1. Psychological pathways to HIV-related posttraumatic stress disorder symptoms among people living with HIV in China: the mediating role of rumination.
- Author
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Tang, Chulei, Goldsamt, Lloyd A., Yu, Simin, Zhao, Ting, and Wang, Honghong
- Subjects
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HIV infection complications , *CROSS-sectional method , *FAMILY support , *POST-traumatic stress disorder , *MENTAL health , *SOCIAL stigma , *QUESTIONNAIRES , *RESEARCH funding , *RUMINATION (Cognition) , *PSYCHOLOGY of HIV-positive persons - Abstract
The occurrence of HIV-related posttraumatic stress disorder (PTSD) compromises the physical and mental health of people living with HIV (PLWH). This study examined the psychological pathways of HIV-related PTSD symptoms considering the influence of rumination in PLWH of China. A cross-sectional survey was conducted in Changsha, China. The data were collected using the PTSD Checklist−Civilian Version, the Ruminative Response Scale, the Multidimensional Scale of Perceived Social Support, and measures of sociodemographic and HIV-related clinic characteristics. A total of 602 PLWH were surveyed. The average score of HIV-related PTSD symptoms was (34.54 ± 13.58). The mediation model showed that perceived social stigma and physical health exhibited direct associations with PTSD symptoms (β = 0.093, −0.145, respectively), while the direct relations of family support, friend support and significant others support to PTSD symptoms were not significant. Rumination mediated the effect of perceived social stigma (β = 0.077), physical health (β = −0.150), family support (β = −0.144) and friend support (β = −0.105) on PTSD symptoms. The study findings underscore the importance of routinely assessing PTSD for PLWH, and developing trauma-focused interventions that alleviate HIV-related PTSD symptoms and reduce rumination while improving social support and physical health and reducing social stigma. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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