TRANSITION, HIV DISEASE, AND THE PARTNER RELATIONSHIP

过渡、艾滋病毒疾病和伴侣关系

• 批准号: 2519834
• 负责人: BETSY Louise FIFE
• 金额: $ 18.75万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-09-30 至 1999-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2519834
• 关键词: AIDS; HIV infections; angers; anxiety; behavioral /social science research tag; clinical research; clinical trials; coping; depression; dyadic interaction; guilt; handbook; human subject; nursing intervention; psychosocial service; stress management

DESCRIPTION: It is conservatively estimated that the suicide rate for individuals infected with HIV disease is 7 to 20 times greater than that of the general population. The illness is most often associated with uncertainty, unpredictable and debilitating symptoms, social stigma, and financial deprivation. The purpose of the proposed research will be to conduct a randomized clinical trial to test a brief intervention of 4 sessions, 2 hours each, designed to strengthen the relationship of a PWA and a significant other, thereby decreasing the emotional distress (specifically depression, anxiety, anger, and guilt) that both individuals within the dyad are experiencing. The focus of the intervention will be stress management utilizing an educational/informational approach. An experimental design that includes 100 PWA dyads randomly assigned to the control or experimental groups will be used. This intervention is designed so that it will be feasible to incorporate it within the routine health care for this population. Therefore, an important aspect of the project will be to develop a manual for clinicians (i.e., nurse, social worker) that describes the intervention in sufficient detail that it can readily be replicated. An assessment scale designed by the research team will be tested and refined as part of the study, and then included with the manual to aid clinicians' evaluation of the coping skills of this target population. This study will be carried out by a multidisciplinary team comprised of nursing, social work, medicine, and psychiatry.

描述：保守估计，自杀率 感染艾滋病毒的人数是正常人的7至20倍 普通民众。 这种疾病通常与 不确定性、不可预测和使人衰弱的症状、社会耻辱以及 经济匮乏。 拟议研究的目的是 进行一项随机临床试验来测试 4 项的简短干预 会议，每次 2 小时，旨在加强 PWA 和 重要的他人，从而减少情绪困扰（特别是 抑郁、焦虑、愤怒和内疚），二人组中的两个人 正在经历。 干预的重点是压力管理 利用教育/信息方法。 实验设计 其中包括 100 个随机分配给对照组或实验组的 PWA 组合 将使用组。 这种干预措施的目的是 为此，将其纳入常规医疗保健是可行的 人口。 因此，该项目的一个重要方面将是 为临床医生（即护士、社会工作者）制定一本手册，描述 干预措施足够详细，可以很容易地复制。 一个 研究团队设计的评估量表将经过测试和完善 研究的一部分，然后包含在手册中以帮助临床医生 评估该目标人群的应对技能。 这项研究将 由护理、社会学等组成的多学科团队进行 工作、医学和精神病学。