Discrimination in clinical settings and its relationship to depression and anger in women living with HIV

Objectives: To describe the frequency of feared discrimination in various social situations and of perceived discrimination in clinical settings, as well as to study the relationship between discrimination and depression and anger in women living with human immunodeiciency virus (HIV). Material and...

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Autores principales: Moral de la Rubia, José, Segovia Chávez, María Petra
Formato: Artículo
Lenguaje:inglés
Publicado: UANL. Facultad de Medicina 2014
Materias:
Acceso en línea:http://eprints.uanl.mx/11318/1/X166557961428363X_S300_en.pdf
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author Moral de la Rubia, José
Segovia Chávez, María Petra
author_facet Moral de la Rubia, José
Segovia Chávez, María Petra
author_sort Moral de la Rubia, José
collection Repositorio Institucional
description Objectives: To describe the frequency of feared discrimination in various social situations and of perceived discrimination in clinical settings, as well as to study the relationship between discrimination and depression and anger in women living with human immunodeiciency virus (HIV). Material and methods: The scale of Feared and Perceived Discrimination for Women with HIV (DTP-40-MV), the Beck Depression Inventory (BDI-2), and the Anger Expression scale of State-Trait-anger expression inventory (STaXi-2-aX/eX) were applied to a random sample of 200 women living with HIV. Results: These women feared being discriminated against, perceived discrimination upon the review of medical records, but perceived little discrimination in clinical care. a model with good adjustment to the data showed that the fear of being discriminated against creates a disposition toward perception of discrimination in the clinical settings (latent variable with 2 indicators: review of the medical records and clinical care) and increases cognitive/affective depressive symptoms; higher anger control decreases the anger manifestation; greater discrimination perceived in the clinical settings decreases anger control, which facilitates the expression of anger and slows cognitive/affective depressive symptoms; and these latter symptoms sensitize the perception of discrimination before the clinical records. Conclusion: Feared discrimination is a clinically relevant aspect due to its frequency and effect on depressive symptoms and perception of discrimination before the review of medical records.
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spelling eprints-113182016-09-27T20:21:12Z http://eprints.uanl.mx/11318/ Discrimination in clinical settings and its relationship to depression and anger in women living with HIV Moral de la Rubia, José Segovia Chávez, María Petra R Medicina en General Objectives: To describe the frequency of feared discrimination in various social situations and of perceived discrimination in clinical settings, as well as to study the relationship between discrimination and depression and anger in women living with human immunodeiciency virus (HIV). Material and methods: The scale of Feared and Perceived Discrimination for Women with HIV (DTP-40-MV), the Beck Depression Inventory (BDI-2), and the Anger Expression scale of State-Trait-anger expression inventory (STaXi-2-aX/eX) were applied to a random sample of 200 women living with HIV. Results: These women feared being discriminated against, perceived discrimination upon the review of medical records, but perceived little discrimination in clinical care. a model with good adjustment to the data showed that the fear of being discriminated against creates a disposition toward perception of discrimination in the clinical settings (latent variable with 2 indicators: review of the medical records and clinical care) and increases cognitive/affective depressive symptoms; higher anger control decreases the anger manifestation; greater discrimination perceived in the clinical settings decreases anger control, which facilitates the expression of anger and slows cognitive/affective depressive symptoms; and these latter symptoms sensitize the perception of discrimination before the clinical records. Conclusion: Feared discrimination is a clinically relevant aspect due to its frequency and effect on depressive symptoms and perception of discrimination before the review of medical records. UANL. Facultad de Medicina 2014 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/11318/1/X166557961428363X_S300_en.pdf http://eprints.uanl.mx/11318/1.haspreviewThumbnailVersion/X166557961428363X_S300_en.pdf Moral de la Rubia, José y Segovia Chávez, María Petra (2014) Discrimination in clinical settings and its relationship to depression and anger in women living with HIV. Medicina universitaria, 16 (62). pp. 2-8. ISSN 1665-5796
spellingShingle R Medicina en General
Moral de la Rubia, José
Segovia Chávez, María Petra
Discrimination in clinical settings and its relationship to depression and anger in women living with HIV
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Discrimination in clinical settings and its relationship to depression and anger in women living with HIV
title_full Discrimination in clinical settings and its relationship to depression and anger in women living with HIV
title_fullStr Discrimination in clinical settings and its relationship to depression and anger in women living with HIV
title_full_unstemmed Discrimination in clinical settings and its relationship to depression and anger in women living with HIV
title_short Discrimination in clinical settings and its relationship to depression and anger in women living with HIV
title_sort discrimination in clinical settings and its relationship to depression and anger in women living with hiv
topic R Medicina en General
url http://eprints.uanl.mx/11318/1/X166557961428363X_S300_en.pdf
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