Cited by 34Resilience and Mental HealthHIV/AIDS Research and InterventionsOptimism, Hope, and Well-being

Close relationships, individual resilience resources, and well-being among people living with HIV/AIDS in rural China

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Huang, Jiasheng, Zhang, Jianxin, Yu, Nancy Xiaonan·2018·AIDS Care

Abstract

The systems framework of resilience has suggested that resilient factors external to or within the individual and their interactions can contribute to positive adjustment in at-risk populations. However, the interplays of resilience resources at different levels have seldom been investigated in health psychology, particularly in people living with HIV/AIDS (PLWHA). This study aimed to examine the mediating role of individual resilience resources in the associations between marital and family relationships and well-being in PLWHA. A sample of 160 Chinese PLWHA were interviewed to complete measures on marital relationship, family relationship, individual resilience resources, and general, physical, and mental well-being. Results showed that better marital relationship and family relationship were associated with higher levels of individual resilience resources and well-being indicators. Mediation analysis with path analysis showed significant mediating effects of individual resilience resources between marital and family relationships and general, physical, and mental well-being. By highlighting marital and family relationships as external resources of resilience and their roles in increasing individual resilience factors which thereby contribute to the well-being of PLWHA, our findings support the systems framework of resilience. There are implications for resilience enhancement interventions with the aim of improving PLWHA's well-being by including interpersonal strategies of strengthening the protective role of marital and family relationships, which will in turn facilitate the resilience process.

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Research works printed but not linked: 55

