Life Stress and Adherence to Antiretroviral Therapy among HIV-Positive Individuals: A Preliminary Investigation
| Autor: | Kathryn A. Bottonari, John E. Roberts, Ross G. Hewitt, Jeffrey A. Ciesla |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Population Human immunodeficiency virus (HIV) Ethnic group HIV Infections medicine.disease_cause Life Change Events Acquired immunodeficiency syndrome (AIDS) Surveys and Questionnaires medicine Humans Psychiatry education Life stress Depressive Disorder education.field_of_study business.industry Public Health Environmental and Occupational Health Viral Load medicine.disease Neuroticism Antiretroviral therapy Self Concept Infectious Diseases Anti-Retroviral Agents Patient Compliance Female business Viral load Stress Psychological Clinical psychology |
| Zdroj: | AIDS Patient Care and STDs. 19:719-727 |
| ISSN: | 1557-7449 1087-2914 |
| Popis: | The present study sought to investigate the impact of life stress on treatment adherence and viral load of HIV-positive individuals. Three different aspects of life stress were examined in this investigation (perceived stress, acute life events unrelated to the HIV illness, and HIV-related acute life events). Furthermore, we examined whether these relationships were moderated by depressive severity, self-esteem, and neuroticism. Participants (n = 24) were treatment- seeking HIV-positive individuals who completed a series of questionnaires for this investigation. The majority of the participants in this sample were middle-aged, Caucasian males who identified themselves as either homosexual or bisexual, had contracted HIV via sexual contact, and met criteria for AIDS (mean CD4 count = 324). This sample was highly self-selected and varied from the county HIV-positive population in terms of gender, ethnicity, and HIV risk factor. Information on their adherence and viral load was collected from their medical records 6 to 9 months after completion of the psychological measurements. Results indicated that perceived stress, but not acute events, prospectively predicted adherence. Moreover, marginal trends suggested that depressive symptoms and neuroticism moderated the effect of perceived stress on adherence. Neither perceived stress nor acute life events were associated with viral load. |
| Databáze: | OpenAIRE |
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