fa بررسی تاثیرسلامت روان ، مکانیزم های سازگاری و استیگما بر رفتارهای پرخطر در بیمارانHIV مثبت در ایران – یک مطالعه مقطعی روانشناسی بالینی Clinical Psychiatry پژوهشي Research <p dir="RTL" style="margin: 0cm 0cm 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl; -ms-text-justify: kashida; text-kashida: 0%; tab-stops: 10.5pt;"><font color="#000000"><b><span lang="AR-SA" style="font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">زمینه و هدف</span></b><span lang="AR-SA" style="font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">: </span></font><span lang="FA" style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;">متاسفانه طی سال‌های گذشته، سرعت و شتاب ابتلا به ایدز در ایران بخصوص از طریق روابط جنسی پرخطر بسیار بالا گزارش می‌شود. در این مطالعه به بررسی تاثیر استیگما، سلامت روان و مکانیزم‌های سازگاری بررفتارهای پرخطر بیماران </span><span dir="LTR" style="color: black; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;B Mitra&quot;;">HIV</span><span style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;"> <span lang="FA">مثبت پرداخته شد.</span></span></p> <p dir="RTL" style="margin: 0cm 0cm 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl; -ms-text-justify: kashida; text-kashida: 0%; tab-stops: 10.5pt;"><font color="#000000"><b><span lang="AR-SA" style="font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">روش کار</span></b><span lang="FA" style="font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA;">: </span></font><span lang="FA" style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;">پژوهش حاضر یک مطالعه مقطعی است. با استفاده از روش نمونه‌گیری در دسترس ۴۵۰ بیمار </span><span dir="LTR" style="color: black; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;B Mitra&quot;;">HIV</span><span style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;"> <span lang="FA">مثبت از درمانگاه عفونی و بیماری‌های رفتاری بیمارستان امام خمینی تهران وارد مطالعه شدند. ابزار جمع آوری اطلاعات شامل پرسشنامه‌های خصوصیات دموگرافیک، مقیاس استیگما برگر (</span></span><span dir="LTR" style="color: black; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;B Mitra&quot;;">Berger Scale Stigma</span><span lang="FA" style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;">)، سلامت عمومی (</span><span dir="LTR" style="color: black; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;B Mitra&quot;;">General Health-28 Questionnaire</span><span lang="FA" style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;">)، پرسشنامه راهبردهای مقابله ای لازاروس (</span><span dir="LTR" style="color: black; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;B Mitra&quot;;">WOCQ</span><span lang="FA" style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;">) است. جهت تحلیل داده‌ها از آزمون </span><span dir="LTR" style="color: black; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;B Mitra&quot;;">t-test</span><span style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;"> <span lang="FA">دو گروه مستقل، تحلیل واریانس یک طرفه </span></span><span dir="LTR" style="color: black; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;B Mitra&quot;;">Anova</span><span style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;"> <span lang="FA">و رگرسیون استفاده شد.</span></span></p> <p dir="RTL" style="margin: 0cm 0cm 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl; -ms-text-justify: kashida; text-kashida: 0%;"><font color="#000000"><b><span lang="FA" style="font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA;">یافته‌ها</span></b><span lang="FA" style="font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA;">: </span></font><span lang="FA" style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;">سلامت روان، استیگما و مکانیزم سازگاری مسله مدار با رفتارهای پرخطر ارتباط دارد (۰۵/۰></span><span dir="LTR" style="color: black; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;B Mitra&quot;;">p</span><span lang="FA" style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;">) و میزان استیگما در زنان بیشتر و سلامت روان در این گروه در مقایسه با گروه مردان کمتر است.</span></p> <p dir="RTL" style="margin: 0cm 0cm 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl; -ms-text-justify: kashida; text-kashida: 0%;"><b><span lang="FA" style="font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA;"><font color="#000000">نتیجه‌گیری</font></span></b><span lang="FA" style="font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA;"><font color="#000000">: ب</font></span><span lang="FA" style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;">ا توجه به نتایج بدست آمده از مطالعه، ارتقای سلامت روان در این گروه بیماران منجر به کاهش رفتارهای پرخطر و بالطبع منجر به کاهش شیوع بیماری از طریق رفتارهای پرخطر در کشور می‌شود؛ بنابراین مداخلات روانشناختی می‌تواند در بهبود سلامت روان و کاهش رفتارهای پرخطر موثر باشد و می‌بایستی در بیماران </span><span dir="LTR" style="color: black; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;B Mitra&quot;;">HIV</span><span style="color: black; font-family: &quot;B Mitra&quot;; font-size: 10pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-language: FA; mso-fareast-font-family: &quot;Times New Roman&quot;;"> <span lang="FA">مورد توجه قرار گیرد.