Resilience and Physical and Mental Well-Being in Adults with and Without HIV

Abstract

Resilience has been related to improved physical and mental health, and is thought to improve with age. No studies have explored the relationship between resilience, ageing with HIV, and well-being. A cross sectional observational study performed on UK HIV positive (N = 195) and HIV negative adults (N = 130). Associations of both age and ‘time diagnosed with HIV’ with resilience (RS-14) were assessed, and the association of resilience with depression, anxiety symptoms (PHQ-9 and GAD-7), and problems with activities of daily living (ADLs) (Euroqol 5D-3L). In a multivariable model, HIV status overall was not related to resilience. However, longer time diagnosed with HIV was related to lower resilience, and older age showed a non-significant trend towards higher resilience. In adults with HIV, high resilience was related to a lower prevalence of depression, anxiety, and problems with ADLs. It may be necessary to consider resilience when exploring the well-being of adults ageing with HIV.

Exploring social ecological pathways from resilience to quality of life among women living with HIV in Canada

“…While prior research has reported social support as a variable important to fostering resilience (e.g., Bhat et al, 2015;Earnshaw et al, 2015), to our knowledge this study is unique in contributing to the resilience literature regarding the importance of a gender-based approach to tailoring health services for WLWH. Corroborating prior research (Farber et al, 2000;Fumaz et al, 2015;McGowan et al, 2018), we found that resilience was associated with improved physical and mental HR-QoL among WLWH. We found that economic insecurity did play a role in this relationship, whereby lower resilience was associated with increased economic insecurity, which in turn was associated with lower levels of mental and physical HR-QoL.…”

“…A rich body of literature has established that resilience is associated with positive health benefits among persons living with HIV (PLWH), including viral suppression (Dale et al, 2014), treatment adherence (Dale et al, 2014), and physical and mental health dimensions of health-related quality of life (HR-QoL) (Farber, Schwartz, Schaper, Moonen, & McDaniel, 2000;Fumaz et al, 2015;McGowan et al, 2018). Less studies with PLWH have explored social ecological pathways to resilience and its association with HR-QoL.…”

COVID-19, Psychological Well-being and Physical Activity Levels in Older Adults During the Nationwide Lockdown in Spain

“…Moreover, the results indicated that they felt more optimistic about this situation. This is important because resilience has been linked to positive emotions in stressful situations, 16 overall well-being, 42 life satisfaction, 43 self-rated health 44 and better quality of life (physical and psychological) in older adults. 17 The importance of promoting resilience in the medical staff during the COVID-19 pandemic has been highlighted, 10 but also the general population should be resilient during these tough days.…”

Depression and aging with HIV: Associations with health-related quality of life and positive psychological factors

“…resilience, grit, and self-rated successful aging (SRSA) among PLWH. Two studies have found an association between higher resilience and lower depressive symptoms among PLWH (Dale et al, 2015;McGowan et al, 2018). Similarly, in PLWH greater grit (i.e., the perseverance and passion for long term goals; (Duckworth et al, 2007)) has been negatively associated with major depression (Moore et al, 2018a,b).…”