Top

Gepubliceerd in:

30-11-2016

HIV-related shame and health-related quality of life among older, HIV-positive adults

Auteurs: Wilson Vincent, Xindi Fang, Sarah K. Calabrese, Timothy G. Heckman, Kathleen J. Sikkema, Nathan B. Hansen

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2017

Abstract

This study investigated how HIV-related shame is associated with health-related quality of life (HRQoL) in older people living with HIV (PLHIV). Structural equation modeling tested whether HIV-related shame was associated with three dimensions of HRQoL (physical, emotional, and social well-being) and whether there were significant indirect associations of HIV-related shame with the three HRQoL dimensions via depression and loneliness in a sample of 299 PLHIV ≥50 years old. Results showed that depression and loneliness were key mechanisms, with depression at least partially accounting for the association between HIV-related shame and both emotional and physical well-being, respectively, and loneliness accounting for the association between HIV-related shame and social well-being. HIV-related shame appears to be an important correlate of HRQoL in older PLHIV and may provide a promising leveraging point by which to improve HRQoL in older PLHIV.

vorige artikel Mediators of change in screen-time in a school-based intervention for adolescent boys: findings from the ATLAS cluster randomized controlled trial

volgende artikel Examining acute bi-directional relationships between affect, physical feeling states, and physical activity in free-living situations using electronic ecological momentary assessment

Adams, K. B., Sanders, S., & Auth, E. A. (2004). Loneliness and depression in independent living retirement communities: Risk and resilience factors. Aging and Mental Health, 8, 475–485. doi:10.1080/13607860410001725054 CrossRefPubMed

American Psychiatric Association. (2013). Diagnositic and statistical manual of mental disorders (DSM-5 ^® ). Washington, DC: American Psychatric Association.CrossRef

Arnold, E. M., Rice, E., Flannery, D., & Rotheram-Borus, M. J. (2008). HIV disclosure among adults living with HIV. AIDS Care, 20, 80–92. doi:10.1080/09540120701449138 CrossRef

Beck, A. T. (1963). Thinking and depression. I. Idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324–333.CrossRefPubMed

Bennett, D. S., Traub, K., Mace, L., Juarascio, A., & O’Hayer, C. V. (2016). Shame among people living with HIV: A literature review. AIDS Care, 28, 87–91.CrossRefPubMed

Bhavan, K. P., Kampalath, V. N., & Overton, E. T. (2008). The aging of the HIV epidemic. Current HIV/AIDS Reports, 5, 150–158.CrossRefPubMed

CDC. (2015). HIV among people aged 50 and over. Retrieved September 29, 2014, from http://www.cdc.gov/hiv/risk/age/olderamericans/

Cella, D. F., McCain, N. L., Peterman, A. H., Mo, F., & Wolen, D. (1996). Development and validation of the functional assessment of human immunodeficiency virus infection (FAHI) quality of life instrument. Quality of Life Research, 5, 450–463.CrossRefPubMed

Chesney, M. A., Chambers, D. B., Taylor, J. M., & Johnson, L. M. (2003). Social support, distress, and well-being in older men living with HIV infection. Journal of Acquired Immune Deficiency Syndromes, 33, S185–S193.CrossRefPubMed

Coffman, D. L., & MacCallum, R. C. (2005). Using parcels to convert path analysis models into latent variable models. Multivariate Behavioral Research, 40, 235–259. doi:10.1207/s15327906mbr4002_4 CrossRefPubMed

De Rubeis, S., & Hollenstein, T. (2009). Individual differences in shame and depressive symptoms during early adolescence. Personality and Individual Differences, 46, 477–482. doi:10.1016/j.paid.2008.11.019 CrossRef

Dickerson, S. S., Gruenewald, T. L., & Kemeny, M. E. (2004a). When the social self is threatened: Shame, physiology, and health. Journal of Personality, 72, 1191–1216. doi:10.1111/j.1467-6494.2004.00295.x CrossRefPubMed

Dickerson, S. S., Kemeny, M. E., Aziz, N., Kim, K. H., & Fahey, J. L. (2004b). Immunological effects of induced shame and guilt. Psychosomatic Medicine, 66, 124–131.CrossRefPubMed

Dilley, J. W., Schwarcz, S., Murphy, J., Joseph, C., Vittinghoff, E., & Scheer, S. (2011). Efficacy of personalized cognitive counseling in men of color who have sex with men: Secondary data analysis from a controlled intervention trial. AIDS and Behavior, 15, 970–975. doi:10.1007/s10461-010-9771-3 CrossRefPubMed