</span></span></p> <p style="margin: 0cm 0cm 0pt; text-align: justify; line-height: normal; -ms-text-justify: kashida; text-kashida: 0%;"><font color="#000000"><b><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-language: FA;">Background</span></b><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-language: FA;">: Unfortunately, during the past years an increase in HIV infection is reported, especially through high-risk sexual relations. In this study, the effect of stigma, mental health and coping mechanisms on risky behaviors in HIV-positive patients were examined.</span></font></p> <p style="margin: 0cm 0cm 0pt; text-align: justify; line-height: normal; -ms-text-justify: kashida; text-kashida: 0%;"><font color="#000000"><b><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-language: FA;">Methods</span></b><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-language: FA;">: This study is a cross-sectional study. Using convienient sampling method 450 HIV-positive patients were enrolled from Behavioral and Infectious Disease Clinic in Imam Khomeini Hospital in Tehran. The data were collected using demographic questionnaire, Berger Scale Stigma, General Health-28 Questionnaire, and Lazarus coping strategies questionnaire (WOCQ). The data were analyzed using independent t-test, ANOVA and regression.</span></font></p> <p style="margin: 0cm 0cm 0pt; text-align: justify; line-height: normal; -ms-text-justify: kashida; text-kashida: 0%;"><font color="#000000"><b><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-language: FA;">Results</span></b><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-language: FA;">: Mental health, stigma and coping mechanisms of problem solving were associated with risky behaviors (p<0.05) and rate of stigma was more in women and mental health lower in this group compared with men.</span></font></p> <p style="margin: 0cm 0cm 0pt; text-align: justify; line-height: normal; -ms-text-justify: kashida; text-kashida: 0%;"><font color="#000000"><b><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-language: FA;">Conclusion</span></b><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-language: FA;">: Psychological interventions may be effective in improving mental health and reducing risk behaviors.</span></font></p> <p style="margin: 0cm 0cm 0pt; text-align: justify; line-height: normal; -ms-text-justify: kashida; text-kashida: 0%;"><b><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-language: FA;"><font color="#000000">&nbsp;</font></span></b></p> کلید کلیدی: استیگمای , سلامت روان , مکانیزم های سازگاری , رفتارهای پرخطر, HIV/AIDS Key words: Social Stigma, Mental Health, Coping skills, Risk Behavior, HIV/AIDS 83 93 http://rjms.iums.ac.ir/browse.php?a_code=A-10-3410-1&slc_lang=fa&sid=1 mehrnaz Rasoolinajad مهرناز رسولی نژاد mehrrasool@gmail.com 3900319475328460037546 3900319475328460037546 No Tehran University of Medical Science, Tehran, Iran. ، مجتمع بیمارستانی امام خمینی، دانشگاه علوم پزشکی تهران، تهران، nasrin abedinia نسرین عابدی نیا nasrin.abedinia@gmail.com 3900319475328460037545 3900319475328460037545 Yes Tehran University of Medical Science & Maternal Neonatal & Fetal Health Research Center, Vali Asr Hospital, Imam Khomeini Hospital Complex, Tehran University of Medical Science, Tehran, Iran مجتمع بیمارستانی امام خمینی، دانشگاه علوم پزشکی تهران و مرکز تحقیقات مادر جنین و نوزاد مجتمع بیمارستانی امام خمینی بیمارستان ولی عصر (عج)، دانشگاه علوم پزشکی تهران، تهران، ایران Ahmad Ali Noorbala احمد علی نوربالا aanoorbala@yahoo.com 3900319475328460037547 3900319475328460037547 No Tehran University of Medical Science, Tehran, Iran دانشگاه علوم پزشکی تهران، تهران، ایران. Minoo Mohraz مینو محرز minoomohraz@gmail.com 3900319475328460037548 3900319475328460037548 No Tehran University of Medical Science, Tehran, Iran مرکز تحقیقات ایدز ایران، مجتمع بیمارستانی امام خمینی، دانشگاه علوم پزشکی تهران، تهران، ایران. Banefsheh Moradmand بنفشه مرادمند بدیع bmorad@yahoo.com 3900319475328460037549 3900319475328460037549 No , Discipline of Public Health, School of Health Sciences, Faculty of Medicine, Nursing and Health Sciences, Flinders University, South Australia. دانشکده پزشکی پرستاری و علوم بهداشتی، دانشگاه فلیندرز، استرالیای جنوبی.