  1. Aron, A., & Mclaughlin-Volpe, T. (2001). Including others in the self. In Constantine Sedikides, & Marilynn B. Brewer (Eds.), Individual self, relational self, collective self (pp. 125–152). New York, NY: Psychology Press.
  2. Bonanno, G. A., & Diminich, E. D. (2013). Annual research review: Positive adjustment to adversity -trajectories of minimal-impact resilience and emergent resilience. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 54, 378–401. doi: 10.1111/jcpp.12021 · DOI
  3. Bonell, C., Humphrey, N., Fletcher, A., Moore, L., Anderson, R., & Campbell, R. (2014). Why schools should promote students’ health and wellbeing. BMJ, 348, g3078. doi: 10.1136/bmj.g3078 · DOI · Paper page
  4. Bornstein, M. H., Hahn, C.-S., & Haynes, O. M. (2010). Social competence, externalizing, and internalizing behavioral adjustment from early childhood through early adolescence: Developmental cascades. Development and Psychopathology, 22, 717–735. doi: 10.1017/S0954579410000416 · DOI
  5. Bradbury, T. N., Fincham, F. D., & Beach, S. R. (2000). Research on the nature and determinants of marital satisfaction: A decade in review. Journal of Marriage and Family, 62, 964–980. doi: 10.1111/j.1741-3737.2000.00964.x · DOI
  6. Cao, X., Sullivan, S. G., Xu, J., & Wu, Z. (2006). Understanding HIV–related stigma and discrimination in a “blameless” population. AIDS Education and Prevention, 18, 518–528. doi: 10.1521/aeap.2006.18.6.518 · DOI
  7. Coates, T. J., Richter, L., & Caceres, C. (2008). Behavioural strategies to reduce HIV transmission: How to make them work better. The Lancet, 372, 669–684. doi: 10.1016/S0140-6736(08)60886-7 · DOI
  8. Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18, 76–82. doi: 10.1002/da.10113 · DOI · Paper page
  9. Connor, K. M., Davidson, J. R., & Lee, L.-C. (2003). Spirituality, resilience, and anger in survivors of violent trauma: A community survey. Journal of Traumatic Stress, 16, 487–494. doi: 10.1023/A:1025762512279 · DOI
  10. Dou, Z., Chen, R. Y., Wang, Z., Ji, G., Peng, G., Qiao, X., … Zhang, F. (2010). HIV-Infected former plasma donors in rural central China: From infection to survival outcomes, 1985–2008. PLOS ONE, 5, e13737. doi: 10.1371/journal.pone.0013737 · DOI
  11. Earnshaw, V. A., Lang, S. M., Lippitt, M., Jin, H., & Chaudoir, S. R. (2015). HIV stigma and physical health symptoms: Do social support, adaptive coping, and/or identity centrality act as resilience resources? AIDS and Behavior, 19, 41–49. doi: 10.1007/s10461-014-0758-3 · DOI
  12. Emlet, C. A. (2006). An examination of the social networks and social isolation in older and younger adults living with HIV/AIDS. Health & Social Work, 31, 299–308. doi: 10.1093/hsw/31.4.299 · DOI
  13. Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, 399–419. doi: 10.1146/annurev.publhealth.26.021304.144357 · DOI
  14. Fisher, L., & Weihs, K. L. (2000). Can addressing family relationships improve outcomes in chronic disease? Journal of Family Practice, 49, 561–561.
  15. Fok, C. C. T., Allen, J., Henry, D., & Team, P. A. (2014). The brief family relationship scale: A brief measure of the relationship dimension in family functioning. Assessment, 21, 67–72. doi: 10.1177/1073191111425856 · DOI
  16. Hau, K. T., & Marsh, H. W. (2004). The use of item parcels in structural equation modelling: Non-normal data and small sample sizes. British Journal of Mathematical and Statistical Psychology, 57, 327–351. doi: 10.1111/j.2044-8317.2004.tb00142.x · DOI · Paper page
  17. Heckman, J. J. (2006). Skill formation and the economics of investing in disadvantaged children. Science, 312, 1900–1902. doi: 10.1126/science.1128898 · DOI · Paper page
  18. Hoppmann, C., & Gerstorf, D. (2009). Spousal interrelations in old age–a mini-review. Gerontology, 55, 449–459. doi: 10.1159/000211948 · DOI
  19. Jin, H., Hampton Atkinson, J., Yu, X., Heaton, R. K., Shi, C., Marcotte, T. P., … Grant, I. (2006). Depression and suicidality in HIV/AIDS in China. Journal of Affective Disorders, 94, 269–275. doi: 10.1016/j.jad.2006.04.013 · DOI
  20. Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127, 472. doi: 10.1037/0033-2909.127.4.472 · DOI · Paper page
  21. Ku, P.-W., McKenna, J., & Fox, K. R. (2007). Dimensions of subjective well-being and effects of physical activity in Chinese older adults. Journal of Aging and Physical Activity, 15, 382–397. doi: 10.1123/japa.15.4.382 · DOI
