P-165 Association between emotional reactivity and internalized Stigma among People Living with HIV
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Résumé
<h3>Background</h3> Empathy is an important component of social cognition. It allows one to understand and adapt to the emotions of others and to enact prosocial behaviours. People living with HIV (PLWH) would tend to limit social relationships because of their illness, and that could be one of the causes of mood disorders and decline in quality of life. Social avoidance would arise from HIV-related internalized stigma. This type of stigma refers to how PLWH perceives the degree of acceptance by society and how they identify with negative perceptions due to them HIV. The objective of the following study was to assess an association between the ability to feel empathy and the degree of internalized stigma in our patients. <h3>Material and Methods</h3> This study assessed empathy in a sample of 70 PLWH with the use of the Interpersonal Reactivity Index (IRI). IRI consists of four subscales: Perspective Taking (PT); Fantasy (F); Empathic Concern (EC); Personal Distress (PD). Cognitive domains were screened through the Montreal Cognitive Assessment (MoCA). Stigma was assessed through the 12-item HIV Stigma Scale (HSS-12). Exclusion criteria were age <18 years and difficulties with the Italian language. <h3>Results</h3> Many of PLWH were male (91.4%, n=64), aged 46 to 55 (37.1%, n=26), with upper secondary school degree (58.6%, n=41). Most of the PLWH (68.6%, n=48) were >10 years ago diagnosed with HIV and 55.7% (n=39) of them received >10 years ago for the first time ART. The mean obtained in MoCA is 26.51 (SD 2.90). Women living with HIV (WLWH) had higher scores in PT and EC subscales (p=0.004; p=<0.001, respectively). PLWH in therapy for less time reported higher scores in PT subscale (p=<0.001). PLWH in therapy for the longest time reported higher scores in F subscale (p=0.030). PLWH with higher stigma scale scores had higher scores in PD and PT subscales (p=0.001; p=0.002, respectively). A high score in PD subscale was positively associated with high MOCA score (β 0.11; 95% CI 0.01/0.20; p=0.028). There was a positive correlation between MIST and PD subscale (r=.326; p=0.006). <h3>Conclusions</h3> Our results showed that WLWH more likely than Men living with HIV (MLWH) to report feeling empathy for those suffering. Patients on therapy for less time would tend to put themselves in the shoes of others, and those in therapy for the longest time have a richer imaginative world. High internalized stigma was associated with the ability to put oneself in others’ psychological point of view and personal distress. Cognitive resources were associated with the use of coping strategies in personal distress. Combating stigma turns out to be crucial in enabling PLWH to create a social network that contributes to the management of their health status. Therefore, for the clinical assessment it would be important to assess the degree of emotional reactivity and internalized stigma to provide PLWH with appropriate coping strategies for optimal adherence to the treatment course.
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| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
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