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首页> 外文期刊>AIDS and Behavior >The Influence of Personality Disorder Indication, Social Support, and Grief on Alcohol and Cocaine Use among HIV-Positive Adults Coping with AIDS-Related Bereavement
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The Influence of Personality Disorder Indication, Social Support, and Grief on Alcohol and Cocaine Use among HIV-Positive Adults Coping with AIDS-Related Bereavement

机译：人格障碍征兆，社会支持和悲伤对艾滋病毒阳性成年人（与艾滋病相关的丧亲之痛）使用酒精和可卡因的影响

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摘要

Substance use is prevalent among HIV-positive adults and linked to a number of adverse health consequences; however little is known about risk and protective factors that influence substance use among HIV-positive adults coping with AIDS-related bereavement. Using structural equation modeling (SEM), male gender, diagnostic indications of antisocial and borderline personality disorders (PD), and grief severity were tested as risk factors, and social support as a protective factor, for alcohol and cocaine use among a diverse sample of 268 HIV-positive adults enrolled in an intervention for AIDS-related bereavement. Results indicated that the hypothesized model fit the study data. Male gender, PD indication, and social support had direct effects on substance use. PD had significant indirect effects on both alcohol and cocaine use, mediated by social support, but not by grief. Finally, both PD and social support had significant, but opposite, effects on grief. Implications for intervention and prevention efforts are discussed.
机译：在艾滋病毒呈阳性的成年人中，物质使用普遍存在，并与许多不良健康后果有关；然而，对于应对艾滋病相关丧亲的艾滋病毒呈阳性成年人中影响物质使用的风险和保护因素知之甚少。使用结构方程模型（SEM），对男性和女性的酒精，可卡因使用情况进行了测试，将男性，反社会和边缘人格障碍（PD）的诊断指标以及悲伤的严重程度作为危险因素进行了测试，并将社会支持作为保护因素进行了测试。 268名艾滋病毒阳性成年人参加了与艾滋病相关的丧亲干预。结果表明，假设模型符合研究数据。男性，PD适应症和社会支持对药物使用产生直接影响。 PD对酒精和可卡因的使用具有显着的间接影响，这是由社会支持而不是悲伤引起的。最后，效绩数据和社会支持对悲伤产生了重大但相反的影响。讨论了干预和预防工作的意义。

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  • 来源
    《AIDS and Behavior》 |2009年第2期|375-384|共10页
  • 作者

    Nathan B. Hansen; Courtenay E. Cavanaugh; Ellen L. Vaughan; Christian M. Connell; David C. Tate; Kathleen J. Sikkema;

  • 作者单位

    Department of Psychiatry The Consultation Center Yale University School of Medicine 389 Whitney Avenue New Haven CT 06511 USA;

    Department of Psychiatry The Consultation Center Yale University School of Medicine 389 Whitney Avenue New Haven CT 06511 USA;

    Department of Psychiatry The Consultation Center Yale University School of Medicine 389 Whitney Avenue New Haven CT 06511 USA;

    Department of Psychiatry The Consultation Center Yale University School of Medicine 389 Whitney Avenue New Haven CT 06511 USA;

    Department of Psychiatry The Consultation Center Yale University School of Medicine 389 Whitney Avenue New Haven CT 06511 USA;

    Duke University School of Nursing Durham NC USA;

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  • 正文语种 eng
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  • 关键词

    Bereavement; Complicated grief; Personality disorder; Social support; Substance use;

    机译：丧亲;复杂的悲伤;人格障碍;社会支持;物质使用;

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