  22. Lau, J., Yu, X., Mak, W., Cheng, Y., Lv, Y., & Zhang, J. (2010). Suicidal ideation among HIV+ former blood and/or plasma donors in rural China. AIDS Care, 22, 946–954. doi: 10.1080/09540120903511016 · DOI
  23. Li, L., Wu, Z., Wu, S., Jia, M., Lieber, E., & Lu, Y. (2008). Impacts of HIV/AIDS stigma on family identity and interactions in China. Families, Systems, & Health, 26, 431–442. doi: 10.1037/1091-7527.26.4.431 · DOI
  24. Li, L., Wu, S., Wu, Z., Sun, S., Cui, H., & Jia, M. (2006). Understanding family support for people living with HIV/AIDS in Yunnan, China. AIDS and Behavior, 10, 509–517. doi: 10.1007/s10461-006-9071-0 · DOI
  25. Li, H. Z., Zhang, Z., Bhatt, G., & Yum, Y.-O. (2006). Rethinking culture and self-construal: China as a middle land. The Journal of Social Psychology, 146, 591–610. doi: 10.3200/SOCP.146.5.591-610 · DOI
  26. Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562. doi: 10.1111/1467-8624.00164 · DOI · Paper page
  27. Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224–253. doi: 10.1037/0033-295X.98.2.224 · DOI · Paper page
  28. Masten, A. S. (2011). Resilience in children threatened by extreme adversity: Frameworks for research, practice, and translational synergy. Development and Psychopathology, 23, 493–506. doi: 10.1017/S0954579411000198 · DOI · Paper page
  29. Masten, A. S. (2016). Resilience in developing systems: The promise of integrated approaches. European Journal of Developmental Psychology, 13, 297–312. doi: 10.1080/17405629.2016.1147344 · DOI
  30. Masten, A. S., & Shaffer, A. (2006). How families matter in child development: Reflections from research on risk and resilience. In Families count: Effects on child and adolescent development (pp. 5–25). New York, NY: Cambridge University Press.
  31. McDowell, T. L., & Serovich, J. (2007). The effect of perceived and actual social support on the mental health of HIV-positive persons. AIDS Care, 19, 1223–1229. doi: 10.1080/09540120701402830 · DOI
  32. Mugavero, M. J., Norton, W. E., & Saag, M. S. (2011). Health care system and policy factors influencing engagement in HIV medical care: Piecing together the fragments of a fractured health care delivery system. Clinical Infectious Diseases, 52, S238–S246. doi: 10.1093/cid/ciq048 · DOI
  33. NCAIDS, NCSTD, & China CDC. (2018). Update on the AIDS/STD epidemic in China in the first quarter of 2018. Chinese Journal of AIDS/STD, 24, 431.
  34. Orbuch, T. L., Parry, C., Chesler, M., Fritz, J., & Repetto, P. (2005). Parent-child relationships and quality of life: Resilience among childhood cancer survivors. Family Relations, 54, 171–183. doi: 10.1111/j.0197-6664.2005.00014.x · DOI
  35. Parveen, S., & Morrison, V. (2009). Predictors of familism in the caregiver role: A pilot study. Journal of Health Psychology, 14, 1135–1143. doi: 10.1177/1359105309343020 · DOI
  36. Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from operations enduring freedom and Iraqi freedom. Depression and Anxiety, 26, 745–751. doi: 10.1002/da.20558 · DOI
  37. Pruchno, R., Wilson-Genderson, M., & Cartwright, F. P. (2009). Depressive symptoms and marital satisfaction in the context of chronic disease: A longitudinal dyadic analysis. Journal of Family Psychology, 23, 573. doi: 10.1037/a0015878 · DOI
  38. Robles, T. F., Slatcher, R. B., Trombello, J. M., & McGinn, M. M. (2014). Marital quality and health: A meta-analytic review. Psychological Bulletin, 140, 140. doi: 10.1037/a0031859 · DOI
  39. Rogosch, F. A., Oshri, A., & Cicchetti, D. (2010). From child maltreatment to adolescent cannabis abuse and dependence: A developmental cascade model. Development and Psychopathology, 22, 883–897. doi: 10.1017/S0954579410000520 · DOI · Paper page
  40. Rohrbaugh, M. J., Shoham, V., & Coyne, J. C. (2006). Effect of marital quality on eight-year survival of patients with heart failure. The American Journal of Cardiology, 98, 1069–1072. doi: 10.1016/j.amjcard.2006.05.034 · DOI
  41. Rosland, A.-M., & Piette, J. D. (2010). Emerging models for mobilizing family support for chronic disease management: A structured review. Chronic Illness, 6, 7–21. doi: 10.1177/1742395309352254 · DOI
  42. Rottmann, N., Hansen, D. G. A., Larsen, P. V., Nicolaisen, A., Flyger, H., Johansen, C., & Hagedoorn, M. (2015). Dyadic coping within couples dealing with breast cancer: A longitudinal, population-based study. Health Psychology, 34, 486–495. doi: 10.1037/hea0000218 · DOI
  43. Shah, R., & Waller, G. (2000). Parental style and vulnerability to depression: The role of core beliefs. The Journal of Nervous and Mental Disease, 188, 19–25. doi: 10.1097/00005053-200001000-00004 · DOI
