Skip to main content
Erschienen in: Journal of Behavioral Medicine 3/2016

19.01.2016

Ethnic differences in the links between benefit finding and psychological adjustment in people living with HIV

verfasst von: Erin M. Fekete, Michael Chatterton, Matthew D. Skinta, Stacey L. Williams

Erschienen in: Journal of Behavioral Medicine | Ausgabe 3/2016

Einloggen, um Zugang zu erhalten

Abstract

Experiencing growth after the diagnosis of a life threatening illness is commonly reported among people living with HIV (PLWH). The links between benefit finding and better adjustment in PLWH have been identified, but it is less clear whether these links vary by ethnicity. Minority stress theory suggests that individuals from minority populations may have unique stress experiences, which can have negative health implications but may also provide opportunity for growth. We hypothesized that the association between benefit finding and psychological adjustment would be stronger for Black (n = 80) than White (n = 87) PLWH. Contrary to predictions, the relationship between benefit finding and better adjustment was significant for White but not Black PLWH. Post-hoc analyses suggested that sexual orientation played role in this relationship. The relationship between benefit finding and psychological adjustment may be complex for Black PLWH, or they may achieve adjustment using other resources.
Literatur
Zurück zum Zitat Aranda-Naranjo, B. (2004). Quality of life in the HIV-positive patient: Implications and consequences. JANAC: Journal of the Association of Nurses in AIDS Care, 15, 20S–27S. doi:10.1177/1055329004269183 PubMed Aranda-Naranjo, B. (2004). Quality of life in the HIV-positive patient: Implications and consequences. JANAC: Journal of the Association of Nurses in AIDS Care, 15, 20S–27S. doi:10.​1177/​1055329004269183​ PubMed
Zurück zum Zitat Bekele, T., Rourke, S. B., Tucker, R., Greene, S., Sobota, M., Koornstra, J., et al. (2013). Direct and indirect effects of perceived social support on health-related quality of life in persons living with HIV/AIDS. AIDS Care, 25, 337–346. doi:10.1080/09540121.2012.701716 PubMed Bekele, T., Rourke, S. B., Tucker, R., Greene, S., Sobota, M., Koornstra, J., et al. (2013). Direct and indirect effects of perceived social support on health-related quality of life in persons living with HIV/AIDS. AIDS Care, 25, 337–346. doi:10.​1080/​09540121.​2012.​701716 PubMed
Zurück zum Zitat Bower, J. E., Kemeny, M. E., Taylor, S. E., & Fahey, J. L. (1998). Cognitive processing, discovery of meaning, CD4 decline, and AIDS-related mortality among bereaved HIV-seropositive men. Journal of Consulting and Clinical Psychology, 66, 979–986.CrossRefPubMed Bower, J. E., Kemeny, M. E., Taylor, S. E., & Fahey, J. L. (1998). Cognitive processing, discovery of meaning, CD4 decline, and AIDS-related mortality among bereaved HIV-seropositive men. Journal of Consulting and Clinical Psychology, 66, 979–986.CrossRefPubMed
Zurück zum Zitat Braxton, N. D., Lang, D. L., Sales, J. M., Wingood, G. M., & DiClemente, R. J. (2007). The role of spirituality in sustaining the psychological well-being of HIV-positive black women. Women and Health, 46, 113–129.CrossRefPubMed Braxton, N. D., Lang, D. L., Sales, J. M., Wingood, G. M., & DiClemente, R. J. (2007). The role of spirituality in sustaining the psychological well-being of HIV-positive black women. Women and Health, 46, 113–129.CrossRefPubMed
Zurück zum Zitat Brener, L., Wilson, H., Slavin, S., & de Wit, J. (2013). The impact of living with HIV: Differences in experiences of stigma for heterosexual and homosexual people living with HIV in Australia. Sexual Health, 10, 316–319.CrossRefPubMed Brener, L., Wilson, H., Slavin, S., & de Wit, J. (2013). The impact of living with HIV: Differences in experiences of stigma for heterosexual and homosexual people living with HIV in Australia. Sexual Health, 10, 316–319.CrossRefPubMed
