nach oben

AIDS and Behavior

Erschienen in:

01.04.2010 | Original Paper

Stress and Coping in HIV-Positive Former Plasma/Blood Donors in China: A Test of Cognitive Appraisal Theory

verfasst von: Christina S. Meade, Jianping Wang, Xiuyun Lin, Hao Wu, Paul J. Poppen

Erschienen in: AIDS and Behavior | Ausgabe 2/2010

Einloggen, um Zugang zu erhalten

Abstract

Throughout the 1990s, many villagers in rural China were infected with HIV through commercial plasma/blood donation. These former plasma/blood donors (FPDs) experienced many HIV-related stressors. This study tested a cognitive appraisal model of stress and coping in a sample of HIV-positive adult FPDs. Participants (N = 207) from multiple villages completed a battery of questionnaires assessing HIV-related stress, HIV symptoms, cognitive appraisal, coping behaviors, and psychological distress. Participants reported high levels of HIV-related stress, depression, and anxiety. In a structural equation model, greater HIV-related stress, HIV symptoms, and threat appraisal were directly associated with psychological distress. HIV-related stress was also indirectly associated with psychological distress through threat appraisal. In a second model, coping was found to mediate the relationship between challenge appraisal and psychological distress. Results support the utility of cognitive appraisal theory. Stress management interventions targeting HIV-positive FPDs in China are indicated.

Anderson, S. E. H. (1995). Personality, appraisal, and adaptational outcomes in HIV seropositive men and women. Research in Nursing and Health, 18, 303–312. doi:10.1002/nur.4770180404.CrossRefPubMed

Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical consideration. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.CrossRefPubMed

Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: Guilford Press.

Beck, A. T., Steer, R. A., & Brown, G. K. (1991). Manual for the beck depression inventory-II. San Antonio: Psychological Corporation.

Blaney, N., Fernandez, M., Ethier, K., Wilson, T., Walter, E., & Koenig, L. (2004). Psychosocial and behavioral correlates of depression among HIV-infected pregnant women. AIDS Patient Care and STDs, 18, 405–415. doi:10.1089/1087291041518201.CrossRefPubMed

Bogart, L. M., Catz, S. L., Kelly, J. A., Gray-Bernhardt, M. L., Hartman, B. R., Otto-Salaj, L. L., et al. (2000). Psychosocial issues in the era of new AIDS treatments from the perspective of persons living with HIV. Journal of Health Psychology, 5, 500–516.CrossRef

Bollen, K. A. (1989). Structural equations with latent variables. New York: Wiley.

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. doi:10.1037/0022-006X.66.6.979.CrossRefPubMed

Brown, J. L., & Vanable, P. A. (2008). Cognitive-behavioral stress management interventions for persons living with HIV: A review and critique of the literature. Annals of Behavioral Medicine, 35, 26–40.PubMed

Chan, D. W. (1994). The Chinese Ways of Coping Questionnaire: Assessing coping in secondary school teachers and students in Hong Kong. Psychological Assessment, 6, 1040–3590. doi:10.1037/1040-3590.6.2.108.CrossRef

Chan, I., Au, A., Li, P., Chung, R., Lee, M. P., & Yu, P. (2006). Illness-related factors, stress, and coping strategies in relation to psychological distress in HIV-infected persons in Hong Kong. AIDS Care, 18, 977–982. doi:10.1080/09540120500490093.CrossRefPubMed

Cohen, J. (2004). HIV/AIDS in China. An unsafe practice turned blood donors into victims. Science, 304, 1438–1439. doi:10.1126/science.304.5676.1438.CrossRefPubMed

Fleishman, J. A., & Fogel, B. (1994). Coping and depressive symptoms among people with AIDS. Health Psychology, 13, 156–169. doi:10.1037/0278-6133.13.2.156.CrossRefPubMed

Folkman, S., Chesney, M., Pollack, L., & Coates, T. (1993). Stress, control, coping, and depressive mood in human immunodeficiency virus-positive and -negative gay men in San Francisco. The Journal of Nervous and Mental Disease, 181, 409–416. doi:10.1097/00005053-199307000-00002.CrossRefPubMed

Folkman, S., & Lazarus, R. S. (1988). Manual for the ways of coping questionnaire: Research edition. Palo Alto: Consulting Psychological Press.

Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50, 992–1003. doi:10.1037/0022-3514.50.5.992.CrossRefPubMed

Holzemer, W. L., Henry, S. B., Nokes, K. M., Corless, I. B., Brown, M. A., Powell-Cope, G. M., et al. (1999). Validation of the sign and symptom checklist for persons with HIV disease (SSC-HIV). Journal of Advanced Nursing, 30, 1041–1049. doi:10.1046/j.1365-2648.1999.01204.x.CrossRefPubMed

Hu, L., & Bentler, P. M. (1999). Cutoff criterion for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef

Ickovics, J. R., Hamburger, M. E., Vlahov, D., Schoenbaum, E. E., Schuman, P., Boland, R. J., et al. (2001). Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women: Longitudinal analysis from the HIV epidemiology research study. Journal of the American Medical Association, 285, 1466–1474. doi:10.1001/jama.285.11.1466.CrossRefPubMed

Ironson, G., O’Cleirigh, C., Fletcher, M. A., Laurenceau, J. P., Balbin, E., Klimas, N., et al. (2005). Psychosocial factors predict CD4 and viral load change in men and women with human immunodeficiency virus in the era of highly active antiretroviral treatment. Psychosomatic Medicine, 67, 1013–1021. doi:10.1097/01.psy.0000188569.58998.c8.CrossRefPubMed

Jaccard, J., & Wan, C. K. (1996). LISREL approaches to interaction effects in multiple regression. Thousand Oaks: Sage.

Ji, G., Detels, R., Wu, Z., & Yin, Y. (2006). Correlates of HIV infection among former blood/plasma donors in rural China. AIDS (London, England), 20, 585–591. doi:10.1097/01.aids.0000210613.45212.c4.

Ji, G., Li, L., Lin, C., & Sun, S. (2007). The impact of HIV/AIDS on families and children–a study in China. AIDS (London, England), 21, S157–S161. doi:10.1097/01.aids.0000304712.87164.42.

Jin, H., Hampton Atkinson, J., Yu, X., Heaton, R. K., Shi, C., Marcotte, T. P., et al. (2006). Depression and suicidality in HIV/AIDS in China. Journal of Affective Disorders, 94, 269–275. doi:10.1016/j.jad.2006.04.013.CrossRefPubMed

Kalichman, S. C., & Catz, S. L. (2000). Stressors in HIV infection. In K. Nott & K. Vedhara (Eds.), Psychosocial and biomedical interactions in HIV infection (pp. 31–60). Amsterdam: Harwood Academic.

Lazarus, R. S. (1966). Psychological stress and coping process. New York: McGraw-Hill.

Lazarus, R. S. (1991). Emotion and adaptation. Oxford: Oxford University Press.

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

Leserman, J., Jackson, E. D., Petitto, J. M., Golden, R. N., Silva, S. G., Perkins, D. O., et al. (1999). Progression to AIDS: the effects of stress, depressive symptoms, and social support. Psychosomatic Medicine, 61, 397–406.PubMed

Leserman, J., Petito, J. M., Golden, R. N., Gaynes, B. N., Gu, H., Perkins, D. O., et al. (2000). Impact of stressful life events, depression, social support, coping, and cortisol on progression to AIDS. The American Journal of Psychiatry, 157, 1221–1228. doi:10.1176/appi.ajp.157.8.1221.CrossRefPubMed

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. doi:10.1007/s10865-007-9142-3.CrossRefPubMed

Mastro, T. D., & Yip, R. (2006). The legacy of unhygienic plasma collection in China. AIDS (London, England), 20, 1451–1452. doi:10.1097/01.aids.0000233580.56844.c1.

Mayne, T. J., Vittinghoff, E., Chesney, M. A., Barrett, D. C., & Coates, T. J. (1996). Depressive affect and survival among gay and bisexual men infected with HIV. Archives of Internal Medicine, 156, 2233–2238. doi:10.1001/archinte.156.19.2233.CrossRefPubMed

Ministry of Health People’s Republic of China. (2006). Update on the HIV/AIDS epidemic and response in China. Beijing: National Center for AIDS/STD Prevention and Control.