  44. SwannJr, W. B., Chang-Schneider, C., & McClarty, K. (2007). Do people’s self-views matter? Self-concept and self-esteem in everyday life. American Psychologist, 62, 84–94. doi: 10.1037/0003-066X.62.2.84 · DOI · Paper page
  45. Uchino, B. N. (2009). Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of perceived and received support. Perspectives on Psychological Science, 4, 236–255. doi: 10.1111/j.1745-6924.2009.01122.x · DOI · Paper page
  46. Ware, N. C., Wyatt, M. A., & Tugenberg, T. (2006). Social relationships, stigma and adherence to antiretroviral therapy for HIV/AIDS. AIDS Care, 18, 904–910. doi: 10.1080/09540120500330554 · DOI
  47. Wu, Z., Liu, Z., & Detels, R. (1995). HIV-1 infection in commercial plasma donors in China. The Lancet, 346, 61–62. doi: 10.1016/S0140-6736(95)92698-4 · DOI
  48. Yates, T. M., & Masten, A. S. (2004). Fostering the future: Resilience theory and the practice of positive psychology. In P. Alex Linley, & Stephen Joseph (Eds.), Positive psychology in practice (pp. 521–539). New Jersey: John Wiley & Sons.
  49. Yeji, F., Klipstein-Grobusch, K., Newell, M. L., Hirschhorn, L. R., Hosegood, V., & Bärnighausen, T. (2014). Are social support and HIV coping strategies associated with lower depression in adults on antiretroviral treatment? Evidence from rural KwaZulu-Natal, South Africa. AIDS Care, 26, 1482–1489. doi: 10.1080/09540121.2014.931561 · DOI
  50. Yu, N. X., Chen, L., Ye, Z., Li, X., & Lin, D. (2016). Impacts of making sense of adversity on depression, posttraumatic stress disorder, and posttraumatic growth among a sample of mainly newly diagnosed HIV-positive Chinese young homosexual men: The mediating role of resilience. AIDS Care, 29, 79–85. doi: 10.1080/09540121.2016.1210073 · DOI
  51. Yu, N. X., Lau, J., Mak, W., Cheng, Y., Lv, Y., & Zhang, J. (2009). Risk and protective factors in association with mental health problems among people living with HIV who were former plasma/blood donors in rural China. AIDS Care, 21, 645–654. doi: 10.1080/09540120802459770 · DOI
  52. Yu, N. X., Lau, J. T., Mak, W. W., Cheng, Y., Lv, Y., & Zhang, J. (2014). A pilot theory–based intervention to improve resilience, psychosocial well-being, and quality of life among people living with HIV in rural China. Journal of Sex & Marital Therapy, 40, 1–16. doi: 10.1080/0092623X.2012.668512 · DOI
  53. Yu, N. X., & Zhang, J. (2007). Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale (CD-RISC) with Chinese people. Social Behavior and Personality: An International Journal, 35, 19–30. doi: 10.2224/sbp.2007.35.1.19 · DOI
  54. Yu, N. X., Zhang, J., & Chan, C. L. (2016). Health care neglect, perceived discrimination, and dignity-related distress among Chinese patients with HIV. AIDS Education and Prevention, 28, 90–102. doi: 10.1521/aeap.2016.28.1.90 · DOI
  55. Yu, N. X., Zhang, J., Chow, A. Y., Chan, C. H., & Chan, C. L. (2016). Fate control and well-being in Chinese rural people living with HIV: Mediation effect of resilience. AIDS Care, 29, 86–90. doi: 10.1080/09540121.2016.1198749 · DOI

Cited by

Sorted by citations

Authors
Huang, J., Zhang, J., & Yu, N. X.
Affiliations
  • City University of Hong Kong (HK)
  • Chinese Academy of Sciences (CN)
Corresponding author
Yu, Nancy Xiaonan
Venue
AIDS Care
Published
2018-08-23
Volume
30
Issue
sup5
Pages
S49-S57
ISSN
  • 0954-0121 (ISSN-L)
  • 1360-0451
OpenAlex
W2910879008
Cited by
34
References
6
Citations by year
2026: 3 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 1
FWCI
3.23
Type
journal article
Language
en
Open access
Locations
  • AIDS Care (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • CityU Scholars (submittedVersion, cc-by-nc-nd)
  • Institutional Repository of Institute of Psychology, Chinese Academy of Sciences (Institute of Psychology, Chinese Academy of Sciences) (submittedVersion)
Funders
Research Grants Council of the Hong Kong Special Administrative Region, China (CityU 11600617)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Keywords
people living with HIV, resilience resources, marital relationships, family relationships, well-being, mediation, rural China, interpersonal support
MeSH terms
Adult, China, Family Relations, Female, Humans, Interpersonal Relations, Male, Mental Health, Rural Population, HIV Infections, Resilience, Psychological

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