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Relationship between acceptance of HIV/AIDS and functional outcomes assessed in a primary care setting.

机译:接受艾滋病毒/艾滋病与在初级保健机构评估的功能结局之间的关系。

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摘要

Acceptance, a third wave cognitive-behavioral concept originally developed for chronic pain patients, was applied to acceptance of chronic illness in an HIV/AIDS population. This study examined the internal reliability of two scales of the chronic illness acceptance questionnaire (CIAQ) called activities engagement (AE), and illness willingness (IW), their relationships with functional outcomes, and their ability to predict functional outcomes after controlling for demographic and medical variables. Sixty-nine HIV-positive persons served as subjects while attending a routine visit at an urban Midwestern US Family Medicine clinic. Mean scores for the AE, IW, and total scales of the CIAQ were slightly higher than pretreatment, but slightly lower than post-treatment scores originally reported for chronic pain patients. Internal reliability values for AE, IW, and total scales of the CIAQ were excellent and consistent with those found in chronic pain acceptance studies. In addition, the AE and IW scales were significantly related to the criterion dimensions of depression, mental functioning, and physical functioning. In multiple regression analyses, it was found that only AE was a significant predictor of the three functional outcome measures beyond demographic and medical variables. In contrast, IW was not predictive of any of the three functional outcome variables.
机译:接受是最初为慢性疼痛患者开发的第三波认知行为概念,被用于接受HIV / AIDS人群的慢性病。这项研究调查了两种被称为活动参与(AE)和疾病意愿(IW)的慢性疾病接受调查表(CIAQ)的内部可靠性,它们与功能结局的关系以及在控制人口统计学和控制因素后预测功能结局的能力。医学变量。在美国中西部城市家庭医学诊所接受例行探访时,有69名HIV阳性患者作为受试者。 AE,IW和CIAQ总分的平均评分略高于治疗前的水平,但略低于最初报告的慢性疼痛患者的治疗后的水平。 AE,IW和CIAQ的总评分的内部可靠性值非常好,与慢性疼痛接受研究中发现的值一致。此外,AE和IW量表与抑郁,心理功能和身体功能的标准维度显着相关。在多元回归分析中,发现只有AE是人口统计学和医学变量以外的三种功能结果指标的重要预测指标。相反,IW不能预测三个功能结果变量中的任何一个。

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