Zurück zum Zitat Cargill, V. A., & Stone, V. E. (2005). HIV/AIDS: A minority health issue. The Medical Clinics of North America, 89, 895–912.CrossRefPubMed Cargill, V. A., & Stone, V. E. (2005). HIV/AIDS: A minority health issue. The Medical Clinics of North America, 89, 895–912.CrossRefPubMed
Zurück zum Zitat Carrico, A. W., Ironson, G., Antoni, M. H., Lechner, S. C., Durán, R. E., Kumar, M., et al. (2006). A path model of the effects of spirituality on depressive symptoms and 24-hurinary-free cortisol in HIV-positive persons. Journal of Psychosomatic Research, 61(1), 51–58.CrossRefPubMed Carrico, A. W., Ironson, G., Antoni, M. H., Lechner, S. C., Durán, R. E., Kumar, M., et al. (2006). A path model of the effects of spirituality on depressive symptoms and 24-hurinary-free cortisol in HIV-positive persons. Journal of Psychosomatic Research, 61(1), 51–58.CrossRefPubMed
Zurück zum Zitat Carrico, A. W., Riley, E. D., Johnson, M. O., Charlebois, E. D., Neilands, T. B., Remien, R. H., et al. (2011). Psychiatric risk factors for HIV disease progression: The role of inconsistent patterns of antiretroviral therapy utilization. JAIDS: Journal of Acquired Immune Deficiency Syndromes, 56, 146–150.PubMedPubMedCentral Carrico, A. W., Riley, E. D., Johnson, M. O., Charlebois, E. D., Neilands, T. B., Remien, R. H., et al. (2011). Psychiatric risk factors for HIV disease progression: The role of inconsistent patterns of antiretroviral therapy utilization. JAIDS: Journal of Acquired Immune Deficiency Syndromes, 56, 146–150.PubMedPubMedCentral
Zurück zum Zitat Catz, S. L., Gore-Felton, C., & McClure, J. B. (2002). Psychological distress among minority and low-income women living with HIV. Behavioral Medicine, 28, 53.CrossRefPubMed Catz, S. L., Gore-Felton, C., & McClure, J. B. (2002). Psychological distress among minority and low-income women living with HIV. Behavioral Medicine, 28, 53.CrossRefPubMed
Zurück zum Zitat Coleman, C. L., & Holzemer, W. L. (1999). Spirituality, psychological well-being, and HIV symptoms for African Americans living with HIV disease. Journal of the Association of Nurses in AIDS Care, 10, 42–50.CrossRefPubMed Coleman, C. L., & Holzemer, W. L. (1999). Spirituality, psychological well-being, and HIV symptoms for African Americans living with HIV disease. Journal of the Association of Nurses in AIDS Care, 10, 42–50.CrossRefPubMed
Zurück zum Zitat Cruess, D. G., Douglas, S. D., Petitto, J. M., Have, T. T., Gettes, D., Dubé, B., et al. (2005). Association of resolution of major depression with increased natural killer cell activity among HIV-seropositive women. The American Journal of Psychiatry, 162, 2125–2130. doi:10.1176/appi.ajp.162.11.2125 CrossRefPubMed Cruess, D. G., Douglas, S. D., Petitto, J. M., Have, T. T., Gettes, D., Dubé, B., et al. (2005). Association of resolution of major depression with increased natural killer cell activity among HIV-seropositive women. The American Journal of Psychiatry, 162, 2125–2130. doi:10.​1176/​appi.​ajp.​162.​11.​2125 CrossRefPubMed
Zurück zum Zitat Danoff-Burg, S., & Revenson, T. A. (2005). Benefit-finding among patients with rheumatoid arthritis: Positive effects on interpersonal relationships. Journal of Behavioral Medicine, 28, 91–103.CrossRefPubMed Danoff-Burg, S., & Revenson, T. A. (2005). Benefit-finding among patients with rheumatoid arthritis: Positive effects on interpersonal relationships. Journal of Behavioral Medicine, 28, 91–103.CrossRefPubMed
Zurück zum Zitat Dowshen, N., Binns, H. J., & Garofalo, R. (2009). Experiences of HIV-related stigma among young men who have sex with men. AIDS Patient Care and STDs, 23, 371–376.CrossRefPubMedPubMedCentral Dowshen, N., Binns, H. J., & Garofalo, R. (2009). Experiences of HIV-related stigma among young men who have sex with men. AIDS Patient Care and STDs, 23, 371–376.CrossRefPubMedPubMedCentral
