Avoidance and Rumination as Predictors of Substance Use, Mental Health, and Pain Outcomes Among People Living With HIV.

Autor: Ferguson E; Alpert Medical School of Brown University. Electronic address: erin_ferguson@brown.edu., Busch AM; Hennepin Healthcare and University of Minnesota Medical School., Anderson B; Butler Hospital., Abrantes AM; Alpert Medical School of Brown University and Butler Hospital., Pinkston MM; Alpert Medical School of Brown University and Lifespan Physicians Group, the Miriam Hospital., Baker JV; Hennepin Healthcare and University of Minnesota Medical School., Stein MD; Boston University School of Public Health., Uebelacker LA; Alpert Medical School of Brown University and Butler Hospital.
Jazyk: angličtina
Zdroj: Behavior therapy [Behav Ther] 2024 Sep; Vol. 55 (5), pp. 1015-1025. Date of Electronic Publication: 2024 Mar 07.
DOI: 10.1016/j.beth.2024.02.008
Abstrakt: Pain, substance use, and mental health conditions are common among people living with HIV (PLWH), and avoidance and rumination may influence the co-occurrence of these conditions. The present study examined longitudinal associations between avoidance/rumination and pain outcomes, anxiety, anger, and substance use among PLWH. Participants (N = 187) with chronic pain and depressive symptoms completed self-report assessments over a 1-year period. Greater avoidance/rumination was positively associated with mental health outcomes (anxiety, anger), pain interference, and alcohol use across participants after controlling for depression severity. At time points with greater avoidance/rumination than average, participants also reported increased pain severity and interference, anxiety and anger symptoms, and alcohol use. No associations were found between avoidance/rumination and cannabis use. Results suggest a mechanistic effect of avoidance/rumination, such that increases in avoidance/rumination correspond with poorer health outcomes among PLWH over time. Targeting avoidance/rumination through intervention approaches may be beneficial for addressing comorbid health conditions among PLWH. Additional research is necessary to investigate this possibility and further characterize the effects of avoidance/rumination on health outcomes for PLWH.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
Externí odkaz: