Skip to main content
Erschienen in: AIDS and Behavior 1/2008

01.01.2008 | Original Paper

Emotional Support and Affect: Associations with Health Behaviors and Active Coping Efforts in Men Living with HIV

verfasst von: Nathan T. Deichert, Erin M. Fekete, Jessica M. Boarts, Jennifer Ann Druley, Douglas L. Delahanty

Erschienen in: AIDS and Behavior | Ausgabe 1/2008

Einloggen, um Zugang zu erhalten

Abstract

The present study represents a cross-sectional examination of the relationship between affect, social support and illness adjustment in men diagnosed with HIV/AIDS. Positive and negative affect were examined as separate mediators of the relationship between emotional support received from a primary support provider and illness adjustment in 105 men living with HIV. Results suggested that depressive symptoms emerged as a mediator between emotional support and engaging in healthy lifestyle behaviors (assessed by summary index). In contrast, positive affect emerged as the primary mediator between emotional support and greater amounts of active coping. Overall, findings suggested that emotional support from close others was indirectly associated with health behaviors and coping through recipients’ affective states, and that these positive and negative affective states had differential relationships with multiple aspects of illness adjustment in men living with HIV.
Literatur
Zurück zum Zitat Ammassari, A., Antinori, A., Aloisi, M. S., Trotta, M. P., Murri, R., Bartoli, L. et al. (2004). Depressive symptoms, neurocognitive impairment, and adherence to highly active antiretroviral therapy among HIV-infected persons. Psychosomatics, 45, 394–402.PubMedCrossRef Ammassari, A., Antinori, A., Aloisi, M. S., Trotta, M. P., Murri, R., Bartoli, L. et al. (2004). Depressive symptoms, neurocognitive impairment, and adherence to highly active antiretroviral therapy among HIV-infected persons. Psychosomatics, 45, 394–402.PubMedCrossRef
Zurück zum Zitat Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef
Zurück zum Zitat Burgess, A. P., Carretero, M., Elkington, A., Pasqual-Marsettin, E., Lobaccaro, C., & Catalan, J. (2000). The role of personality, coping style and social support in health-related quality of life in HIV infection. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care, and Rehabilitation, 9, 423–437. Burgess, A. P., Carretero, M., Elkington, A., Pasqual-Marsettin, E., Lobaccaro, C., & Catalan, J. (2000). The role of personality, coping style and social support in health-related quality of life in HIV infection. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care, and Rehabilitation, 9, 423–437.
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(2), 53–59.PubMedCrossRef Catz, S. L., Gore-Felton, C., & McClure, J. B. (2002). Psychological distress among minority and low-income women living with HIV. Behavioral Medicine, 28(2), 53–59.PubMedCrossRef
Zurück zum Zitat Chesney , M. A., & Darbes L. (1998). Social support and heart disease in women: Implications for intervention. In K. Orth-Gomer, M. Chesney & N. K. Wenger (Eds.), Women, stress, and heart disease, (pp. 165–182) Lawrence Erlbaum Associates: NJ. Chesney , M. A., & Darbes L. (1998). Social support and heart disease in women: Implications for intervention. In K. Orth-Gomer, M. Chesney & N. K. Wenger (Eds.), Women, stress, and heart disease, (pp. 165–182) Lawrence Erlbaum Associates: NJ.
Zurück zum Zitat Chesney, M. A., Ickovics, J. R., Chambers, D. B., Gifford, A. L., Neidig, J., Zwickl, B., et al. (2000). Self-reported adherence to antiretroviral medications among participants in HIV clinical trials: The AACTG Adherence Instruments. AIDS Care, 12, 255–266.PubMedCrossRef Chesney, M. A., Ickovics, J. R., Chambers, D. B., Gifford, A. L., Neidig, J., Zwickl, B., et al. (2000). Self-reported adherence to antiretroviral medications among participants in HIV clinical trials: The AACTG Adherence Instruments. AIDS Care, 12, 255–266.PubMedCrossRef
Zurück zum Zitat Clingerman, E. (2004). Physical activity, social support, and health-related quality of life among persons with HIV disease. Journal of Community Health Nursing, 21, 179–197.PubMedCrossRef Clingerman, E. (2004). Physical activity, social support, and health-related quality of life among persons with HIV disease. Journal of Community Health Nursing, 21, 179–197.PubMedCrossRef
Zurück zum Zitat Folkman, S., & Lazarus, R. S. (1986). The dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50, 992–1003.PubMedCrossRef Folkman, S., & Lazarus, R. S. (1986). The dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50, 992–1003.PubMedCrossRef
Zurück zum Zitat Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300–319.CrossRef Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300–319.CrossRef
Zurück zum Zitat Frijda, N. H. (1986). The emotions. Cambridge: Cambridge University Press. Frijda, N. H. (1986). The emotions. Cambridge: Cambridge University Press.
Zurück zum Zitat Godin, G., Cote, J., Naccache, H., Lambert, L. D., & Trottier, S. (2005). Prediction of adherence to antiretroviral therapy: A one-year longitudinal study. AIDS Care, 17, 493–504.PubMed Godin, G., Cote, J., Naccache, H., Lambert, L. D., & Trottier, S. (2005). Prediction of adherence to antiretroviral therapy: A one-year longitudinal study. AIDS Care, 17, 493–504.PubMed
Zurück zum Zitat Gonzalez, J. S., Penedo, F. J., Antoni, M. H., Duran, R. E., Fernandez, M. I., McPherson-Baker, S., et al. (2004). Social support, positive states of mind, and HIV treatment adherence in men and women living with HIV/AIDS. Health Psychology, 23, 413–418.PubMedCrossRef Gonzalez, J. S., Penedo, F. J., Antoni, M. H., Duran, R. E., Fernandez, M. I., McPherson-Baker, S., et al. (2004). Social support, positive states of mind, and HIV treatment adherence in men and women living with HIV/AIDS. Health Psychology, 23, 413–418.PubMedCrossRef
Zurück zum Zitat Goodkin, K., Blaney, N. T., Feaster, D., Fletcher, M. A., Baum, M. K., Mantero-Atienza, E., et al. (1992). Active coping style is associated with natural killer cell cytoxicity in asymptomatic HIV-1 seropositive homosexual men. Journal of Psychosomatic Research, 36, 635–650.PubMedCrossRef Goodkin, K., Blaney, N. T., Feaster, D., Fletcher, M. A., Baum, M. K., Mantero-Atienza, E., et al. (1992). Active coping style is associated with natural killer cell cytoxicity in asymptomatic HIV-1 seropositive homosexual men. Journal of Psychosomatic Research, 36, 635–650.PubMedCrossRef
Zurück zum Zitat Heller K., & Rook K. S. (1997). Distinguishing the theoretical functions of social ties: Implications for support interventions. In S. Duck (Ed.), Handbook of personal relationships: Theory, research, and interventions (2nd ed.) (pp. 649–670) New Jersey: Wiley. Heller K., & Rook K. S. (1997). Distinguishing the theoretical functions of social ties: Implications for support interventions. In S. Duck (Ed.), Handbook of personal relationships: Theory, research, and interventions (2nd ed.) (pp. 649–670) New Jersey: Wiley.
Zurück zum Zitat Ickovics, J. R., Beren, S. B., Grigorenko, E. L, Morrill, A. C., Druley, J. A., & Rodin, J. (2002). Pathways of risk: Race, social class, stress, and coping as factors predicting heterosexual risk behaviors for HIV among women. AIDS and Behavior, 6, 339–350.CrossRef Ickovics, J. R., Beren, S. B., Grigorenko, E. L, Morrill, A. C., Druley, J. A., & Rodin, J. (2002). Pathways of risk: Race, social class, stress, and coping as factors predicting heterosexual risk behaviors for HIV among women. AIDS and Behavior, 6, 339–350.CrossRef
Zurück zum Zitat Ironson, G., Balbin, E., Stuetzle, R., Fletcher, M. A., O’ Cleirigh, C., Laurenceau, J. P., et al. (2005). Dispositional optimism and the mechanisms by which it predicts slower disease progression in HIV: Proactive behavior, avoidant coping, and depression. International Journal of Behavioral Medicine, 12, 86–97.PubMedCrossRef Ironson, G., Balbin, E., Stuetzle, R., Fletcher, M. A., O’ Cleirigh, C., Laurenceau, J. P., et al. (2005). Dispositional optimism and the mechanisms by which it predicts slower disease progression in HIV: Proactive behavior, avoidant coping, and depression. International Journal of Behavioral Medicine, 12, 86–97.PubMedCrossRef
Zurück zum Zitat Katz, M. R., Kopek, N., Waldron, J., Devins, G. M., & Tomlinson, G. (2004). Screening for depression in head and neck cancer. Psycho-oncology, 13, 269–280.PubMedCrossRef Katz, M. R., Kopek, N., Waldron, J., Devins, G. M., & Tomlinson, G. (2004). Screening for depression in head and neck cancer. Psycho-oncology, 13, 269–280.PubMedCrossRef
Zurück zum Zitat Kiecolt-Glaser, J. K., & Glaser, R. (1988). Methodological issues in behavioral immunology research with humans. Brain, Behavior, and Immunity, 2, 67–78.PubMedCrossRef Kiecolt-Glaser, J. K., & Glaser, R. (1988). Methodological issues in behavioral immunology research with humans. Brain, Behavior, and Immunity, 2, 67–78.PubMedCrossRef
