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首页> 外文期刊>AIDS care. >The usefulness of the Multidimensional Health Locus of Control Form C (MHLC-C) for HIV+ subjects: an Italian study.
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The usefulness of the Multidimensional Health Locus of Control Form C (MHLC-C) for HIV+ subjects: an Italian study.

机译:控制表C的多维健康位点(MHLC-C)对HIV +受试者的有用性:一项意大利研究。

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摘要

In the last few years, highly active antiretroviral therapy (HAART) has resulted in a remarkable decrease in HIV-related morbidity and mortality. This "new deal" encouraged clinical research in investigating patients' manifest behaviours and their beliefs regarding their health status, which likely influence not only their treatment-linked behaviours but also their quality of life. Locus of control has been shown to be a construct that can predict and explain health-related behaviours. The Multidimensional Health Locus of Control Form C (MHLC-C) is a condition-specific locus of control scale that can be easily adapted for use with any medical or health-related condition. With the aim to enhance the knowledge about the HIV+ patients' point of view of their complex health condition, this study preliminarily investigated the psychometrics properties of the MHLC-C Italian version and its generalizability across samples defined both by being adherent or not and by gender. Two more samples of chronic patients (Cardiac Surgery and Cancer) were enrolled to better characterize the HIV+ patient's MHLC-C profile. The results showed the validity, reliability and generalizability of the 4-factor structure of MHLC-C. More interestingly, HIV+ subjects revealed a peculiar pattern of beliefs regarding their health condition that clinicians should take into account when managing patients' complex bio-psychosocial condition.
机译:在过去的几年中,高效的抗逆转录病毒疗法(HAART)已导致与HIV相关的发病率和死亡率显着降低。这项“新协议”鼓励临床研究调查患者的明显行为及其对健康状况的信念,这不仅可能影响与治疗相关的行为,而且还会影响生活质量。控制源已被证明可以预测和解释与健康有关的行为。多维健康控制表C(MHLC-C)是特定于条件的控制量表,可以轻松地用于任何医学或健康相关的条件。为了增强对HIV +患者的复杂健康状况的认识,本研究初步调查了MHLC-C意大利版的心理计量学特性及其在依从是否依从以及按性别定义的样本中的普遍性。招募了另外两个慢性患者样本(心脏外科手术和癌症),以更好地表征HIV +患者的MHLC-C谱。结果表明,MHLC-C 4因子结构的有效性,可靠性和一般性。更有趣的是,HIV +受试者显示出一种关于其健康状况的特殊观念,临床医生在处理患者复杂的生物心理状况时应考虑在内。

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