HIV/AIDS Disclosure Decision-Making and Outcomes

HIV/艾滋病披露决策和结果

基本信息

批准号：
7626449
负责人：
STEPHENIE R CHAUDOIR
金额：
$ 1.16万
依托单位：
UNIVERSITY OF CONNECTICUT STORRS
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-06-01 至 2009-09-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The purpose of the proposed project is to test a theoretical model of HIV/AIDS disclosure that simultaneously examines multiple factors hypothesized to predict and inhibit disclosure and tests the relationships between disclosure events and psychological and behavioral outcomes. To date, there exists no known model that simulates the hypothesized complexity of disclosure processes or relates disclosure events to post-disclosure psychological (e.g., negative affect) or behavioral (e.g., sexual risk) outcomes for people living with HIV/AIDS (PLWHA). The proposed model of HIV/AIDS disclosure will provide a parsimonious theoretical framework through which to understand how PLWHA make decisions about whom to disclose their positive serostatus and how they are affected by these decisions. The proposed study will employ a disclosure recipient-specific, longitudinal design in order to assess how these disclosure processes vary across disclosure recipients and time. Specific Aim 1 will examine the relative predictive utility of factors hypothesized to facilitate (i.e., negative coping, negative psychological effects of concealment, significance of relationship with disclosure recipient, and eco-concerns for well-being of others) and inhibit (i.e., anticipated negative reactions from disclosure recipient, ego-concerns for well-being of self, social norms against disclosure, and perceived positive serostatus of disclosure recipient) disclosure that are conceptually related with either the discloser or the disclosure recipient. Specific Aim 2 will examine how disclosure (or nondisclosure) decisions affect psychological and behavioral outcomes. It is hypothesized that the effect of disclosure on behavioral outcomes will be mediated by the effect of disclosure on psychological outcomes such that, to the extent that people experience positive psychological outcomes due to disclosure, they will also experience concomitant decreases in sexual risk and increases in adherence behaviors. This project has important conceptual and applied implications. The proposed model of HIV/AIDS disclosure will provide a framework for theorists and researchers to understand the complexity of disclosure processes and allow them to use this knowledge to inform interventions that assist PLWHA in identifying the optimal conditions and recipients for disclosure. Additionally, this framework has the potential to enhance the understanding of general disclosure processes across other types of concealed stigmatized identities (e.g., mental illness) and to emphasize both the potential psychological and behavioral effects of disclosure.

描述（由申请人提供）：拟议项目的目的是测试艾滋病毒/艾滋病披露的理论模型，该模型同时研究了假设预测和抑制披露的多个因素，并测试了披露事件与心理和行为结果之间的关系。迄今为止，还没有已知的模型可以模拟披露过程的假设复杂性，或者将披露事件与披露后的心理（例如，负面影响）或行为（例如，性风险）的结果（例如，性风险）的结果（PLWHA）。拟议的艾滋病毒/艾滋病披露模型将提供一个简约的理论框架，通过该框架了解PLWHA如何做出决定对谁披露其积极的血统以及如何受这些决定影响他们的决定。拟议的研究将采用披露接受者特定的纵向设计，以评估这些披露过程如何在披露接受者和时间之间变化。具体目的1将检查假设的因素的相对预测效用，以促进（即负面应对，隐藏的负面心理影响，与披露接受者的关系的重要性，与他人幸福感的生态相关的意义）和抑制（即，预期的负面反应，对披露的披露，自我披露，社会的自我披露，预期的负面反应，预期的负面反应，以及自我披露的自我，社交规范，自我披露的良好，且自我的自我，社交规范，以及自我披露的自我，社交规范，以及自我披露的范围。接受者）与披露者或公开接收者概念上关联的披露。具体目标2将研究披露（或不公开）决定如何影响心理和行为结果。假设披露对行为结果的影响将由披露对心理结果的影响介导，以至于人们由于披露而经历积极的心理结局，他们还将经历性风险伴随性降低和依从性行为的增加。该项目具有重要的概念和应用含义。提出的艾滋病毒/艾滋病披露模型将为理论家和研究人员提供一个框架，以了解披露过程的复杂性，并允许他们使用这些知识来告知干预措施，以帮助PLWHA确定最佳条件和接受者的披露。此外，该框架有可能增强对其他类型的隐蔽污名身份（例如，精神疾病）的一般披露过程的理解，并强调披露的潜在心理和行为影响。