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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 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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Metadata
- 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
- 64
- 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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