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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Depression symptoms and sexual HIV risk behavior among serodiscordant couples.
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Depression symptoms and sexual HIV risk behavior among serodiscordant couples.

机译：Serodiscordant夫妇中的抑郁症状和性HIV危险行为。

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OBJECTIVES: To examine data for human immunodeficiency virus (HIV)-positive patients in serodiscordant relationships to determine a) if depressive symptoms were associated with sexual risk behavior and b) if these relationships could be explained by changes in partner satisfaction. The relationship between depression symptoms and sexual risk behaviors within mixed HIV status couples is unknown. METHODS: HIV-positive and HIV-negative members of 197 serodiscordant couples (159 male/female, 38 male/male) were assessed using instruments measuring depressive symptoms, sexual risk, and couple satisfaction. RESULTS: HIV-positive partners with higher depression scores were less likely to be part of couples reporting unprotected sex, and HIV-positive partners' higher depression scores were associated with less unprotected intradyadic sex acts. This decrease in intradyadic sexual risk behavior was partially explained by a decrease in any sexual behavior within the couple. On the other hand, HIV-positive subjectswith moderate or higher depression were more likely to have outside partners. Adding the partner satisfaction measure to the models was able to account for the relationship between the HIV-positive subjects' depression scores and outside partners, but not for that between higher depression score and reduced intradyadic sexual risk. CONCLUSIONS: HIV-positive individuals with more depressive symptoms may be less likely to engage in high-risk sexual behavior with their partners than those with less depressive symptoms, but more likely to have sexual partners outside the relationship. These findings suggest that the relationship between depressive symptoms and sexual risk behavior in this population may be mixed and complex, and suggest that clinicians should assess sexual risk behavior across the range of depression symptom severity.
机译：目的：检查血清免疫性关系中人类免疫缺陷病毒（HIV）阳性患者的数据，以确定a）抑郁症状是否与性风险行为有关，b）这些关系是否可以通过伴侣满意度的改变来解释。 HIV混合状态夫妇中抑郁症状与性危险行为之间的关系尚不清楚。方法：使用测量抑郁症状，性风险和夫妇满意度的仪器评估了197名血清抗雌激素夫妇（159名男性/女性，38名男性/男性）的HIV阳性和HIV阴性成员。结果：抑郁得分较高的HIV阳性伴侣不太可能报告未受到保护的性伴侣，而HIV阳性伴侣的抑郁评分较高则与未得到保护的二人性行为相关。夫妻间性行为减少的部分原因是夫妻之间任何性行为的减少。另一方面，患有中度或更高抑郁症的HIV阳性受试者更可能有外部伴侣。在模型中增加伴侣满意度测评能够解释艾滋病毒阳性受试者的抑郁评分与外部伴侣之间的关系，但不能解释抑郁较高的评分与降低的两性内性风险之间的关系。结论：与抑郁症症状较轻的人相比，抑郁症症状较重的HIV阳性个体与伴侣发生高风险性行为的可能性较小，但在性关系之外更可能具有性伴侣。这些发现表明，该人群中抑郁症状与性危险行为之间的关系可能是复杂而复杂的，并建议临床医生应在抑郁症状严重程度的范围内评估性危险行为。

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