Emotional support and gender in people living with HIV: effects on psychological well-being

Gordillo, Victoria Castro; Fekete, Erin M.; Platteau, Tom; Antoni, Mike; Schneiderman, Neil; Nöstlinger, Christiana

doi:10.1007/s10865-009-9222-7

Cited by 65 publications

(75 citation statements)

References 40 publications

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“…low socioeconomic status, single/nonmarital status are all related to poorer PWB among PLWH (Asakawa et al 2011). Conversely, research on the role of other sociodemographic data and PWB among this patient group is inconclusive and needs further investigation (Gordillo et al 2009). For example, regarding sex, it is recognized that HIV+ women usually receive lower scores on particular well-being dimension (Cherepanov et al 2011).…”

Section: Among People Living With Hiv (Plwh)mentioning

confidence: 99%

Socio-Medical and Personality Correlates of Psychological Well-Being among People Living with HIV: a Latent Profile Analysis

Rzeszutek

Gruszczyńska

Firląg-Burkacka³

2018

Applied Research Quality Life

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The aim of this study was to examine the heterogeneity of the sample of people living with HIV (PLWH) in terms of psychological well-being (PWB) using the latent profile analysis. Participants were 530 people with confirmed diagnosis of HIV+. The study was cross-sectional with psychological well-being operationalized by health related quality of life (WHO Quality of Life-BREF), satisfaction with life (Satisfaction with Life Scale) and positive and negative general affect (PANAS-X). The Big Five personality traits were measured with the NEO-FFI questionnaire. Additionally, sociomedical data were obtained. The statistical analysis proved the heterogeneity of PWB among the studied patient group: model with 6 different PWB profiles was best-fitted to the data. Employment, education, and personality traits, especially neuroticism, turned out to be significant for PWB profile membership. In contrast, medical variables were not related to the PWB profile membership among participants. Research on PWB among PLWH in so called person-centred approach by distinguishing their different subgroups may be an adjunct to develop more effective methods of psychological counselling for PLWH, especially in the light of findings that objective health status is not necessarily a strong explanatory variable of PWB's variance in these patients.Applied Research Quality Life

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Section: Among People Living With Hiv (Plwh)mentioning

confidence: 99%

Socio-Medical and Personality Correlates of Psychological Well-Being among People Living with HIV: a Latent Profile Analysis

Rzeszutek

Gruszczyńska

Firląg-Burkacka³

2018

Applied Research Quality Life

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“…Both HIV-positive men and women have been shown to have psychological distress associated with HIV infection [51,52], and most studies have shown evidence that women usually reported higher psychopathogical symptoms or psycholocical co-morbidity than men [53][54][55]. According to Vosvick and colleagues [5], across multiple samples of PLWHA, it is evident that men and women differ in symptoms, behaviors, and other conditions, which greatly influences well-being.…”

Section: Psychopathological Symptomsmentioning

confidence: 99%

Gender and Age Differences in Quality of Life and the Impact of Psychopathological Symptoms Among HIV-Infected Patients

Pereira

Canavarro

2011

AIDS Behav

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The purpose of this study was to determine gender and age differences and interaction effects on the quality of life (QoL) domains in a sample of Portuguese HIV-positive patients, and to examine to what degree psychopathological symptoms are associated with QoL in addition to sociodemographic and clinical variables. The sample consisted of 1191 HIV-positive patients, and measures included the WHOQOL-HIV-Bref and the Brief Symptom Inventory. Controlling for clinical status, there was a significant effect of gender on QoL. Women reported lower scores of Psychological and Spirituality QoL. Younger patients reported higher scores on Physical and Level of Independence domains. Age by gender interactions emerged on all domains of QoL except on the Level of Independence domain. Overall, women over 45 years old showed lower QoL scores. Psychopathological symptoms contributed significantly to the variance of all QoL domains. Gender differences in the association of HIV infection with QoL and psychopathological symptoms seemed to be modulated by age. Understanding gender and age differences (and their interaction) may provide potentially useful information for planning interventions to improve QoL and mental health among people infected with HIV/AIDS, especially among older women.

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“…We used items included in the Stigma Index for People Living with HIV developed by (UNAIDS, 2008). This Index has been translated into 54 languages, including Spanish, and 45.000 people with HIV from 50 countries have been interviewed (GNP+ et al, 2015). The Perceived Discrimination Scale was composed of seven items and the Self-exclusion scale of five items, rated on a four-point self-report scale (1 = never, 4 = always).…”

Section: Methodsmentioning

confidence: 99%

Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms

et al. 2017

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Título: Discriminación percibida, autoexclusión y bienestar entre las personas con VIH en función de los síntomas de la lipodistrofia. Resumen: Este estudio examinó los efectos de la discriminación percibida sobre el bienestar de las personas con VIH y el papel mediador de la autoexclusión en función de los síntomas de lipodistrofia de los participantes. Se realizó un estudio ex post facto con una muestra de 706 personas con VIH. Se midió la autopercepción de lipoatrofia y lipohipertrofia, discriminación percibida, autoexclusión y bienestar psicológico. Los resultados del análisis de agrupamiento jerárquico mostraron que los participantes podían clasificarse en tres grupos: sin lipodistrofia, síndrome mixto con lipoacumulación predominante y lipoatrofia. Los resultados del modelado de ecuaciones estructurales revelaron que los efectos negativos de la discriminación percibida sobre el bienestar estaban mediados en gran medida por la autoexclusión. El análisis de invarianza reveló que el papel mediador de la autoexclusión no era el mismo en los tres grupos. Se confirmó la mediación completa de la autoexclusión en los grupos sin lipodistrofia y con lipoacumulación predominante. Con respecto a la lipoatrofia, los efectos negativos de la discriminación percibida fueron mayores y solo parcialmente mediados por la autoexclusión. En conclusión, tener lipodistrofia expone a las personas a más discriminación; la lipoatrofia fue la condición más estigmatizante. Palabras clave: VIH; lipodistrofia; estigma; bienestar psicológico. Abstract:This study examined the effects of perceived discrimination on the well-being of people with HIV and the mediating role of self-exclusion as a function of the participants' symptoms of lipodystrophy. An ex post facto study with a sample of 706 people with HIV was conducted. Selfperception of lipoatrophy and lipohypertrophy, perceived discrimination, self-exclusion and psychological well-being were measured. Results of hierarchical cluster analysis showed participants could be categorized into three groups: no lipodystrophy, mixed syndrome with predominant lipoaccumulation and lipoatrophy. Results of structural equation modeling revealed that the negative effects of perceived discrimination on well-being were mediated to a large extent by self-exclusion. Invariance analysis revealed that the mediating role of self-exclusion was not the same in the three clusters. Complete mediation of self-exclusion in the groups without lipodystrophy and with predominant lipoaccumulation was confirmed. Regarding lipoatrophy, the negative effects of perceived discrimination were greater and only partly mediated by self-exclusion. In conclusion, having lipodystrophy exposed people to more discrimination; lipoatrophy was the most stigmatizing condition.

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Emotional support and gender in people living with HIV: effects on psychological well-being

Cited by 65 publications

References 40 publications

Socio-Medical and Personality Correlates of Psychological Well-Being among People Living with HIV: a Latent Profile Analysis

Socio-Medical and Personality Correlates of Psychological Well-Being among People Living with HIV: a Latent Profile Analysis

Gender and Age Differences in Quality of Life and the Impact of Psychopathological Symptoms Among HIV-Infected Patients

Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms

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