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The Korean Journal of Health Psychology

Influence of Depression among HIV-infected People and Social Support on Quality of Life

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2013, v.18 no.2, pp.363-378
https://doi.org/10.17315/kjhp.2013.18.2.007


Abstract

The purpose of this study was to survey the effect of general characteristics, depression and social support of HIV- infected people to their quality of life. To achieve the purpose, 11 medical institutions were selected out of 14 institutions participating in a consultation project for HIV-infected people, which is part of a program conducted by the Korea Centers for Disease Control and Prevention, from July 1, 2012 to August 31, 2012. Under the approval of the people in charge of the institutions, a total of 155 HIV-infected people receiving medical consultations in said institutions responded to the survey after listening to the explanation of the objective of this study as well as providing written consent for the study. The findings of this study are as follows. Regarding the correlation within depression, social support and quality of life among the HIV-infected people, the quality of life was lower when the degree of depression was higher, and the quality of life was higher when social support was higher. Looking into the influence factors affecting the quality of life of HIV-infected people, sex, age, educational level, economic level and infectious period explain 14.8% of the quality of life(F=3.65, p<.01), 38.9%(F=11.64, p<.001) when the factor of depression was added and 47.8%(F=14.73, p<.001) when the factor of social support was included. Social support was very important for HIV-infected people, who usually have lower self-esteem due to negative social marking, in addition depression was also a significant factor in their quality of life. In conclusion, it is essential to prepare various social support systems in order to improve the quality of life for HIV-infected people.

keywords
HIV-infected people, depression, social support, quality of life, HIV 감염인, 우울, 사회적 지지, 삶의 질

Reference

1.

강병철(2002). HIV/AIDS 감염인의 질병 적응에 영향을미치는 요인. 서울대학교 석사학위논문.

2.

강옥경(2001). 정신장애인의 주관적 삶의 질에 영향을미치는 사회 환경요인: 지역사회 정신보건서비스 중심으로. 서울대학교 대학원 석사학위논문.

3.

강현숙(1984). 재활강화교육이 편마비환자의 자가간호수행에 미치는 효과에 관한 실험적 연구. 연세대학교 박사학위논문.

4.

경북대학교·질병관리본부(2011). K-WHOQOL-HIV BREF. 질병관리본부.

5.

권석만, 김선영, 이주실, 고운영(2001). 한국 남성 HIV감염자의 정신건강상태 및 관련요인. 한국심리학회지: 임상, 20(1), 219-228.

6.

권윤형(2009). HIV 감염인의 자살생각과 결정요인. 충남대학교 박사학위논문.

7.

권윤희, 김정남, 곽오계(2011). 맞춤형 방문건강 관리대상 노인의 우울 및 삶의 질 영향 요인. 지역사회간호학회지, 22(3), 262-271.

8.

김은영, 이명선(2000). HIV 감염자의 생활경험에 관한현상학적 연구. 성인간호학회지, 12(4),497-506.

9.

김현철, 김세주, 최낙경, 김영신, 이병철, 이병철, 이만홍 (2002). 뇌졸중 후 삶의 질에 관한 추적연구.대한신경과학회지, 14(4), 681-692.

10.

림금란, 김희경, 안정선(2011). 여성독거노인의 우울과삶의 질과의 관계: 사회적지지, 사회적 활동의조절효과와 매개효과. 한국노년학회지, 31(1),33-47.

11.

박용순, 송진영(2012). 만성질환 남성노인의 우울감과삶의 만족도 간 사회적 지지의 조절효과. 한국사회복지교육, 17, 79-96.

12.

손애리, 문정선, 박지은, 천성수, 고승덕(2007). 서울시중·고등학생의 에이즈 지식과 차별태도. 보건과사회과학, 21, 25-49.

13.

신승배(2011). HIV 감염인 및 AIDS환자의 건강관련 삶의 질에 영향을 미치는 요인. 보건 사회연구,3(4), 424-453.

14.

이 철, 강문원, 김정진, 이창욱, 이수정, 백인호(2001).인간면역결핍바이러스(HIV) 양성 환자의 심리사회적 변인. 신경정신의학, 40(6), 1055-1061.

15.

이순희(1999). HIV/AIDS 환자의 삶의 질. 이화여자대학교 석사학위논문.

16.

이익섭, 김동기, 엄태영(2007). 만성질환을 앓고 있는 의료급여 수급자의 자아존중감이 삶의 질에 미치는 영향과 우울의 매개효과 검증. 한국사회복지조사연구, 17, 79-104.

17.

이지현(2005). HIV/AIDS 감염인 남성의 사회적응에 영향을 미치는 요인 연구. 이화여자대학교 석사학위논문.

18.

전겸구, 권기덕, 김상기(1999). 한국판 CES-D 개정 연구: Ⅰ. 사회과학연구, 6(1), 429-451.

19.

질병관리본부(2009). 에이즈 감염인 편견 및 차별해소를위한 미디어 캠페인 평가 보고서. 질병관리본부: 서울.

20.

질병관리본부(2012). 2012 HIV/AIDS 관리지침. 질병관리본부: 서울.

21.

차동필(2004). 에이즈 문제에 대한 관여도 차원별 인식의 차이와 낙관적 편견에 관한 연구. 홍보학연구, 8(1), 137-160.

22.

태영숙(1985). 암환자가 지각한 사회적 지지와 우울과의관계. 이화여자대학교 석사학위 논문.

23.

태영숙, 강은실, 이명화, 박금자(2001). 암환자가 지각한사회적지지, 희망과 삶의 질과의 관계. 재활간호학회지, 4(2), 219-231.

24.

Charles, B., Jeyaseelan, L., Pandian, A. K., Sam, A. E., Thenmozhi, M., & Jayaseelan, V. (2012). Association between stigma, depression and quality of life of people living with HIV/AIDS(PLHA) on South India- a community based cross sectional study. BMC Public Health, 12:463. 1-12. doi: 10.1186/1471-2458-12-463.

25.

Cobb, S.(1976). Social support as a moderation of life stress. Psychosomatic Medicine, 38(5), 621-627.

26.

Friedland, J., Renwick, R., & McColl, M. (1996). Coping and social support as determinants of quality of life in HIV/AIDS. AIDS Care. 8(1). 15-31.

27.

Lichtenstein, B., Laska, M. K., & Clair, J. M. (2002). Chronic sorrow in the HIV-positive patient: Issues of race, gender, and social support. AIDS patient care and Standards, 16(1), 27-38.

28.

Michael, L. C., Allyn, K. N., & Arthur, J. D. (2003). Self-reported health-related quality of life in persons with HIV infection; results from a multi-site interview project. Health and Quality of life Outcomes. 1(12). 1-6.

29.

Peirce, R. S., Frone, M. R., Russell, M., Cooper, M. L., & Mudar, P. (2000). A longitudinal model of social support, depression, and alcohol use. Health Psychology, 19(1), 28-38.

30.

Robert, H. (2008). Life expectancy of individuals on combination antiretroviral therapy in high-income countries; A collaborative analysis of 14 cohort studies. The Lancet. 372, 293-299.

31.

The United Nations Programme on HIV/AIDS: UNAIDS (2010). Global report: UNAIDS report on the global AIDS epidemic 2010.

32.

William, E. C., Stephen, C., Samuel, B., & Ron, D. H. (2005). The association of health-related quality of life with survival among persons with HIV infection in the United States. Journal of General International Medicine, 20(1), 1497-1525.

33.

Worawan, P., Joan, S. G., Erica, P., Norman, L. K., & James, L. R. (2009). Family relationships in people living with HIV in a city in the USA. AIDS Care 2009. 21(3) 384-388.

34.

World Health Organization(2002). Department of Mental Health and Substance Dependence. CH-1211 Geneva 27, Switzerland.

35.

Worthington, C., & Krentz, H. B. (2005). Socio-economic factor and health-related quality of life in adults living with HIV. International Journal of STD & AIDS, 16(9). 608-614.

The Korean Journal of Health Psychology