Resilience Moderates the Association Between Childhood Sexual Abuse and Depressive Symptoms Among Women with and At-Risk for HIV

被引：37
作者：
Dale, Sannisha K. [1 ,2 ]
Weber, Kathleen M. [3 ,4 ]
Cohen, Mardge H. [3 ,4 ,5 ]
Kelso, Gwendolyn A. [1 ]
Cruise, Ruth C. [1 ]
Brody, Leslie R. [1 ]
机构：
[1] Boston Univ, Dept Psychol, Boston, MA 02215 USA
[2] Massachusetts Gen Hosp, Behav Med Serv, Boston, MA 02114 USA
[3] Cook Cty Hlth & Hosp Syst, Dept Med, Chicago, IL USA
[4] John H Stroger Jr Hosp Cook Cty, CORE Ctr, Chicago, IL 60612 USA
[5] Rush Univ, Chicago, IL 60612 USA
来源：
AIDS AND BEHAVIOR | 2015年 / 19卷 / 08期
关键词：
Resilience; Childhood sexual abuse; HIV; Depressive symptoms; Quality of life; CONNOR-DAVIDSON RESILIENCE; QUALITY-OF-LIFE; MULTISITE COHORT; PHYSICAL ABUSE; MENTAL-HEALTH; TRAUMA; MORTALITY; INTERVENTION; ADAPTATION; PREVALENCE;
D O I：
10.1007/s10461-014-0855-3
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Childhood sexual abuse (CSA) places women at risk for HIV infection and once infected, for poor mental health outcomes, including lower quality of life and depressive symptoms. Among HIV-positive and demographically matched HIV-negative women, we investigated whether resilience and HIV status moderated the relationships between CSA and health indices as well as the relationships among CSA, depressive symptoms, and health-related quality of life (HRQOL). Participants included 202 women (138 HIV+, 64 HIV-, 87 % African American) from the Women's Interagency HIV Study Chicago CORE Center site. Results indicated that in both HIV-positive and HIV-negative women, higher resilience significantly related to lower depressive symptoms and higher HRQOL. CSA related to higher depressive symptoms only for women scoring low in resilience. Interventions to promote resilience, especially in women with a CSA history, might minimize depressive symptoms and poor HRQOL among HIV-positive and HIV-negative women.
引用
收藏
页码：1379 / 1387
页数：9
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