Zurück zum Zitat Dunbar, H. T., Mueller, C. W., Medina, C., & Wolf, T. (1998). Psychological and spiritual growth in women living with HIV. Social Work, 43, 144–154.CrossRefPubMed Dunbar, H. T., Mueller, C. W., Medina, C., & Wolf, T. (1998). Psychological and spiritual growth in women living with HIV. Social Work, 43, 144–154.CrossRefPubMed
Zurück zum Zitat Gonzalez, J. S., Batchelder, A. W., Psaros, C., & Safren, S. A. (2011). Depression and HIV/AIDS treatment nonadherence: A review and meta-analysis. Journal of Acquired Immune Deficiency Syndromes, 58, 181–187. doi:10.1097/QAI.0b013e31822d490a PubMed Gonzalez, J. S., Batchelder, A. W., Psaros, C., & Safren, S. A. (2011). Depression and HIV/AIDS treatment nonadherence: A review and meta-analysis. Journal of Acquired Immune Deficiency Syndromes, 58, 181–187. doi:10.​1097/​QAI.​0b013e31822d490a​ PubMed
Zurück zum Zitat Grös, D. F., Antony, M. M., Simms, L. J., & McCabe, R. E. (2007). Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): Comparison to the State-Trait Anxiety Inventory (STAI). Psychological Assessment, 19, 369–381.CrossRefPubMed Grös, D. F., Antony, M. M., Simms, L. J., & McCabe, R. E. (2007). Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): Comparison to the State-Trait Anxiety Inventory (STAI). Psychological Assessment, 19, 369–381.CrossRefPubMed
Zurück zum Zitat Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
Zurück zum Zitat Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797–816.CrossRefPubMed Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797–816.CrossRefPubMed
Zurück zum Zitat Hughes, D., Rodriguez, J., Smith, E. P., Johnson, D. J., Stevenson, H. C., & Spicer, P. (2006). Parents’ ethnic-racial socialization practices: A review of research and directions for future study. Developmental Psychology, 42, 747.CrossRefPubMed Hughes, D., Rodriguez, J., Smith, E. P., Johnson, D. J., Stevenson, H. C., & Spicer, P. (2006). Parents’ ethnic-racial socialization practices: A review of research and directions for future study. Developmental Psychology, 42, 747.CrossRefPubMed
Zurück zum Zitat Kalichman, S. C., DiMarco, M., Austin, J., Luke, W., & DiFonzo, K. (2003). Stress, social support, and HIV-status disclosure to family and friends among HIV-positive men and women. Journal of Behavioral Medicine, 26, 315.CrossRefPubMed Kalichman, S. C., DiMarco, M., Austin, J., Luke, W., & DiFonzo, K. (2003). Stress, social support, and HIV-status disclosure to family and friends among HIV-positive men and women. Journal of Behavioral Medicine, 26, 315.CrossRefPubMed
Zurück zum Zitat Lechner, S. C., Tennen, H., & Affleck, G. (2009). Benefit-finding and growth. In S. J. Lopez, C. R. Snyder, S. J. Lopez, & C. R. Snyder (Eds.), Oxford handbook of positive psychology (2nd ed., pp. 633–640). New York, NY: Oxford University Press. Lechner, S. C., Tennen, H., & Affleck, G. (2009). Benefit-finding and growth. In S. J. Lopez, C. R. Snyder, S. J. Lopez, & C. R. Snyder (Eds.), Oxford handbook of positive psychology (2nd ed., pp. 633–640). New York, NY: Oxford University Press.
Zurück zum Zitat Leserman, J. (2008). Role of depression, stress, and trauma in HIV disease progression. Psychosomatic Medicine, 70, 539–545.CrossRefPubMed Leserman, J. (2008). Role of depression, stress, and trauma in HIV disease progression. Psychosomatic Medicine, 70, 539–545.CrossRefPubMed
Zurück zum Zitat Littlewood, R. A., Vanable, P. A., Carey, M. P., & Blair, D. C. (2008). The association of benefit finding to psychosocial and health behavior adaptation among HIV+ men and women. Journal of Behavioral Medicine, 31, 145–155.CrossRefPubMedPubMedCentral Littlewood, R. A., Vanable, P. A., Carey, M. P., & Blair, D. C. (2008). The association of benefit finding to psychosocial and health behavior adaptation among HIV+ men and women. Journal of Behavioral Medicine, 31, 145–155.CrossRefPubMedPubMedCentral
