Health Psychology Review ( IF 9.638 ) Pub Date : 2019-07-24 , DOI: 10.1080/17437199.2019.1641424 Lucy Finkelstein-Fox 1 , Crystal L Park 1 , Seth C Kalichman 1
People living with HIV/AIDS (PLWHA) often face significant stress, ranging from perceiving identity changes to encountering barriers to daily health behavior engagement. To manage these experiences, many people use positive reappraisal coping (including benefit finding and perceiving growth). Effective coping is highly important for PLWHA; stress reduction has salutary effects on multiple indicators of health. The present systematic review, conducted in PubMed, PsycINFO, and CINAHL, synthesises findings from 33 studies of PLWHA, addressing effects of positive reappraisal on health-related outcomes for adults living with HIV as a chronic illness. Studies were evaluated based on methodological considerations, measurement of key variables, and implications for specific aspects of health. Results suggest that positive reappraisal is often beneficial when dealing with the implications of a potentially traumatic HIV diagnosis on one’s identity, although effects may be contextually bound. Implications of these findings are reviewed, emphasizing the importance of positive reappraisal for enhancing health promotion and self-management of HIV. Although the present review is limited by inclusion of multiple disparate outcomes and exclusion of non-English-language articles, these findings inform a comprehensive model of direct and indirect effects of positive reappraisal on emotional, functional, physiological, and behavioural aspects of health useful for guiding future research.
中文翻译:
对艾滋病毒/艾滋病感染者进行积极的重新评估应对的健康益处:系统评价。
艾滋病毒/艾滋病患者(PLWHA)经常面临巨大的压力,范围从感知身份变化到遇到日常健康行为参与障碍。为了管理这些经验,许多人使用积极的重新评估应对措施(包括发现收益和感知增长)。有效应对对艾滋病病毒感染者至关重要。减轻压力对多种健康指标具有有益的作用。目前在PubMed,PsycINFO和CINAHL进行的系统综述总结了33项关于PLWHA的研究结果,探讨了积极重新评估对患有HIV的慢性病成年人健康相关结局的影响。基于方法论上的考虑,关键变量的测量以及对健康特定方面的影响对研究进行了评估。结果表明,积极的重新评估通常在处理可能遭受创伤的HIV诊断对个人身份的影响时通常是有益的,尽管影响可能会因上下文而异。对这些发现的含义进行了回顾,强调了积极重新评估对加强健康促进和艾滋病毒自我管理的重要性。尽管当前的审查受到包括多个不同结果的排除和非英语文章的排除的限制,但这些发现为积极重新评估对健康,情感,功能,生理和行为方面的直接和间接影响提供了一个综合模型,对健康有益。指导未来的研究。对这些发现的含义进行了回顾,强调了积极重新评估对加强健康促进和艾滋病毒自我管理的重要性。尽管当前的审查受到包括多个不同结果的排除和非英语文章的排除的限制,但这些发现为积极重新评估对健康,情感,功能,生理和行为方面的直接和间接影响提供了一个综合模型,对健康有益。指导未来的研究。对这些发现的含义进行了回顾,强调了积极重新评估对加强健康促进和艾滋病毒自我管理的重要性。尽管本综述受到多种不同结果的影响和非英语文章的排除,但这些发现为积极的重新评估对情绪,功能,生理和行为方面健康的直接和间接影响提供了一个综合模型,对健康有益。指导未来的研究。