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Predictors of Psychological Well-Being in a Diverse Sample of HIV-Positive Patients Receiving Highly Active Antiretroviral Therapy

Received Dec. 3, 2001; revision received April 8, 2002; accepted April 16, 2002. From Fenway Community Health, Boston; Harvard Medical School and Massachusetts General Hospital, Boston; and the University of British Columbia, Vancouver, Canada. Address reprint requests to Dr. Safren, Department of Psychiatry, Massachusetts General Hospital, ACC 812, 15 Parkman St., Boston, MA 02114; ssafren{at}partners.org (e-mail).

The purpose of the present study was to identify variables relevant to psychological well-being in HIV patients receiving highly active antiretroviral therapy (HAART). Multiple stressors accompany living with HIV while managing a HAART regimen. However, a variety of cognitive and behavioral variables can protect against or augment the deleterious effects of stress in this population. The authors hypothesized that satisfaction with social support, coping styles, and maladaptive attributions about HIV would explain more variance in psychological well-being than stressful life events per se. Participants were individuals with HIV receiving antiretroviral therapy—either starting a new HAART regimen or having difficulties adhering to their current regimen. Satisfaction with social support, coping styles, and punishment beliefs about HIV were uniquely associated with depression, quality of life, and self-esteem over and above the effects of stressful life events. These results provide support for continued psychosocial interventions that target these variables among patients with HIV.

Key Words: HIV

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				M. Holt and N. Stephenson Living with HIV and negotiating psychological discourse. Health (London) , April 1, 2006; 10(2): 211 - 231. [Abstract] [PDF]

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