Abstract:This study examined the utility of a stress and coping model of adjustment to HIV/AIDS. A total of 114 HIV-infected gay or bisexual men were interviewed and they completed self-administered scales. Predictors included illness variables (disease stage and number of symptoms), coping resources (optimism and social support), appraisal (threat, challenge, and controllability), and coping strategies (problem- and emotion-focused). Adjustment outcomes were depression, global distress, social adjustment, and subjecti… Show more
“…The present study attempted to address this gap. The findings of other studies confirm the adaptive value of PA in various stressful situations [7, 8] including life-threatening illnesses such as HIV/AIDS [9], cancer [10], or heart failure [11]. Furthermore, studies have proven the independence of PA and NA, e.g., [12], which implies that both could be co-activated within one event.…”
Purpose This study explores changes in emotional component of subjective well-being (SWB) of patients after their first myocardial infarction (MI) and two kinds of mechanisms: attribution of positive (PA) and negative (NA) affect and a mediation effect of coping. Methods Affect and coping strategies (problem-, emotion-, and avoidance-focused) were assessed in 121 male patients (age 52.26 ± 7.08 years) a few days after the first MI and then 1 and 6 months later. The indicator of emotional SWB was affect balance, calculated as the ratio of PA to NA. Mediation was tested using the PROCESS macro. Results The affect balance changed over time, from a predominance of negativity a few days post-MI to more positive 1 and 6 months later (F 2, 119 = 21.87, p \ 0.001). The results of parallel multiple mediation showed a mediating effect of emotion-focused coping on the changes in affect balance over time. Separate analyses for PA and NA showed the same results for NA. Problem-focused coping mediated PA changes in the early post-hospitalization period. Conclusions Myocardial infarction may activate PA alongside the NA, but the predominance of PA over NA in both early and late post-hospitalization period was minimal. Affect balance appeared to be largely dependent on NA and its changes. Coping strategies partly mediated the changes in well-being, providing a basis for practical interventions.
“…The present study attempted to address this gap. The findings of other studies confirm the adaptive value of PA in various stressful situations [7, 8] including life-threatening illnesses such as HIV/AIDS [9], cancer [10], or heart failure [11]. Furthermore, studies have proven the independence of PA and NA, e.g., [12], which implies that both could be co-activated within one event.…”
Purpose This study explores changes in emotional component of subjective well-being (SWB) of patients after their first myocardial infarction (MI) and two kinds of mechanisms: attribution of positive (PA) and negative (NA) affect and a mediation effect of coping. Methods Affect and coping strategies (problem-, emotion-, and avoidance-focused) were assessed in 121 male patients (age 52.26 ± 7.08 years) a few days after the first MI and then 1 and 6 months later. The indicator of emotional SWB was affect balance, calculated as the ratio of PA to NA. Mediation was tested using the PROCESS macro. Results The affect balance changed over time, from a predominance of negativity a few days post-MI to more positive 1 and 6 months later (F 2, 119 = 21.87, p \ 0.001). The results of parallel multiple mediation showed a mediating effect of emotion-focused coping on the changes in affect balance over time. Separate analyses for PA and NA showed the same results for NA. Problem-focused coping mediated PA changes in the early post-hospitalization period. Conclusions Myocardial infarction may activate PA alongside the NA, but the predominance of PA over NA in both early and late post-hospitalization period was minimal. Affect balance appeared to be largely dependent on NA and its changes. Coping strategies partly mediated the changes in well-being, providing a basis for practical interventions.
“…It also suggests that positive growth by itself does not contribute to depressive symptoms, but in combination with other coping strategies, plays a prominent role. Similarly, Packenham and Rinaldis (2001) found lower use of social support and problem-focused coping, yet higher use of emotion-focused coping were significant predictors of depression in ILH. When examined on the bivariate level, only emotion-focused coping and social support were significantly related to depression.…”
Section: Variablementioning
confidence: 83%
“…Packenham and Rinaldis 2001). Among women, symptoms appear to be most strongly associated with depressive symptoms, with blame significantly associated but less so than symptoms; yet, in men, lower use of positive growth appears to be most strongly associated with depressive symptoms, while symptoms are significantly associated, but less so than positive growth.…”
Section: Variablementioning
confidence: 90%
“…Many studies only subdivide coping mechanisms into two categories, such as adaptive versus maladaptive, or problem-focused versus emotionfocuses strategies (Packenham and Rinaldis 2001;Ironson et al 2005), whereas the CHIV allowed us to examine five theoretically-unique coping mechanisms (Jenkins and Guarnaccia 2003).…”
Our study examined differences in HIV-related coping in relation to depression in men and women. Ethnically diverse participants (n = 247, 46% women) were recruited in Dallas/Fort Worth and completed medical and demographic information, the Coping with HIV Scale (CHIV), and the Center for Epidemiological Studies-Depression scale (CES-D). Multiple regression analyses revealed that in men, depression was associated with symptoms, higher use of distraction, blame, expression and lower use of positive growth. In women, depression was associated with symptoms and higher use of blame. These results shed light on the ways in which each gender copes with HIV and may help researchers develop interventions tailored to the needs of the HIV-positive population.
“…For example, both social support and BF are viewed as coping resources (Pakenham & Rinaldis, 2001) that influence stress through forms of emotional support (Cohen & McKay, 1984;Folkman, 1997). Thus, when examined together as moderators of the stressor-strain relationship, one could expect the two buffers would account for the same variance.…”
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