The role of illness, resources, appraisal, and coping strategies in adjustment to HIV/AIDS: the direct and buffering effects
Abstract
This study examined the utility of a stress and coping model of adjustment to HIV/AIDS. A total of 114 HIV-infected gay or bisexual men were interviewed and they completed self-administered scales. Predictors included illness variables (disease stage and number of symptoms), coping resources (optimism and social support), appraisal (threat, challenge, and controllability), and coping strategies (problem- and emotion-focused). Adjustment outcomes were depression, global distress, social adjustment, and subjective health status. Results from hierarchical regression analyses indicated that better adjustment was related to an asymptomatic illness stage, fewer HIV-related symptoms, greater social support, challenge and controllability appraisals, problem-focused coping, and lower threat appraisals and reliance on emotion-focused coping. There was limited support for the stress-buffering effects of optimism. Findings support the utility of a stress and coping model of adjustment to HIV/AIDS.
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The psychological and behavioral responses of these individuals may relate to differences in the appraisal and interpretation of major concerns such as losing control of the situation, contracting SARS in public, and effects on the wellbeing of family members.
“The psychological and behavioral responses of these individuals may relate to differences in the appraisal and interpretation of major concerns such as a sense of losing control of the situation, contracting SARS in public, as well as its effects on the wellbeing of family members (Table 4) [38], [39].”
From Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease (2010) · cites this paper as [39]
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“Furthermore, research in the 1990s and 2000s demonstrated the importance of coping style as a resilience factor during the HIV pandemic (Pakenham & Rinaldis, 2001).”
Background
- Authors
- Pakenham, K. I., & Rinaldis, M.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Pakenham, Kenneth I.
- ORCID
- Pakenham, Kenneth I.
- Venue
- Journal of Behavioral Medicine
- Published
- 2001-06
- Volume
- 24
- Issue
- 3
- Pages
- 259-279
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W1600318559
- Cited by
- 211
- References
- 70
- Citations by year
- 2024: 5 · 2023: 3 · 2022: 4 · 2021: 1 · 2020: 4 · 2018: 3 · 2017: 39 · 2016: 6 · 2015: 6 · 2014: 7 · 2013: 11 · 2012: 13
- FWCI
- 19.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- HIV/AIDS, adaptation to illness, stress and coping model, gay and bisexual men, illness appraisal, coping strategies, social support, optimism, depression, social adaptation, self-rated health, disease stage, HIV symptoms, threat appraisal, challenge appraisal, controllability
- MeSH terms
- Acquired Immunodeficiency Syndrome, Adaptation, Psychological, Depression, Health Status, HIV Seropositivity, Humans, Male, Sick Role, Social Adjustment
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