ObjectiveThis study examines the relationships between HIV stigma dimensions, self‐related mechanisms, and depressive symptoms among persons living with HIV.BackgroundHIV stigma hinders the well‐being of individuals living with HIV, which is linked to depressive symptoms and increased risk of poor clinical outcomes. However, the mechanisms underlying stigma's impact on depression are poorly understood. Psychosocial theories propose that experiencing HIV stigma leads to internalized stigma, impacting self‐concept and mental health.MethodUsing Bayesian network analysis, we explored associations among HIV stigma processes (experienced, anticipated, internalized, perceived community stigma, and HIV status disclosure) and self‐related mechanisms (self‐esteem, fear of negative evaluation [FNE], self‐blame coping, and social exclusion), and depressive symptoms.ResultsOur diverse sample of 204 individuals, primarily men, gay/bisexual, Black, and lower‐middle SES, who experienced stigma showed increased anticipated, internalized, and perceived community stigma, FNE, and depressive symptoms. Internalized stigma contributed to self‐blame coping and higher depressive symptoms. Anticipated and perceived community stigma and FNE correlated with increased social exclusion.DiscussionThis study investigates potential mechanisms through which HIV stigma may impact depression. Identifying these mechanisms establishes a foundation for future research to inform targeted interventions, enhancing mental health and HIV outcomes among individuals living with HIV, especially from minority backgrounds. Insights gained guide evidence‐based interventions to mitigate HIV stigma's detrimental effects, ultimately improving overall well‐being and health‐related outcomes for people with HIV.

中文翻译：

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贝叶斯网络分析研究艾滋病毒耻辱过程对艾滋病毒感染者自我概念和抑郁症状的影响

目的本研究探讨了艾滋病毒感染者的艾滋病毒耻辱维度、自我相关机制和抑郁症状之间的关系。背景艾滋病毒耻辱阻碍了艾滋病毒感染者的福祉，这与抑郁症状和不良临床结果风险增加有关。 。然而，人们对耻辱对抑郁症影响的机制知之甚少。心理社会理论认为，经历艾滋病毒耻辱会导致内化耻辱，影响自我概念和心理健康。方法使用贝叶斯网络分析，我们探讨了艾滋病毒耻辱过程（经历的、预期的、内化的、感知的社区耻辱和艾滋病毒状况披露）和自我之间的关联。 ‐相关机制（自尊、对负面评价的恐惧 [FNE]、自责应对和社会排斥）和抑郁症状。结果我们的 204 名个体的多样化样本，主要是男性、同性恋/双性恋、黑人和中低阶层经历过耻辱的 SES 表现出更多的预期、内化和感知的社区耻辱、FNE 和抑郁症状。内在的耻辱导致了自责应对和更高的抑郁症状。预期和感知的社区耻辱以及 FNE 与社会排斥的增加相关。讨论本研究调查了艾滋病毒耻辱可能影响抑郁症的潜在机制。确定这些机制为未来的研究奠定了基础，以便为有针对性的干预措施提供信息，从而改善艾滋病毒感染者（尤其是少数族裔背景）的心理健康和艾滋病毒结果。获得的见解指导基于证据的干预措施，以减轻艾滋病毒耻辱的有害影响，最终改善艾滋病毒感染者的整体福祉和健康相关结果。