Molassiotis, A., Callaghan, P., Twinn, S. F., & Lam, S. W. (2001). Correlates of quality of life in symptomatic HIV patients living in Hong Kong. AIDS Care, 13, 319–334. doi:10.1080/09540120120043973.CrossRefPubMed

Moneyham, L., Seals, B., Sowell, R., Hennessy, M., Demi, A., & Brake, S. (1997). The impact of HIV on emotional distress of infected women: Cognitive appraisal and coping as mediators. Scholarly Inquiry for Nursing Practice, 11, 125–145.PubMed

Mulder, C. L., de Vroome, E. M., van Griensven, G. J., Antoni, M. H., & Sandfort, T. G. (1999). Avoidance as a predictor of the biological course of HIV infection over a 7-year period in gay men. Health Psychology, 18, 107–113. doi:10.1037/0278-6133.18.2.107.CrossRefPubMed

Murphy, D. A., Moscicki, A. B., Vermund, S. H., & Muenz, L. R. (2000). Psychological distress among HIV + adolescents in the REACH study: Effects of life stress, social support, and coping. The adolescent medicine HIV/AIDS research network. The Journal of Adolescent Health, 27, 391–398. doi:10.1016/S1054-139X(00)00158-0.CrossRefPubMed

Pakenham, K. I., Dadds, M. R., & Terry, D. J. (1996). Adaptive demands along the HIV disease continuum. Social Science and Medicine, 42, 245–256. doi:10.1016/0277-9536(95)00099-2.CrossRefPubMed

Pakenham, K. I., & Rinaldis, M. (2001). The role of illness, resources, appraisal, and coping strategies in adjustment to HIV/AIDS: The direct and buffering effects. Journal of Behavioral Medicine, 24, 259–279. doi:10.1023/A:1010718823753.CrossRefPubMed

Pakenham, K. I., & Rinaldis, M. (2002). Development of the HIV/AIDS stress scale. Psychology & Health, 17, 203–219. doi:10.1080/08870440290013680.CrossRef

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.

Qian, H. Z., Vermund, S. H., Kaslow, R. A., Coffey, C. S., Chamot, E., Yang, Z., et al. (2006). Co-infection with HIV and hepatitis C virus in former plasma/blood donors: challenge for patient care in rural China. AIDS (London, England), 20, 1429–1435. doi:10.1097/01.aids.0000233577.33973.fa.

Reed, G. M., Kemeny, M. E., Taylor, S. E., Wang, H. Y., & Visscher, B. R. (1994). Realistic acceptance as a predictor of decreased survival time in gay men with AIDS. Health Psychology, 13, 299–307. doi:10.1037/0278-6133.13.4.299.CrossRefPubMed

Remien, R. H., Exner, T., Kertzner, R. M., Ehrhardt, A. A., Rotheram-Borus, M. J., Johnson, M. O., et al. (2006). Depressive symptomatology among HIV-positive women in the era of HAART: A stress and coping model. American Journal of Community Psychology, 38, 275–285. doi:10.1007/s10464-006-9083-y.CrossRefPubMed

Reynolds, N. R., Sanzero Eller, L., Nicholas, P. K., Corless, I. B., Kirksey, K., Hamilton, M. J., Kemppainen, J. K., Bunch, E., Dole, P., Wantland, D., Sefcik, E., Nokes, K. M., Coleman, C. L., Rivero, M., Canaval, G. E., Tsai, Y. F., & Holzemer, W. L. (2007). HIV illness representation as a predictor of self-care management and health outcomes: A multi-site, cross-cultural study. AIDS and Behavior. doi:10.1007/s10461-007-9297-5.

Scott-Sheldon, L. A., Kalichman, S. C., Carey, M. P., & Fielder, R. L. (2008). Stress management interventions for HIV + adults: A meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychology, 27, 129–139. doi:10.1037/0278-6133.27.2.129.CrossRefPubMed

Seligman, M. E. P. (1975). Helplessness: On depression, development, and death. San Francisco: W. H. Freeman.

Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422–445. doi:10.1037/1082-989X.7.4.422.CrossRefPubMed

Sikkema, K. J., Hansen, N. B., Ghebremichael, M., Kochman, A., Tarakeshwar, N., Meade, C. S., et al. (2006). A randomized controlled trial of a coping group intervention for adults with HIV who are AIDS bereaved: Longitudinal effects on grief. Health Psychology, 25, 563–570. doi:10.1037/0278-6133.25.5.563.CrossRefPubMed

Sikkema, K. J., Hansen, N. B., Kochman, A., Tarakeshwar, N., Neufeld, S., Meade, C. S., et al. (2007). Outcomes from a group intervention for coping with HIV/AIDS and childhood sexual abuse: Reductions in traumatic stress. AIDS and Behavior, 11, 49–90. doi:10.1007/s10461-006-9149-8.CrossRefPubMed

