85.6%(262例)存在心理困扰;感知歧视、反刍性沉思与心理困扰呈正相关(P<0.01);反刍性沉思在感知歧视和心理困扰间的中介效应为0.291,占总效应的70.46%(0.291/0.413)。结论反刍性沉思是感知歧视与心理困扰间的中介变量,医护人员应评估HIV阳性MSM反刍性沉思的水平,关注其思维变化,以便及时采取干预措施减少消极认知,降低其心理困扰的水平。

Objective To explore the mediating effect of rumination on perceived stigma and psychological distress among HIV-infected patients who have sex with men(MSM).Methods A total of 306 MSM infected with HIV from Baoding infectious disease hospital were investigated with Berger HIV stigma scale,Chinese event related rumination inventory and Kessler psychological distress scale from September to November 2018.Results 85.6%of MSM infected with HIV had psychological distress.The scores of Berger HIV stigma scale,Chinese event related rumination inventory and Kessler psychological distress scale were positively correlated(P<0.01).Rumination was a mediator(mediating effect was 0.291)of perceived stigma and psychological distress;and it explained 70.46%of the total effects.Conclusion Rumination has a partial mediating effect on perceived stigma and psychological distress.Medical workers should assess the level of rumination in MSM infected with HIV,and take measures to reduce psychological distress of the patients.