Reactivity of Health-Related Quality of Life to Perceived Stress: The Buffering Role of Psychosocial Resources in a Longitudinal Study of Adults with and Without HIV.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-05-19 DOI:10.1007/s10880-023-09962-4

Vanessa B Serrano, Elizabeth C Pasipanodya, Jessica L Montoya, Robert K Heaton, Dilip V Jeste, David J Moore

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Abstract

People with HIV now have increased longevity; however, their health-related quality of life (HRQoL) still lags significantly compared to people without HIV. Perceived stress negatively impacts HRQoL, whereas psychosocial resources are linked to better HRQoL. This longitudinal analysis aims to explore the buffering role of psychosocial resources on the relationship between HRQoL and perceived stress. Participants (N = 240) included 142 persons with HIV (PwH) and 98 without HIV, M(SD) = 50.9(8.1) years. Multilevel models over four study years examined longitudinal relationships between HRQoL (outcome) and perceived stress (predictor) and potential moderation by psychosocial resources (personal mastery, social support, and resilience) by HIV serostatus. Among PwH only, personal mastery (p = 0.001), social support (p = 0.015), and resilience (p = 0.029) were associated with an attenuated effect of perceived stress (less negative slopes) for physical HRQoL over time. Bolstering personal mastery, social support, and resilience may have relevance for improving physical well-being among PwH.

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与健康相关的生活质量对感知压力的反应性:在一项HIV携带者和非HIV携带者的纵向研究中，社会心理资源的缓冲作用

艾滋病毒感染者的寿命现在延长了；然而，与未感染艾滋病毒的人相比，他们与健康相关的生活质量（HRQoL）仍然显著滞后。感知压力对HRQoL有负面影响，而心理社会资源与更好的HRQoL有关。本纵向分析旨在探讨心理社会资源对HRQoL与感知压力之间关系的缓冲作用。参与者（N = 240）包括142名HIV感染者（PwH）和98名无HIV感染者，M（SD） = 50.9（8.1）年。在四年的研究中，多水平模型检验了HRQoL（结果）和感知压力（预测因子）之间的纵向关系，以及心理社会资源（个人掌握、社会支持和复原力）和HIV血清状态之间的潜在调节。仅在普华永道中，个人精通程度（p = 0.001），社会支持（p = 0.015）和弹性（p = 0.029）与感知应力（较小的负斜率）对物理HRQoL的影响随时间的推移而减弱有关。增强个人掌握能力、社会支持和恢复力可能与改善普华永道的身体健康有关。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.