The Psychological Well-Being of People Living with HIV/AIDS and the Role of Religious Coping and Social Support
Abstract
Objective This study examined correlates of depressive symptoms, particularly the role of religious coping (RCOPE), among people living with HIV/AIDS (PLWHA). The study also examined social support as a possible mediator of the proposed association between religious coping and depressive symptoms and the impact of depressive symptomatology on health outcomes such as HIV medication adherence, immune function, and health-related quality of life (HRQOL) among PLWHA. Method A convenience sample of 292 PLWHA were recruited from an out-patient infectious disease clinic and AIDS-service organizations in the Southeastern United States. Results 56.7% reported depressive symptoms. PLWHA with depressive symptomatology reported significantly poorer health outcomes, including poorer HIV medication adherence, lower CD4 cell count, and poorer HRQOL. The odds of being depressed was significantly associated with birth sex (female: OR = 0.43, 95% CI = .23-.80), sexual orientation (gay/bisexual: OR = 1.95, 95% CI = 1.04-3.65), marital status (single: OR = .52, 95% CI = .27-.99), social support satisfaction (OR = 0.65, 95% CI = .49-.86), and negative RCOPE (OR = 1.22, 95% CI = 1.14-1.31). Social support partially mediated the relationship between religious coping and depressive symptoms. Conclusions High rates of depressive symptoms are present in PLWHA, which negatively impact health outcomes. Religious coping, perceived stress, and social support satisfaction serve an important role in depress…
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The review's findings suggest that spirituality/religious practices (prayers and meditation) may promote mental health.
“This is consistent with our findings which suggest that spirituality/religious practices (prayers and meditation) may be promote mental health (Dalmida et al., 2009, 2013; Steglitz et al., 2012).”
From Resilience resources for mental health among people living with HIV: a mixed-method systematic review (2024) · cites this paper as Dalmida et al., 2013
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- Authors
- Dalmida, S. G., Koenig, H. G., Holstad, M. M., & Wirani, M. M.
- Affiliations
- Emory University (US)
- King Abdulaziz University (SA)
- Corresponding author
- Dalmida, Safiya George
- Venue
- The International Journal of Psychiatry in Medicine
- Publisher
- SAGE Publications
- Published
- 2013-07
- Volume
- 46
- Issue
- 1
- Pages
- 57-83
- ISSN
- 0033-278X (ISSN-L)
- 0091-2174
- 1541-3527
- OpenAlex
- W2034183649
- Cited by
- 48
- References
- 72
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 6 · 2021: 5 · 2020: 3 · 2019: 6 · 2018: 8 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 1
- FWCI
- 3.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The International Journal of Psychiatry in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- 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, depressive symptoms, religious coping, social support, HIV treatment adherence, CD4 count, health-related quality of life, psychological well-being, sexual orientation, marital status, perceived stress, mediation
- MeSH terms
- Acquired Immunodeficiency Syndrome, Adaptation, Psychological, Adult, Depression, Female, Humans, Male, Middle Aged, Quality of Life, Religion and Psychology, Social Support, Medication Adherence
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