1999
DOI: 10.1037/0278-6133.18.2.107
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Avoidance as a predictor of the biological course of HIV infection over a 7-year period in gay men.

Abstract: The present study prospectively investigated the relation between avoidance coping and active cognitive and behavioral coping and the progression of HIV infection over 7 years in 181 gay men. Findings revealed that for a number of medical and behavioral factors, (a) avoidance coping predicted a lower rate of decline in CD4 cells, (b) the proportional hazard (PH) attributable to avoidance of developing a syncytium-inducing HIV variant was 0.72 (95% confidence interval [CI]: 0.53 - 0.99, p < .05), and (c) the PH… Show more

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Cited by 33 publications
(19 citation statements)
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“…Emotionoriented coping, for instance, has been found to be positively related to various health outcomes, such as depression, anxiety, disease progression, and poor recovery from illnesses in diverse populations (Ben-Zur, Gilbar, & Lev, 2001;Blaney et al, 1997;Cosway, Endler, Sadler, & Deary, 2000;Courbasson, Endler, & Kocovski, 2002;Drossman et al, 2000;Endler & Parker, 1994;Higgins & Endler, 1995;Mulder, de Vroome, van Griensven, Antoni, & Sandfort, 1999;Nolen-Hoeksema, 2001;Penedo et al, 2001;Zea, Reisen, & Poppen, 1999). Differential coping styles are usually also seen as contributing to health disparities between men and women (Nolen-Hoeksema & Rusting, 1999;Rosenfield, 1999;Sigmon, Stanton, & Snyder, 1995).…”
Section: Introductionmentioning
confidence: 99%
“…Emotionoriented coping, for instance, has been found to be positively related to various health outcomes, such as depression, anxiety, disease progression, and poor recovery from illnesses in diverse populations (Ben-Zur, Gilbar, & Lev, 2001;Blaney et al, 1997;Cosway, Endler, Sadler, & Deary, 2000;Courbasson, Endler, & Kocovski, 2002;Drossman et al, 2000;Endler & Parker, 1994;Higgins & Endler, 1995;Mulder, de Vroome, van Griensven, Antoni, & Sandfort, 1999;Nolen-Hoeksema, 2001;Penedo et al, 2001;Zea, Reisen, & Poppen, 1999). Differential coping styles are usually also seen as contributing to health disparities between men and women (Nolen-Hoeksema & Rusting, 1999;Rosenfield, 1999;Sigmon, Stanton, & Snyder, 1995).…”
Section: Introductionmentioning
confidence: 99%
“…Greenwood and colleagues (1996a) found that denial decreased distress in the face of declining CD4 count. Most recently Mulder et al (1999) found that avoidant coping was related to lower rates of decline in CD4 cell count, lower likelihood of developing a synctium-inducing HIV variant, and lower likelihood of developing immunologically defined AIDS (CD4 cells dropping below 200) over a seven-year period. In the current investigation, we have found a positive relationship between Avoidant Coping of family members of HIV + mothers and the family members' feeling of adequacy.…”
Section: Attenuated Effects Near Birthmentioning
confidence: 99%
“…After controlling for resources, different coping responses may be associated with divergent psychosocial outcomes. In HIV research, it has been suggested that avoidant coping may indeed be adaptive in some cases (Antoni et al, 1990;Greenwood et al, 1996a;Mulder et al, 1999).…”
Section: Nih-pa Author Manuscriptmentioning
confidence: 99%
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“…Coping processes can affect the amount of distress experienced by those who learn they are HIV positive, and psychological interventions can reduce their distress. Avoidance coping, such as denying reality or clinging to illusory hope, is associated with high levels of CD4+ Cells [21].…”
Section: Health Psychologist and Hiv/aids Post-testmentioning
confidence: 99%