Functional social support, psychological capital, and depressive and anxiety symptoms among people living with HIV/AIDS employed full-time
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Background: Psychological distress (e.g., depression and anxiety) has been regarded as the main cause of leaving work for people living with HIV/AIDS (PLWHA) in workplaces. This study aims to explore the associations of functional social support (FSS) and psychological capital (PC) with depressive and anxiety symptoms among PLWHA employed full-time. Methods: This cross-sectional study was performed in Liaoning, China, during the period of December 2010–April 2011. The Center for Epidemiologic Studies Depression Scale, the Zung Self-Rating Anxiety Scale, the Duke-UNC Functional Social Support Questionnaire, and the Psychological Capital Questionnaire were completed by PLWHA employed full-time. Structural equation modeling was used to test the proposed relationships between variables. Asymptotic and resampling strategies were performed to explore the mediating roles of PC and its components (self-efficacy, hope, optimism, resilience). Results: Of 320 participants surveyed, 66.3% had depressive symptoms, and 45.6% had anxiety symptoms. Significant negative associations of FSS and PC with depressive and anxiety symptoms were revealed. PC (a*b = −0.209, BCa 95% CI: -0.293, -0.137, p < 0.05), hope (a*b = −0.103, BCa 95% CI: -0.192, -0.034, p < 0.05), and optimism (a*b = −0.047, BCa 95% CI: -0.106, -0.008, p < 0.05) significantly mediated the association between FSS and depressive symptoms. PC (a*b = −0.151, BCa 95% CI: -0.224, -0.095, p < 0.05) and self-efficacy (a*b = −0.080, BCa 95% CI: -0.158, -0.012, p < 0.05) significantly mediated the FSS-anxiety symptoms association. Conclusions: FSS and PC could help reduce depressive and anxiety symptoms among PLWHA employed full-time. PC fully mediates the associations of FSS with depressive and anxiety symptoms. In addition to enhancing FSS, PC development could be included in the prevention and treatment strategies for depressive and anxiety symptoms targeted at PLWHA employed full-time.
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Among 320 PLWH in full-time employment in China, self-efficacy was moderately associated with lower levels of depressive symptoms (r = -0.49, p < 0.01) (Liu et al., 2013).
“In another study of 320 PLWH in full-time employment in China, self-efficacy was moderately associated with lower levels of depress ive ( r = -0.49, p < 0.01) and anxiety ( r = -0.39, p < 0.01) symptoms (Liu et al., 2013).”
From Resilience resources for mental health among people living with HIV: a mixed-method systematic review (2024) · cites this paper as Liu et al., 2013
Among 320 PLWH in full-time employment in China, self-efficacy was moderately associated with lower levels of anxiety symptoms (r = -0.39, p < 0.01) (Liu et al., 2013).
“In another study of 320 PLWH in full-time employment in China, self-efficacy was moderately associated with lower levels of depress ive ( r = -0.49, p < 0.01) and anxiety ( r = -0.39, p < 0.01) symptoms (Liu et al., 2013).”
From Resilience resources for mental health among people living with HIV: a mixed-method systematic review (2024) · cites this paper as Liu et al., 2013
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POSITIVE PSYCHOLOGICAL CAPITAL: MEASUREMENT AND RELATIONSHIP WITH PERFORMANCE AND SATISFACTION
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“PC was measured using the Chinese version of the 24- item Psychological Capital Questionnaire (PCQ) [23].”
BackgroundMethodInfluentialExperimental analysis of a web-based training intervention to develop positive psychological capital
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Prevalence, impact, and management of depression and anxiety in patients with HIV: a review
Chaudhury, S., Bakhla, A., & Saini, R. (2016) · Neurobehavioral HIV Medicine · doi:10.2147/nbhiv.s68956 · Cited by 54 · see citing works
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
“2009; Liu et al., 2013; Steglitz et al., 2012; Wang et al., 2019), six studies reported anxiety symptoms (Asante, 2012; Boyes et al., 2019; Gordillo et al., 2009; Liu et al., 2013; Steglitz et al., 2012; Wang et al., 2019), two studies reported on suicidal thoughts (Amiya et al., 2014; Casale et…”
Influential
- Authors
- Liu, L., Pang, R., Sun, W., Wu, M., Qu, P., Lu, C., & Wang, L.
- Affiliations
- China Medical University (CN)
- Shenyang Center for Disease Control and Prevention (CN)
- Corresponding author
- Wang, Lie
- Venue
- BMC Psychiatry
- Published
- 2013-12
- Volume
- 13
- Issue
- 1
- Pages
- 324-324
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC4219509
- OpenAlex
- W2106277991
- Cited by
- 130
- References
- 4
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 9 · 2023: 8 · 2022: 13 · 2021: 12 · 2020: 11 · 2019: 16 · 2018: 10 · 2017: 11 · 2016: 12 · 2015: 12 · 2014: 5
- FWCI
- 7.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › HIV/AIDS Impact and Responses
- Keywords
- functional social support, psychological capital, depressive symptoms, anxiety symptoms, people living with HIV, full-time employment, hope, optimism, self-efficacy, resilience, mediation, workplace mental health, HIV/AIDS
- MeSH terms
- Acquired Immunodeficiency Syndrome, Adult, Anxiety, China, Cross-Sectional Studies, Depression, Employment, Female, Health Surveys, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Social Support, HIV Infections, Self Efficacy, Self Report
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