Functional social support, psychological capital, and depressive and anxiety symptoms among people living with HIV/AIDS employed full-time

BMC Psychiatry

Research Article

Wei Sun¹  Ran Pang²  Lie Wang²  Li Liu²  Peng Qu³  Ming Wu³  Chunming Lu⁴ 

[1] Department of Environmental Health, School of Public Health, China Medical University, No. 92 North 2nd Road, 110001, Heping District, Shenyang, Liaoning, People’s Republic of China;Department of Social Medicine, School of Public Health, China Medical University, No. 92 North 2nd Road, 110001, Heping District, Shenyang, Liaoning, People’s Republic of China;Liaoning Provincial Center for Disease Control and Prevention, No. 242 Shayang Road, Shenyang, Liaoning, People’s Republic of China;Liaoning Women and Children’s Health Care Institute, No. 240 Shayang Road, Shenyang, Liaoning, People’s Republic of China;

关键词: People living with HIV/AIDS;    Employed full-time;    Depressive symptoms;    Anxiety symptoms;    Psychological capital;    Functional social support;   

DOI  :  10.1186/1471-244X-13-324

 received in 2013-05-17, accepted in 2013-11-26,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundPsychological distress (e.g., depression and anxiety) has been regarded as the main cause of leaving work for people living with HIV/AIDS (PLWHA) in workplaces. This study aims to explore the associations of functional social support (FSS) and psychological capital (PC) with depressive and anxiety symptoms among PLWHA employed full-time.MethodsThis cross-sectional study was performed in Liaoning, China, during the period of December 2010–April 2011. The Center for Epidemiologic Studies Depression Scale, the Zung Self-Rating Anxiety Scale, the Duke-UNC Functional Social Support Questionnaire, and the Psychological Capital Questionnaire were completed by PLWHA employed full-time. Structural equation modeling was used to test the proposed relationships between variables. Asymptotic and resampling strategies were performed to explore the mediating roles of PC and its components (self-efficacy, hope, optimism, resilience).ResultsOf 320 participants surveyed, 66.3% had depressive symptoms, and 45.6% had anxiety symptoms. Significant negative associations of FSS and PC with depressive and anxiety symptoms were revealed. PC (a*b = −0.209, BCa 95% CI: -0.293, -0.137, p < 0.05), hope (a*b = −0.103, BCa 95% CI: -0.192, -0.034, p < 0.05), and optimism (a*b = −0.047, BCa 95% CI: -0.106, -0.008, p < 0.05) significantly mediated the association between FSS and depressive symptoms. PC (a*b = −0.151, BCa 95% CI: -0.224, -0.095, p < 0.05) and self-efficacy (a*b = −0.080, BCa 95% CI: -0.158, -0.012, p < 0.05) significantly mediated the FSS-anxiety symptoms association.ConclusionsFSS and PC could help reduce depressive and anxiety symptoms among PLWHA employed full-time. PC fully mediates the associations of FSS with depressive and anxiety symptoms. In addition to enhancing FSS, PC development could be included in the prevention and treatment strategies for depressive and anxiety symptoms targeted at PLWHA employed full-time.

【 授权许可】

Unknown   
© Liu et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.