Dilley, J. W., Woods, W. J., Loeb, L., Nelson, K., Sheon, H., Mullan, J., et al. (2007). Brief cognitive counseling with HIV testing to reduce sexual risk among men who have sex with men: Results from a randomized controlled trial using paraprofessional counselors. Journal of Acquired Immune Deficiency Syndromes, 44, 569–577.CrossRefPubMed

Eaton, L. A., Huedo-Medina, T. B., Kalichman, S. C., Pellowski, J. A., Sagherian, M. J., Warren, M., et al. (2012). Meta-analysis of single-session behavioral interventions to prevent sexually transmitted infections: Implications for bundling prevention packages. American Journal of Public Health, 102, e34–e44. doi:10.2105/AJPH.2012.300968 CrossRefPubMedPubMedCentral

Emlet, C. A. (2006). “You’re awfully old to have this disease”: Experiences of stigma and ageism in adults 50 years and older living with HIV/AIDS. Gerontologist, 46, 781–790.CrossRefPubMed

Emlet, C. A. (2007). Experiences of stigma in older adults living with HIV/AIDS: A mixed-methods analysis. AIDS Patient Care and STDs, 21, 740–752. doi:10.1089/apc.2007.0010 CrossRefPubMed

Figuero, L. S. B., Luque, P. B., Martin, T. P., Sagrado, M. G., & Bouza, J. M. E. (2011). Assessment of factors influencing health-related quality of life in HIV-infected patients. HIV Medicine, 12, 22–30. doi:10.1111/j.1468-1293.2010.00844.x CrossRef

Fuller, W. A. (2009). Measurement error models (Vol. 305). New York, NY: Wiley.

Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Englewood Cliffs, NJ: Prentice-Hall.

Greden, J. F. (2003). Physical symptoms of depression: Unmet needs. Journal of Clinical Psychiatry, 64, 5–11.CrossRefPubMed

Grov, C., Golub, S. A., Parsons, J. T., Brennan, M., & Karpiak, S. E. (2010). Loneliness and HIV-related stigma explain depression among older HIV-positive adults. AIDS Care, 22, 630–639. doi:10.1080/09540120903280901 CrossRefPubMedPubMedCentral

Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health-related quality of life. Annals of Internal Medicine, 118, 622–629.CrossRefPubMed

Halkitis, P. N. (2010). Reframing HIV prevention for gay men in the United States. The American Psychologist, 65, 752–763. doi:10.1037/0003-066X.65.8.752 CrossRefPubMed

Heckman, T. G., Heckman, B. D., Kochman, A., Sikkema, K. J., Suhr, J., & Goodkin, K. (2002). Psychological symptoms among persons 50 years of age and older living with HIV disease. Aging and Mental Health, 6, 121–128. doi:10.1080/13607860220126709 CrossRefPubMed

Heckman, T. G., Sikkema, K. J., Hansen, N., Kochman, A., Heh, V., Neufeld, S., et al. (2011). A randomized clinical trial of a coping improvement group intervention for HIV-infected older adults. Journal of Behavioral Medicine, 34, 102–111.CrossRefPubMed

Henningsen, P., Zimmermann, T., & Sattel, H. (2003). Medically unexplained physical symptoms, anxiety, and depression: A meta-analytic review. Psychosomatic Medicine, 65, 528–533.CrossRefPubMed

Herek, G. M., Saha, S., & Burack, J. (2013). Stigma and psychological distress in people with HIV/AIDS. Basic and Applied Social Psychology, 35, 41–54. doi:10.1080/01973533.2012.746606 CrossRef

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi:10.1080/10705519909540118 CrossRef

Justice, A. C. (2010). HIV and aging: Time for a new paradigm. Current HIV/AIDS Report, 7, 69–76. doi:10.1007/s11904-010-0041-9 CrossRef

Kemeny, M. E., Gruenewald, T. L., & Dickerson, S. S. (2004). Shame as the emotional response to threat to the social self: Implications for behavior, physiology, and health. Psychological Inquiry, 15, 153–160.

Kirk, J. B., & Goetz, M. B. (2009). Human immunodeficiency virus in an aging population, a complication of success. Journal of the American Geriatrics Society, 57, 2129–2138. doi:10.1111/j.1532-5415.2009.02494.x CrossRefPubMed

Kline, R. B. (2015). Principles and practice of structural equation modeling. New York, NY: The Guilford Press.