Simoni, J. M., Demas, P., Mason, H., Drossman, J., & Davis, M. (2000). HIV disclosure among women of African descent: Associations with coping, social support, and psychological adaptation. AIDS and Behavior, 4, 147–158. doi:10.1023/A:1009508406855.CrossRef

Tarakeshwar, N., Hansen, N. B., Kochman, A., & Sikkema, K. J. (2005). Gender, ethnicity and spiritual coping among bereaved HIV-positive individuals. Mental Health Religion & Culture, 8, 109–125. doi:10.1080/1367467042000240383.CrossRef

Taylor, S. E., Kemeny, M. E., Aspinwall, L. G., Schneider, S. G., Rodriguez, R., & Herbert, M. (1992). Optimism, coping, psychological distress, and high-risk sexual behavior among men at risk for acquired immunodeficiency syndrome (AIDS). Journal of Personality and Social Psychology, 63, 460–473. doi:10.1037/0022-3514.63.3.460.CrossRefPubMed

Tsai, Y. F., Hsiung, P. C., & Holzemer, W. L. (2003). Validation of a Chinese version of the sign and symptom checklist for persons with HIV diseases. Journal of Pain and Symptom Management, 25, 363–368. doi:10.1016/S0885-3924(02)00687-5.CrossRefPubMed

van Heck, G., & de Ridder, D. (2001). Assessment of coping with loss: Dimensions and measurement. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping and care. Washington, DC: American Psychological Association.

Vitaliano, P. P., Russo, J., Carr, J. E., Maiuro, R. D., & Becker, J. (1985). The ways of coping checklist: Revision and psychometric properties. Multivariate Behavioral Research, 20, 3–26. doi:10.1207/s15327906mbr2001_1.CrossRef

Wang, L. (2007). Overview of the HIV/AIDS epidemic, scientific research and government responses in China. AIDS (London, England), 21, S3–S7. doi:10.1097/01.aids.0000304690.24390.c2.

Wu, Z., Rou, K., & Detels, R. (2001). Prevalence of HIV infection among former commercial plasma donors in rural eastern China. Health Policy and Planning, 16, 41–46. doi:10.1093/heapol/16.1.41.CrossRefPubMed

Wu, Z., Sun, X., Sullivan, S. G., & Detels, R. (2006). Public health: HIV testing in China. Science, 312, 1475–1476. doi:10.1126/science.1120682.CrossRefPubMed

Yin, W.-Y., & Wu, Z.-Y. (2007). Challenges and opportunities: the expanded government-led HIV/AIDS programs in China. Virologica Sinica, 22, 493–500. doi:10.1007/s12250-007-0051-y.CrossRef

Zhang, M. Y. (1993). Ranking scales for mental health. Changsha: Science and Technology Press.

Zhang, F. J., Pan, J., Yu, L., Wen, Y., & Zhao, Y. (2005). Current progress of China’s free ART program. Cell Research, 15, 877–882. doi:10.1038/sj.cr.7290362.CrossRefPubMed

Zheng, Y. P., Wei, L. A., Goa, L. G., Zhang, G. C., & Wong, C. G. (1988). Applicability of the Chinese beck depression inventory. Comprehensive Psychiatry, 29, 484–489. doi:10.1016/0010-440X(88)90063-6.CrossRefPubMed

Zung, W. W. (1971). A rating instrument for anxiety disorders. Psychosomatics, 12, 371–379.PubMed

Titel: Stress and Coping in HIV-Positive Former Plasma/Blood Donors in China: A Test of Cognitive Appraisal Theory
verfasst von: Christina S. Meade
Jianping Wang
Xiuyun Lin
Hao Wu
Paul J. Poppen
Publikationsdatum: 01.04.2010
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 2/2010
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-008-9494-x

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren.

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Update Innere Medizin

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

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2010

AIDS Denialism and Public Health Practice

HIV Sexual Risk Behavior Among Low-Income Women Experiencing Intimate Partner Violence: The Role of Posttraumatic Stress Disorder

HIV Services Utilization in Los Angeles County, California

Cognitive Adaptability as a Moderator of Expressive Writing Effects in an HIV Sample

The Role of Body Image Dissatisfaction and Depression on HAART Adherence in HIV Positive Men: Tests of Mediation Models