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Depressive symptomatology among HIV-positive women in the era of HAART: a stress and coping model. Am J Community Psychol 2006 Dec;38(3-4):275-85

Date

09/13/2006

Pubmed ID

16967343

DOI

10.1007/s10464-006-9083-y

Scopus ID

2-s2.0-33845346499 (requires institutional sign-in at Scopus site)   59 Citations

Abstract

OBJECTIVE: An enhanced stress and coping model was used to explain depression among HIV-positive women in healthcare and community settings where highly active anti-retroviral treatment (HAART) was commonplace.

METHOD: HIV-infected women in four cities (N=978) were assessed, cross-sectionally, for mental and physical health, stress, social support, and other background factors.

RESULTS: Self-reported level of depressive symptomatology was high. Number of physical symptoms, illness intrusiveness, and perceived stress were positively associated with depressed mood, while coping self-efficacy and social support were negatively associated. Stress mediated the effect of health status on depression and coping self-efficacy mediated the effect of psychosocial resources on depression. Our enhanced stress and coping model accounted for 52% of variance in depressive symtpomatology.

CONCLUSIONS: Interventions focused on improving coping self-efficacy, bolstering social supports, and decreasing stress in the lives of HIV-positive women may help to reduce the negative effects of HIV disease on mood.

Author List

Remien RH, Exner T, Kertzner RM, Ehrhardt AA, Rotheram-Borus MJ, Johnson MO, Weinhardt LS, Kittel LE, Goldstein RB, Pinto RM, Morin SF, Chesney MA, Lightfoot M, Gore-Felton C, Dodge B, Kelly JA, NIMH Healthy Living Project Trial Group

Authors

Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Lance S. Weinhardt MS,PhD Associate Dean for Research and Professor of Community and Behavioral Health Promotion in the Joseph. J. Zilber School of Public Health department at University of Wisconsin - Milwaukee




MESH terms used to index this publication - Major topics in bold

Adaptation, Psychological
Adult
Antiretroviral Therapy, Highly Active
Depression
Female
HIV Infections
Health Status
Humans
Self Efficacy
Severity of Illness Index
Stress, Psychological
United States