Background

General life stress and HIV-related stress have been independently associated with negative mental health outcomes for people living with HIV (PLWH), including anxiety and depression. HIV-positive sexual minority men (SMM) may experience both forms of stress, resulting in concurrent effects that independently exacerbate functional impairment related to anxiety and depression.

Methods

This study examined general life stress, HIV-related stress, and functional impairment due to depression and anxiety in a sample of 87 HIV-positive SMM. Data were collected in late 2015 and early 2016. The Perceived Stress Scale (PSS), HIV/AIDS Stress Scale (HASS), Overall Anxiety Severity and Impairment Scale, and Overall Depression Severity and Impairment Scale were used.

Results

Each variable was positively correlated with each other in bivariate analyses, but in multivariable models, PSS (β = .53, p < .001) and HASS (β = .27, p < .05) scores were both positively and independently associated with anxiety-related functional impairment. PSS was positively associated with depression-related functional impairment (β = .64, p < .001), but HASS did not maintain a significant independent association with this outcome (β = .00, p = .99).

Conclusion

These findings support an association between combined stress and negative mental health outcomes among HIV-positive SMM.

Policy Implications

Our findings support the idea for researchers and clinicians to be mindful of additional sources of stress and associations with mental health when developing interventions to promote better physical and mental health for this population.

中文翻译：

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检查 HIV 相关压力和一般生活压力对 HIV 阳性的性少数男性抑郁和焦虑相关功能障碍的附加影响

背景

一般生活压力和与 HIV 相关的压力与 HIV 感染者 (PLWH) 的负面心理健康结果独立相关，包括焦虑和抑郁。HIV 阳性的性少数男性 (SMM) 可能会经历两种形式的压力，从而导致并发影响，独立地加剧与焦虑和抑郁相关的功能障碍。

方法

本研究在 87 名 HIV 阳性 SMM 样本中检查了一般生活压力、与 HIV 相关的压力以及因抑郁和焦虑导致的功能障碍。数据收集于 2015 年底和 2016 年初。使用感知压力量表 (PSS)、艾滋病毒/艾滋病压力量表 (HASS)、整体焦虑严重程度和损害量表以及整体抑郁严重程度和损害量表。

结果

在双变量分析中，每个变量彼此呈正相关，但在多变量模型中，PSS (β = .53, p  < .001) 和 HASS (β = .27,  p  < .05) 分数与焦虑相关的功能障碍。PSS 与抑郁相关的功能障碍呈正相关（β = .64，p  < .001），但 HASS 并未与该结果保持显着的独立关联（β = .00，p  = .99）。

结论

这些发现支持 HIV 阳性 SMM 中综合压力与负面心理健康结果之间存在关联。

政策影响

我们的研究结果支持研究人员和临床医生在制定干预措施以促进该人群更好的身心健康时要注意其他压力来源以及与心理健康的关联的想法。