Factors associated with severity of depression and high-risk sexual behavior among persons diagnosed with human immunodeficiency virus (HIV) infection.

Kelly, Jeffrey A.; Murphy, Debra A.; Bahr, G. Richard; Koob, Jeffrey J.; Morgan, Michael C.; Kalichman, Seth C.; Stevenson, Lois; Brasfield, Ted L.; Bernstein, Barry; Lawrence, Janet S. St.

doi:10.1037/0278-6133.12.3.215

Cited by 226 publications

(157 citation statements)

References 11 publications

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“…Similarly, patients with head and neck cancer who participated in a support group experienced higher levels of emotional wellbeing and mental health [39], while depressed HIV-infected males who attended a social support group showed reductions in depression, hostility and anxiety [40]. However, as with MS support groups, not all research has revealed such positive results.…”

Section: Discussionmentioning

confidence: 82%

The effects of identification with a support group on the mental health of people with multiple sclerosis

Wakefield

Bickley

Sani

2013

Journal of Psychosomatic Research

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Objective: Multiple Sclerosis (MS) is associated with various psychological problems, including depression and anxiety. Whilst MS support groups are intended to improve mental health, this goal is not always achieved. Taking a social identity approach, we hypothesise that it is the level of subjective identification with a support group (rather than simply support group membership per se) that positively affects the mental health of people with MS.Methods: 152 individuals with MS were recruited via UK MS support groups and completed a questionnaire. This included measures of support group identification, depression, anxiety and satisfaction with life, as well as control variables (education level and age).Results: Analyses revealed that, as hypothesised, support group identification was significantly linked to depression, anxiety and satisfaction with life. Moreover, group identification explained a significant amount of variance in addition to that explained by education and age on each health outcome. Repeating the analysis to compare each of the three main sub-types of MS revealed these effects to be present for individuals with Relapsing-Remitting (RR) and Primary Progressive (PP) MS, but not for those with Secondary Progressive (SP) MS. Conclusions:We suggest that identifying highly with an MS support group has important positive outcomes for MS patients' mental health. This has implications for practicing clinicians: people with MS (particularly RRMS and PPMS) should be encouraged to engage with support groups, but more must be done to ensure they subjectively identify with these groups, rather than merely attend them.

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Section: Discussionmentioning

confidence: 82%

The effects of identification with a support group on the mental health of people with multiple sclerosis

Wakefield

Bickley

Sani

2013

Journal of Psychosomatic Research

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“…HIV incidence is four-fold higher among psychiatric out-patients than the general population (Beyeret al 2007). Researchers have suggested that in order to reduce STI/HIV among vulnerable populations, including women engaging in transactional sex, we must improve their mental health (Kelly et al 1993;Nyamathi and Flaskerud 1992).…”

Section: Introductionmentioning

confidence: 99%

The Unanticipated Benefits of Behavioral Assessments and Interviews on Anxiety, Self-Esteem and Depression Among Women Engaging in Transactional Sex

Gunn

Roth

Center

et al. 2015

Community Ment Health J

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Women engaging in transactional sex have disproportional mental health co-morbidity and face substantial barriers to accessing social services. We hypothesized that participation in a longitudinal research study, with no overt intervention, would lead to short-term mental health improvements. For 4-weeks, 24 women disclosed information about their lives via twice daily cell-phone diaries and weekly interviews. We used t tests to compare self-esteem, anxiety, and depression at baseline and exit. Tests were repeated for hypothesized effect modifiers (e.g.,

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“…Second, there is evidence that debilitating psychosocial problems have a negative impact on maintaining adherence to complex treatment regimens, which is a threat to the individual's health as well as a serious public health problem (Catz, Kelly, Bogart, Benotsch, & McAuliffe, 2000;Chesney, 2003;Ickovics et al, 2002;Pratt et al, 2001;Tucker, Burnam, Sherbourne, Kung, & Gifford, 2003). Third, maladaptive coping is associated with high-risk sexual behavior that escalates the spread of HIV disease (Kelly et al, 1993) Fourth, there is mounting evidence that high levels of stress may influence disease progression by way of immunological impairment (Robinson, Matthews, & Witek-Janusek, 2000). …”

mentioning

confidence: 99%

Promoting Adaptive Coping by Persons With HIV Disease: Evaluation of a Patient/Partner Intervention Model

Fife¹,

Scott²,

Fineberg³

et al. 2008

Journal of the Association of Nurses in AIDS Care

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This study evaluated an intervention to facilitate adaptive coping by persons living with HIV (PLWH), with the participation of their cohabiting partners as a dimension of the intervention. An experimental design with randomization was used, and 84 PLWH and their partners were recruited. The intervention was based on a psychosocial educational model that incorporated 4 two-hour sessions focused on communication, stress appraisal, adaptive coping strategies, and building social support. Both members of the dyad were included in each session. The comparison control included four supportive phone calls to the PLWH alone. Data were collected from both the PLWH and their partners in each of the two groups at baseline, immediately following the intervention, and 3 months and 6 months post-treatment. Data were analyzed using RM ANOVA, with change scores from the partner data being covariates. Findings indicated that the design was a feasible model, which demonstrated potential for the management of stress, and possibly problems such as adherence, in PLWH. A manual was developed as a part of this intervention and is currently available. KeywordsCoping; Emotional Response; Social Support; Experimental Design; Dyad; HIV; AIDS The advent of highly active antiretroviral therapies has offered important advances in extending the life of persons living with HIV (PLWH); nevertheless, it is widely recognized that these treatments have numerous unpleasant side effects and their effectiveness is not assured. The disease continues to be associated with chronic debilitation and social stigma that lead to degradation of the self, high levels of distress, and irrevocable life changes (Brown & PowellCope, 1992). Therefore, longitudinal research aimed toward management of the psychological Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Finding means to assist PLWH to cope with these numerous and diverse problems has become an increasing concern. This is a significant issue from several perspectives. First, there is a need to reduce psychosocial vulnerability that can result in debilitating behaviors such as drug and alcohol abuse and suicidal ideation. Second, there is evidence that debilitating psychosocial problems have a negative impact on maintaining adherence to complex treatment regimens, which is a threat to the individual's health as well as a serious public health problem (Catz, Kelly, Bogart, Benotsch, & McAuliffe, 2000;Chesney, 2003;Ickovics et al., 2002;Pratt et al., 2001;Tucker, Burnam, Sherbourne, Kung, & Gifford, 2003). Third, maladaptive coping is associated with high-ris...

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Factors associated with severity of depression and high-risk sexual behavior among persons diagnosed with human immunodeficiency virus (HIV) infection.

Cited by 226 publications

References 11 publications

The effects of identification with a support group on the mental health of people with multiple sclerosis

The effects of identification with a support group on the mental health of people with multiple sclerosis

The Unanticipated Benefits of Behavioral Assessments and Interviews on Anxiety, Self-Esteem and Depression Among Women Engaging in Transactional Sex

Promoting Adaptive Coping by Persons With HIV Disease: Evaluation of a Patient/Partner Intervention Model

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