Zurück zum Zitat Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer. Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Zurück zum Zitat Leserman, J., Petitto, J. M., Gu, H., Gaynes, B. N., Barroso, J., Golden, R. N., et al. (2002). Progression to AIDS, a clinical AIDS condition and mortality: Psychosocial and physiological predictors. Psychological Medicine, 32, 1059–1073.PubMedCrossRef Leserman, J., Petitto, J. M., Gu, H., Gaynes, B. N., Barroso, J., Golden, R. N., et al. (2002). Progression to AIDS, a clinical AIDS condition and mortality: Psychosocial and physiological predictors. Psychological Medicine, 32, 1059–1073.PubMedCrossRef
Zurück zum Zitat Leslie, M. B., Stein, J. A., & Rotheram-Borus, M. J. (2002). The impact of coping strategies, personal relationships, and emotional distress on health-related outcomes of parents living with HIV or AIDS. Journal of Social and Personal Relationships, 19, 45–66.CrossRef Leslie, M. B., Stein, J. A., & Rotheram-Borus, M. J. (2002). The impact of coping strategies, personal relationships, and emotional distress on health-related outcomes of parents living with HIV or AIDS. Journal of Social and Personal Relationships, 19, 45–66.CrossRef
Zurück zum Zitat Mulder, C. L., Antoni, M. H., Duivenvoorden, H. J., & Kauffmann, R. H. (1995). Active confrontational coping predicts decreased clinical progression over a one-year period in HIV-infected homosexual men. Journal of Psychosomatic Research, 39, 957–965.PubMedCrossRef Mulder, C. L., Antoni, M. H., Duivenvoorden, H. J., & Kauffmann, R. H. (1995). Active confrontational coping predicts decreased clinical progression over a one-year period in HIV-infected homosexual men. Journal of Psychosomatic Research, 39, 957–965.PubMedCrossRef
Zurück zum Zitat Paterson, D. L., Swindells, S., Mohr, J., Brester, M., Vergis, E. N., Squier, C., et al. (2000). Adherence to protease inhibitor therapy and outcomes in patients with HIV infection. Annals of Internal Medicine, 133, 21–30.PubMed Paterson, D. L., Swindells, S., Mohr, J., Brester, M., Vergis, E. N., Squier, C., et al. (2000). Adherence to protease inhibitor therapy and outcomes in patients with HIV infection. Annals of Internal Medicine, 133, 21–30.PubMed
Zurück zum Zitat Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health?. Psychological Bulletin, 131, 925–971.PubMedCrossRef Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health?. Psychological Bulletin, 131, 925–971.PubMedCrossRef
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, 395–401.CrossRef Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 395–401.CrossRef
Zurück zum Zitat Rotheram-Borus, M. J., Rosario, M., Reid, H., & Coopman, C. (1995). Predicting patterns of sexual acts among homosexual and bisexual youths. The American Journal of Psychiatry, 152, 588–595.PubMed Rotheram-Borus, M. J., Rosario, M., Reid, H., & Coopman, C. (1995). Predicting patterns of sexual acts among homosexual and bisexual youths. The American Journal of Psychiatry, 152, 588–595.PubMed
Zurück zum Zitat Salovey, P., Rothman, A. J., Detweiler, J. B., & Steward, W. T. (2000). Emotional states and physical health. American Psychologist, 55, 110–121.PubMedCrossRef Salovey, P., Rothman, A. J., Detweiler, J. B., & Steward, W. T. (2000). Emotional states and physical health. American Psychologist, 55, 110–121.PubMedCrossRef
Zurück zum Zitat Shen, B., McCreary, C. P., & Myers, H. F. (2004). Independent and mediated contributions of personality, coping, social support, and depressive symptoms to physical functioning outcome among patients in cardiac rehabilitation. Journal of Behavioral Medicine, 27, 39–62.PubMedCrossRef Shen, B., McCreary, C. P., & Myers, H. F. (2004). Independent and mediated contributions of personality, coping, social support, and depressive symptoms to physical functioning outcome among patients in cardiac rehabilitation. Journal of Behavioral Medicine, 27, 39–62.PubMedCrossRef
Zurück zum Zitat Simoni, J. M., Frick, P. A., Lockhart, D., & Liebovitz, D. (2002). Mediators of social support and antiretroviral adherence among an indigent population in New York City. AIDS Patient Care and STD’s, 16, 431–439.CrossRef Simoni, J. M., Frick, P. A., Lockhart, D., & Liebovitz, D. (2002). Mediators of social support and antiretroviral adherence among an indigent population in New York City. AIDS Patient Care and STD’s, 16, 431–439.CrossRef
