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Depressive Symptoms Self-Esteem HIV Symptom Management Self-Efficacy and Self-Compassion in People Living with HIV

机译：抑郁症状自尊HIV症状管理HIV感染者的自我效能感和同情心

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The aims of this study were to examine differences in self-schemas between persons living with HIV/AIDS with and without depressive symptoms, and the degree to which these self-schemas predict depressive symptoms in this population. Self-schemas are beliefs about oneself and include self-esteem, HIV symptom management self-efficacy, and self-compassion. Beck’s cognitive theory of depression guided the analysis of data from a sample of 1766 PLHIV from the U.S. and Puerto Rico. Sixty-five percent of the sample reported depressive symptoms. These symptoms were significantly (p ≤ .05), negatively correlated with age (r= −.154), education (r= −.106), work status (r= −.132), income adequacy (r= −.204, self-esteem (r= −.617), HIV symptom self-efficacy (r=−.408) and self-kindness (r=−.284); they were significantly, positively correlated with gender (female/transgender) (r=.061), white or Hispanic race/ethnicity (r= .047) and self-judgment (r=.600). Fifty-one percent of the variance (F=177.530 (df=1524); p<.001) in depressive symptoms was predicted by the combination of age, education, work status, income adequacy, self-esteem, HIV symptom self-efficacy, and self-judgment. The strongest predictor of depressive symptoms was self-judgment. Results lend support to Beck’s theory that those with negative self-schemas are more vulnerable to depression and suggest that clinicians should evaluate PLHIV for negative self-schemas. Tailored interventions for the treatment of depressive symptoms in PLHIV should be tested and future studies should evaluate whether alterations in negative self-schemas are the mechanism of action of these interventions and establish causality in the treatment of depressive symptoms in PLHIV.
机译：这项研究的目的是检查患有和没有抑郁症状的艾滋病毒/艾滋病患者之间的自我方案差异，以及这些自我方案在该人群中预测抑郁症状的程度。自我计划是关于自己的信念，包括自尊，HIV症状管理的自我效能和自我同情心。贝克的抑郁症认知理论指导了对来自美国和波多黎各的1766名PLHIV样本的数据分析。 65％的样本报告有抑郁症状。这些症状显着（p≤.05），与年龄（r = −.154），受教育程度（r = −.106），工作状态（r = −.132），收入充足（r = −.204）呈负相关。 ，自尊（r = −.617），HIV症状的自我效能感（r = −。408）和自我种类（r = −。284）；它们与性别（女性/变性者）显着正相关（ r = .061），白人或西班牙裔种族/民族（r = .047）和自我判断（r = .600），差异的51％（F = 177.530（df = 1524）； p <.001抑郁症状是通过年龄，学历，工作状态，收入充足，自尊，HIV症状自我效能和自我判断的组合来预测的，抑郁症状的最强预测因子是自我判断。贝克的理论认为阴性的患者自身更易患抑郁症，因此建议临床医生应评估PLHIV是否具有阴性的自身缺血，应针对性地对PLHIV的抑郁症状进行干预，并进行进一步的研究应评估阴性自我方案的改变是否是这些干预措施的作用机制，并建立治疗艾滋病毒携带者抑郁症状的因果关系。

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