Resilience in low-income African American women living and aging with HIV

Subramaniam, Sailaja; Camacho, Lizeth M.; Carolan, Marsha; López‐Zerón, Gabriela

doi:10.1080/08952841.2016.1256735

Cited by 25 publications

(53 citation statements)

References 44 publications

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“…However, based on point estimates alone, our results suggest that older women may be less likely to have high PTSD symptoms. This is consistent with findings from Subramaniam et al, 2016, that older African American women can adapt when faced with adversity and oppression. This may be due to their increased social support despite their lived experiences of trauma and discrimination.…”

Section: Discussionsupporting

confidence: 91%

“…Age is strongly associated with perceived HIV-related stigma, largely due to feelings of being an unvalued member of one’s community (Cuca et al, 2017). Even after experiencing oppression and hardship, middle-aged and older African American women living with HIV demonstrate the ability to endure and adapt by sustaining any support that’s available to them (Subramaniam, et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Risk and protective factors of posttraumatic stress disorder among African American women living with HIV

et al. 2018

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We sought to examine risk and protective factors for Posttraumatic Stress Disorder (PTSD) among African American women living with HIV. This is a cross-sectional analysis of baseline data from a randomized trial of an HIV stigma reduction intervention. We examined data from two-hundred and thirty-nine African American women living with HIV. We examined whether age, marital status, level of education, internalized HIV-related stigma, and social support as potential protective and risk factors for PTSD symptoms using logistic regression. We analyzed bi-variate associations between each variable and PTSD symptoms, and constructed a multivariate logistic regression model adjusting for all variables. We found 67% reported clinically significant PTSD symptoms at baseline. Our results suggest that age, education, and internalized stigma were found to be associated with PTSD symptoms (p < 0.001), with older age and more education as protective factors and stigma as a risk factor for PTSD. Therefore, understanding this relationship may help improve assessment and treatment through evidence- based and trauma-informed strategies.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Risk and protective factors of posttraumatic stress disorder among African American women living with HIV

et al. 2018

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“…Strategies to address HIV-related stigma in the context of intersectionality emphasize promoting resilience, 3,26,27 or the ability to identify and employ resources and protective factors to assist with coping in adversity. 28 Earnshaw et al (2013) defined resilience resources as "modifiable strength-based moderators that may be appropriate targets for intervention." 26 For African-American women living with HIV who experience HIV-related stigma, there is evidence that religiosity, social support, and ethnic identity may be resilience resources; that is, these resources may buffer the negative effects of HIV-related stigma on poor psychosocial outcomes such as depression.…”

Section: Introductionmentioning

confidence: 99%

Religiosity, Social Support, and Ethnic Identity: Exploring “Resilience Resources” for African-American Women Experiencing HIV-Related Stigma

Lipira

Williams

Nevin

et al. 2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Introduction: African-American women living with HIV report substantial HIV-related stigma and depression. Resilience resources are strength-based resources that may moderate the effects of HIV-related stigma on poor psychosocial outcomes such as depression. Objective: To evaluate whether religiosity, social support and ethnic identity moderate the effects of HIV-related stigma on depression among African-American women living with HIV. Methods: We used baseline data (5/2013-10/2015) from a randomized controlled trial testing the efficacy of an HIV-related stigma reduction intervention among African-American women living with HIV in Chicago, IL and Birmingham, AL who were >18 years old and currently receiving HIV services. To assess whether religiosity (7-item Religious Beliefs and Behaviors survey, RBB), social support (select subscales from the Medical Outcomes Study Social Support Survey, MOS-SSS), and ethnic identity (Commitment subscale from the Multigroup Ethnic Identity Measure, MEIM-R) modified the relationship between HIV-related stigma (Stigma Scale for Chronic Illness, SSCI) and depression (8-item Patient Health Questionnaire, PHQ-8), we conducted three separate moderation analyses using linear regression with interactions between HIV-related stigma and each moderator of interest, adjusted for study site, age, time since diagnosis, and education. Results: Among 226 African-American women living with HIV, greater levels of HIV-related stigma were associated with greater depression in all three models (p < 0.05). Only religiosity modified this association (p = 0.04), with a weaker association among women reporting higher levels of religiosity. Conclusions: The protective effects of religiosity may be leveraged in interventions for African-American women living with HIV struggling with HIV-related stigma.

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“…Weak self-control resulting from a dysfunctional family and inadequate socialization associated with behavioral disorders, such as low self-esteem, low con-science, low internal control, and a sense of helplessness reveals its intrapersonal dimension. Also considering weak self-control along with behavioral disorders, like expressing anger, hastiness, egocentrism, lack of empathy, risk-taking, delinquency, and impulsive behaviors indicates its interpersonal dimension [12].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Acceptance and Commitment Therapy on Cognitive-Emotional Regulation, Resilience, and Self-control Strategies in Divorced Women

Amir

Moradi

Arefi

et al. 2019

Avicenna. J. Neuro. Psycho. Physio.

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Background: Divorce is one of the most stressful events leading to emotional distress and behavioral problems in individuals. Meanwhile, women are more vulnerable than men to the consequences of divorce. Objectives: The objective of the present study was to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on cognitive emotional regulation, resilience, and self-control strategies in divorced women. Materials and Methods: The present quasi-experimental study with a pre-test and post-test with a control group was conducted on all divorced women referring to the Justice Counseling Center in Babol, Iran in the second half of the year 2017 and the first half of the year 2018. The samples were selected using available sampling and divided into the experimental and control groups (n=30 per group). Data collection tools included the Cognitive Emotional Strategies Questionnaire, Resilient Scale, and Self-Control Questionnaire. Each group was first subjected to the pre-test. Then, the experimental group received ACT (Hayes et al., 2004) through 12 90-min sessions. The post-test was then performed for both groups. Data were analyzed using the SPSS. V. 22 software and multivariate covariance analysis test. Results: ACT was effective in cognitive regulation of positive emotion (F=67.88, P<0.0001), cognitive regulation of negative emotion (F=62.11, P<0.0001), resilience (F=61.95, P<0.0001), and self-control (F=38.36, P<0.0001). The mean score of cognitive regulation of positive emotion, cognitive regulation of negative emotion, resilient, and self-controlling in pre-test and post-test were not significantly different from each other (P<0.05). Conclusion: The results showed that ACT led to an increase in positive cognitive regulation, resilient, self-controlling, and a decrease in negative cognitive regulation in divorced women.

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Resilience in low-income African American women living and aging with HIV

Cited by 25 publications

References 44 publications

Risk and protective factors of posttraumatic stress disorder among African American women living with HIV

Risk and protective factors of posttraumatic stress disorder among African American women living with HIV

Religiosity, Social Support, and Ethnic Identity: Exploring “Resilience Resources” for African-American Women Experiencing HIV-Related Stigma

The Effectiveness of Acceptance and Commitment Therapy on Cognitive-Emotional Regulation, Resilience, and Self-control Strategies in Divorced Women

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