Zurück zum Zitat Luszczynska, A., Sarkar, Y., & Knoll, N. (2007). Received social support, self-efficacy, and finding benefits in disease as predictors of physical functioning and adherence to antiretroviral therapy. Patient Education and Counseling, 66, 37–42.CrossRefPubMed Luszczynska, A., Sarkar, Y., & Knoll, N. (2007). Received social support, self-efficacy, and finding benefits in disease as predictors of physical functioning and adherence to antiretroviral therapy. Patient Education and Counseling, 66, 37–42.CrossRefPubMed
Zurück zum Zitat Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674.CrossRefPubMedPubMedCentral Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674.CrossRefPubMedPubMedCentral
Zurück zum Zitat Milam, J. E. (2004). Posttraumatic growth among HIV/AIDS patients. Journal of Applied Social Psychology, 34, 2353–2376.CrossRef Milam, J. E. (2004). Posttraumatic growth among HIV/AIDS patients. Journal of Applied Social Psychology, 34, 2353–2376.CrossRef
Zurück zum Zitat Milam, J. (2006). Posttraumatic growth and HIV disease progression. Journal of Consulting and Clinical Psychology, 74, 817–827.CrossRefPubMed Milam, J. (2006). Posttraumatic growth and HIV disease progression. Journal of Consulting and Clinical Psychology, 74, 817–827.CrossRefPubMed
Zurück zum Zitat Neimeyer, R. A. (2005). Complicated grief and the quest for meaning: A constructivist contribution. Omega: Journal of Death and Dying, 52, 37–52. Neimeyer, R. A. (2005). Complicated grief and the quest for meaning: A constructivist contribution. Omega: Journal of Death and Dying, 52, 37–52.
Zurück zum Zitat Penedo, F. J., Molton, I., Dahn, J. R., Shen, B. J., Kinsinger, D., Traeger, L., et al. (2006). A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer: Development of stress management skills improves quality of life and benefit finding. Annals of Behavioral Medicine, 31, 261–270.CrossRefPubMed Penedo, F. J., Molton, I., Dahn, J. R., Shen, B. J., Kinsinger, D., Traeger, L., et al. (2006). A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer: Development of stress management skills improves quality of life and benefit finding. Annals of Behavioral Medicine, 31, 261–270.CrossRefPubMed
Zurück zum Zitat Rabkin, J. G. (2008). HIV and depression: 2008 Review and update. Current HIV/AIDS Reports, 5, 163–171.CrossRefPubMed Rabkin, J. G. (2008). HIV and depression: 2008 Review and update. Current HIV/AIDS Reports, 5, 163–171.CrossRefPubMed
Zurück zum Zitat Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef
Zurück zum Zitat Seay, J., Fekete, E., Antoni, M., Ironson, G., Fletcher, M., & Schneiderman, N. (2014). Ethnicity moderates the relationship between perceived stress and benefit finding in HIV+ men who have sex with men (MSM). International Journal of Behavioral Medicine, 21, 266–274.CrossRefPubMed Seay, J., Fekete, E., Antoni, M., Ironson, G., Fletcher, M., & Schneiderman, N. (2014). Ethnicity moderates the relationship between perceived stress and benefit finding in HIV+ men who have sex with men (MSM). International Journal of Behavioral Medicine, 21, 266–274.CrossRefPubMed
Zurück zum Zitat Siegel, K., Schrimshaw, E. W., & Pretter, S. (2005). Stress-related growth among women living with HIV/AIDS: Examination of an explanatory model. Journal of Behavioral Medicine, 28, 403–414.CrossRefPubMed Siegel, K., Schrimshaw, E. W., & Pretter, S. (2005). Stress-related growth among women living with HIV/AIDS: Examination of an explanatory model. Journal of Behavioral Medicine, 28, 403–414.CrossRefPubMed
