Effects of distress and coping on quality of life in HIV-positive patients: results of a longitudinal study

被引:0
|
作者
Leiberich, P
Brieger, M
Schumacher, K
Joraschky, P
Olbrich, E
Loew, H
Tritt, K
机构
[1] Univ Klinikum Regensburg, Schwerpunkt Psychosomat Klin & Poliklin Innere Me, D-93053 Regensburg, Germany
[2] Tech Univ Dresden, Univ Klinikum Carl Gustav Carus, Klin Psychotherapie & Psychosomat, D-8027 Dresden, Germany
[3] Univ Erlangen Nurnberg, Forsch Projekt Krankheitsbewaltigung & Lebensqual, Nurnberg, Germany
来源
NERVENARZT | 2005年 / 76卷 / 09期
关键词
human immunodeficiency virus infection; health-related quality of life; distress; coping; questionnaire SEL;
D O I
10.1007/s00115-004-1868-3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Preserving health-related quality of life (QOL) is an important approach with HIV-positive patients. In a longitudinal study over 3 years, with three measurements each 18 months, we examined 56 of these patients for the influence of distress and coping (assessed by interviews) on physical, cognitive-emotional, and social QOL (using the SEL questionnaire). The patients were 32.9 years old on average, with 28.3 months since diagnosis. Seventy percent were male, 82% asymptomatic, 14% with ARC, and 4% with AIDS. Forty-five percent had been infected by homosexual intercourse, 14% by heterosexual intercourse, and 41 % by iv drug abuse. The patients reported significantly worse physical and cognitive-emotional QOL than healthy subjects. Those HIV-positive persons with great distress showed significantly lower QOL scores. Multiple analyses of regression showed evasive-regressive coping at the T1, T2, and T3 levels as negative predictors, vs active, problem-focused coping as a positive predictor for nearly all QOL parameters at T3. HIV-positive patients with ARC or AIDS reported more physical complaints and lower physical QOL than asymptomatic persons. Physicians should suggest psychosocial support to patients with poor QOL scores.
引用
收藏
页码:1117 / +
页数:8
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