Zurück zum Zitat Sobel M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology 1982 (pp. 290–312). San Francisco: Jossey-Bass. Sobel M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology 1982 (pp. 290–312). San Francisco: Jossey-Bass.
Zurück zum Zitat Solano, L., Costa, M., Salvati, S., Coda, R., Aiuti, F., Mezzaroma, I., et al. (1993). Psychosocial factors and clinical evolution in HIV-1 infection: A longitudinal study. Journal of Psychosomatic Research, 37, 39–51.PubMedCrossRef Solano, L., Costa, M., Salvati, S., Coda, R., Aiuti, F., Mezzaroma, I., et al. (1993). Psychosocial factors and clinical evolution in HIV-1 infection: A longitudinal study. Journal of Psychosomatic Research, 37, 39–51.PubMedCrossRef
Zurück zum Zitat Stephens , M. A. P., & Clark, S. L. (1997). Reciprocity in the expression of emotional support among later-life couples coping with stroke. In B. H. Gottlieb (Ed.), Coping with chronic stress (pp. 221–242). New York: Plenum. Stephens , M. A. P., & Clark, S. L. (1997). Reciprocity in the expression of emotional support among later-life couples coping with stroke. In B. H. Gottlieb (Ed.), Coping with chronic stress (pp. 221–242). New York: Plenum.
Zurück zum Zitat Stone, A. A., & Shiffman, S. (1994). Ecological momentary assessment (EMA) in behavioral medicine. Annals of Behavioral Medicine, 16, 199–202. Stone, A. A., & Shiffman, S. (1994). Ecological momentary assessment (EMA) in behavioral medicine. Annals of Behavioral Medicine, 16, 199–202.
Zurück zum Zitat Tedlie-Moskowitz, J. (2003). Positive affect predicts lower risk of AIDS mortality. Psychosomatic Medicine, 65, 620–626.CrossRef Tedlie-Moskowitz, J. (2003). Positive affect predicts lower risk of AIDS mortality. Psychosomatic Medicine, 65, 620–626.CrossRef
Zurück zum Zitat Uchino, B. N. (2004). Social support and physical health: Understanding the health consequences of relationships. New Haven, CT: Yale University Press. Uchino, B. N. (2004). Social support and physical health: Understanding the health consequences of relationships. New Haven, CT: Yale University Press.
Zurück zum Zitat Watson, D., & Clark, L. A. (1997). Measurement and mismeasurement of mood: Recurrent and emergent issues. Journal of Personality Assessment, 68, 267–296.PubMedCrossRef Watson, D., & Clark, L. A. (1997). Measurement and mismeasurement of mood: Recurrent and emergent issues. Journal of Personality Assessment, 68, 267–296.PubMedCrossRef
Zurück zum Zitat Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scale. Journal of Personality and Social Psychology, 54, 1063–1070.PubMedCrossRef Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scale. Journal of Personality and Social Psychology, 54, 1063–1070.PubMedCrossRef
Zurück zum Zitat Weaver, K. E., Llabre, M. M., Duran, R. E., Antoni, M. H., Ironson, G., Penedo, F. J., et al. (2005). A stress and coping model of medication adherence and viral load in HIV-positive men and women on Highly Active Antiretroviral Therapy (HAART). Health Psychology, 24, 385–392.PubMedCrossRef Weaver, K. E., Llabre, M. M., Duran, R. E., Antoni, M. H., Ironson, G., Penedo, F. J., et al. (2005). A stress and coping model of medication adherence and viral load in HIV-positive men and women on Highly Active Antiretroviral Therapy (HAART). Health Psychology, 24, 385–392.PubMedCrossRef
Zurück zum Zitat Wood, E., Hogg, R. S., Yip, B., Harrigan, P. R., O’Shaughnessy, M. V., & Montaner, J. S. G. (2003). Effect of medication adherence on survival of HIV-infected adults who start highly active antiretroviral therapy when the CD4+ cell count is 0.200 to 0.350 x 10(9) cells/L. Annals of Internal Medicine, 139, 810–816.PubMed Wood, E., Hogg, R. S., Yip, B., Harrigan, P. R., O’Shaughnessy, M. V., & Montaner, J. S. G. (2003). Effect of medication adherence on survival of HIV-infected adults who start highly active antiretroviral therapy when the CD4+ cell count is 0.200 to 0.350 x 10(9) cells/L. Annals of Internal Medicine, 139, 810–816.PubMed
Metadaten
Titel
Emotional Support and Affect: Associations with Health Behaviors and Active Coping Efforts in Men Living with HIV
verfasst von
Nathan T. Deichert
Erin M. Fekete
Jessica M. Boarts
Jennifer Ann Druley
Douglas L. Delahanty
Publikationsdatum
01.01.2008
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2008
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-007-9214-y

Weitere Artikel der Ausgabe 1/2008

AIDS and Behavior 1/2008 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

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