Zurück zum Zitat Taku, K., Calhoun, L. G., Cann, A., & Tedeschi, R. G. (2008). The role of rumination in the coexistence of distress and posttraumatic growth among bereaved Japanese university students. Death Studies, 32, 428–444.CrossRefPubMed Taku, K., Calhoun, L. G., Cann, A., & Tedeschi, R. G. (2008). The role of rumination in the coexistence of distress and posttraumatic growth among bereaved Japanese university students. Death Studies, 32, 428–444.CrossRefPubMed
Zurück zum Zitat Tedeschi, R. G., & Calhoun, L. G. (1995). Trauma & transformation: Growing in the aftermath of suffering. Thousand Oaks, CA: Sage Publications Inc.CrossRef Tedeschi, R. G., & Calhoun, L. G. (1995). Trauma & transformation: Growing in the aftermath of suffering. Thousand Oaks, CA: Sage Publications Inc.CrossRef
Zurück zum Zitat Tomich, P. L., & Helgeson, V. S. (2004). Is finding something good in the bad always good? Benefit finding among women with breast cancer. Health Psychology, 23, 16–23.CrossRefPubMed Tomich, P. L., & Helgeson, V. S. (2004). Is finding something good in the bad always good? Benefit finding among women with breast cancer. Health Psychology, 23, 16–23.CrossRefPubMed
Zurück zum Zitat Triplett, K. N., Tedeschi, R. G., Cann, A., Calhoun, L. G., & Reeve, C. L. (2012). Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 400–410.CrossRef Triplett, K. N., Tedeschi, R. G., Cann, A., Calhoun, L. G., & Reeve, C. L. (2012). Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 400–410.CrossRef
Zurück zum Zitat Turk, D. C., & Okifuji, A. (1994). Detecting depression in chronic pain patients: Adequacy of self-reports. Behaviour Research and Therapy, 32, 9–16.CrossRefPubMed Turk, D. C., & Okifuji, A. (1994). Detecting depression in chronic pain patients: Adequacy of self-reports. Behaviour Research and Therapy, 32, 9–16.CrossRefPubMed
Zurück zum Zitat Van Dam, N. T., Gros, D. F., Earleywine, M., & Antony, M. M. (2013). Establishing a trait anxiety threshold that signals likelihood of anxiety disorders. Anxiety, Stress & Coping, 26, 70–86.CrossRef Van Dam, N. T., Gros, D. F., Earleywine, M., & Antony, M. M. (2013). Establishing a trait anxiety threshold that signals likelihood of anxiety disorders. Anxiety, Stress & Coping, 26, 70–86.CrossRef
Zurück zum Zitat Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.CrossRefPubMed Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.CrossRefPubMed
Zurück zum Zitat Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93, 200–208.CrossRefPubMedPubMedCentral Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93, 200–208.CrossRefPubMedPubMedCentral
Zurück zum Zitat Williams, D. R., Yu, Y., Jackson, J. S., & Anderson, N. B. (1997). Racial differences in physical and mental health: Socio-economic status, stress and discrimination. Journal of Health Psychology, 2, 335–351. doi:10.1177/135910539700200305 CrossRefPubMed Williams, D. R., Yu, Y., Jackson, J. S., & Anderson, N. B. (1997). Racial differences in physical and mental health: Socio-economic status, stress and discrimination. Journal of Health Psychology, 2, 335–351. doi:10.​1177/​1359105397002003​05 CrossRefPubMed
Metadaten
Titel
Ethnic differences in the links between benefit finding and psychological adjustment in people living with HIV
verfasst von
Erin M. Fekete
Michael Chatterton
Matthew D. Skinta
Stacey L. Williams
Publikationsdatum
19.01.2016
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 3/2016
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-016-9715-0

Weitere Artikel der Ausgabe 3/2016

Journal of Behavioral Medicine 3/2016 Zur Ausgabe

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Wartezeit nicht kürzer, aber Arbeit flexibler

Psychotherapie Medizin aktuell

Fünf Jahren nach der Neugestaltung der Psychotherapie-Richtlinie wurden jetzt die Effekte der vorgenommenen Änderungen ausgewertet. Das Hauptziel der Novellierung war eine kürzere Wartezeit auf Therapieplätze. Dieses Ziel wurde nicht erreicht, es gab jedoch positive Auswirkungen auf andere Bereiche.

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.