Close relationships, individual resilience resources, and well-being among people living with HIV/AIDS in rural China
Open accessAbstract
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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Huang et al. (2018) reported that individual resilience resources were weakly associated with fewer mentally unhealthy days (β = -0.23, p < 0.05).
“Meanwhile, individual resilience resources were weakly associated with fewer mental unhealthy days ( β = -0.23, p < 0.05) (Huang et al., 2018).”
From Resilience resources for mental health among people living with HIV: a mixed-method systematic review (2024) · cites this paper as Huang et al., 2018
Huang et al. (2018) reported that marital relationship (β = 0.35, p < 0.01) and family relationship (β = 0.27, p < 0.01) were moderately and weakly associated with higher levels of individual resilience resources, respectively.
“Marital relationship ( β = 0.35 , p < 0.01) and family relationship ( β = 0.27 , p < 0.01) were moderately and weakly associated with higher levels of individual resilience resources, respectively (Huang et al., 2018).”
From Resilience resources for mental health among people living with HIV: a mixed-method systematic review (2024) · cites this paper as Huang et al., 2018
The review suggests that marital relationship benefits mental health by enhancing individual resilience resources.
“This suggests that marital relationship benefit mental health by enhancing individual resilience resources.”
From Resilience resources for mental health among people living with HIV: a mixed-method systematic review (2024) · cites this paper as Huang et al., 2018
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Psychological Resilience: A Review and Critique of Definitions, Concepts, and Theory
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Cited by
Sorted by citations
Chepkemoi, S., Nyikavaranda, P., Semrau, M., Archer, G., & Pantelic, M. (2024) · AIDS Care · doi:10.1080/09540121.2024.2303613 · Cited by 11 · see citing works
“One of study reported that protective e ff ects of social support from marital relationship on mental health was mediated by individual resilience resources (Huang et al., 2018).”
Influential
- 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
- Publisher
- Informa UK Limited
- 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
- hybrid
- doi.org
- Licence
- 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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