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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Do positive psychosocial factors predict disease progression in HIV-1? A review of the evidence.
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Do positive psychosocial factors predict disease progression in HIV-1? A review of the evidence.

机译：积极的社会心理因素是否可以预测HIV-1的疾病进展？证据的审查。

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摘要

Adding to a traditional stress perspective, behavioral medicine has been focusing increasingly on investigating the potential impact of positive psychosocial factors on disease course in HIV. Dispositional optimism, active coping, and spirituality show the most evidence for predicting slower disease progression, although the data are not entirely consistent. Findings for the role of social support are mixed, although indications are that it may be particularly helpful at later stages of illness. Many of the other constructs (positive affect, finding meaning, emotional expression/processing, openness, extraversion, conscientiousness, altruism, and self-efficacy) have only been examined in one or two studies; results are preliminary but suggestive of protective effects. Plausible behavioral and biological mechanisms are discussed (including health behaviors, neurohormones, and immune measures) as well as suggestions for clinicians, limitations, future directions, and a discussion of whether these constructs can be changed. In conclusion, investigating the importance and usefulness of positive psychosocial factors in predicting disease progression in HIV is in its beginning scientific stages and shows good initial evidence and future promise.
机译：除了传统的压力观点之外，行为医学也越来越集中于调查积极的社会心理因素对艾滋病毒疾病进程的潜在影响。尽管数据并不完全一致，但乐观的态度，积极的应对和灵性显示出最能预测疾病进展缓慢的证据。尽管有迹象表明社会支持在疾病的后期可能特别有帮助，但对社会支持的作用的研究结果参差不齐。仅在一项或两项研究中研究了许多其他建构（积极影响，发现意义，情感表达/加工，开放，外向，尽责，利他主义和自我效能感）。结果是初步的，但暗示了保护作用。讨论了合理的行为和生物学机制（包括健康行为，神经激素和免疫措施），以及对临床医生的建议，局限性，未来方向，以及关于这些结构是否可以改变的讨论。总之，调查积极的社会心理因素在预测HIV疾病进展中的重要性和有用性尚处于起步科学阶段，显示出良好的初步证据和未来前景。

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