Landau, G., & York, A. S. (2004). Keeping and disclosing a secret among people with HIV in Israel. Health and Social Work, 29, 116–126.CrossRefPubMed

Lee, R. S., Kochman, A., & Sikkema, K. J. (2002). Internalized stigma among people living with HIV–AIDS. AIDS and Behavior, 6, 309–319.CrossRef

Little, T. D., Cunningham, W. A., Shahar, G., & Widaman, K. F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9, 151–173. doi:10.1207/S15328007sem0902_1 CrossRef

Little, T. D., Rhemtulla, M., Gibson, K., & Schoemann, A. M. (2013). Why the items versus parcels controversy needn’t be one. Psychological Methods, 18, 285–300. doi:10.1037/a0033266 CrossRefPubMedPubMedCentral

Luanaigh, C. O., & Lawlor, B. A. (2008). Loneliness and the health of older people. International Journal of Geriatric Psychiatry, 23, 1213–1221. doi:10.1002/gps.2054 CrossRefPubMed

MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1, 130–149. doi:10.1037/1082-989x.1.2.130 CrossRef

Matos, M., & Pinto-Gouveia, J. (2014). Shamed by a parent or by others: The role of attachment in shame memories relation to depression. International Journal of Psychology and Psychological Therapy, 14, 217–244.

McInnis, G. J., & White, J. H. (2001). A phenomenological exploration of loneliness in the older adult. Archives of Psychiatric Nursing, 15, 128–139. doi:10.1053/apnu.2001.23751 CrossRefPubMed

Mills, R. S. L. (2005). Taking stock of the developmental literature on shame. Developmental Review, 25, 26–63. doi:10.1016/j.dr.2004.08.001 CrossRef

Muthén, L. K., & Muthén, B. O. (2010). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthén & Muthén.

Neufeld, S. A., Sikkema, K. J., Lee, R. S., Kochman, A., & Hansen, N. B. (2012). The development and psychometric properties of the HIV and abuse related shame inventory (HARSI). AIDS and Behavior, 16, 1063–1074. doi:10.1007/s10461-011-0086-9 CrossRefPubMedPubMedCentral

Parker, R., & Aggleton, P. (2003). HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action. Social Science Medicine, 57, 13–24.CrossRefPubMed

Peplau, L. A. (1987). Loneliness—Theory, research, and applications—Foreword. Journal of Social Behavior and Personality, 2, R5-R5.

Persons, E., Kershaw, T., Sikkema, K. J., & Hansen, N. B. (2010). The impact of shame on health-related quality of life among HIV-positive adults with a history of childhood sexual abuse. AIDS Patient Care STDs, 24, 571–580. doi:10.1089/apc.2009.0209 CrossRefPubMedPubMedCentral

Pinquart, M. (2003). Loneliness in married, widowed, divorced, and never-married older adults. Journal of Social and Personal Relationships, 20, 31–53. doi:10.1177/02654075030201002 CrossRef

Rodriguez-Penney, A. T., Iudicello, J. E., Riggs, P. K., Doyle, K., Ellis, R. J., Letendre, S. L., et al. (2013). Co-morbidities in persons infected with HIV: Increased burden with older age and negative effects on health-related quality of life. AIDS Patient Care STDs, 27, 5–16. doi:10.1089/apc.2012.0329 CrossRefPubMedPubMedCentral

Russell, D., Peplau, L. A., & Cutrona, C. E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39, 472–480.CrossRefPubMed

Sankar, A., Nevedal, A., Neufeld, S., Berry, R., & Luborsky, M. (2011). What do we know about older adults and HIV? A review of social and behavioral literature. AIDS Care, 23, 1187–1207. doi:10.1080/09540121.2011.564115 CrossRefPubMedPubMedCentral

Satorra, A., & Bentler, P. M. (2010). Ensuring positiveness of the scaled difference Chi square test statistic. Psychometrika, 75, 243–248. doi:10.1007/s11336-009-9135-y CrossRefPubMedPubMedCentral

Shim, S. S., Wang, C., & Cassady, J. C. (2013). Emotional well-being: The role of social achievement goals and self-esteem. Personality and Individual Differences, 55, 840–845. doi:10.1016/j.paid.2013.07.004 CrossRef

Sikkema, K. J., Hansen, N. B., Meade, C. S., Kochman, A., & Fox, A. M. (2009). Psychosocial predictors of sexual HIV transmission risk behavior among HIV-positive adults with a sexual abuse history in childhood. Archives of Sex Behavior, 38, 121–134. doi:10.1007/s10508-007-9238-4 CrossRef

Skinta, M. D., Lezama, M., Wells, G., & Dilley, J. W. (2015). Acceptance and compassion-based group therapy to reduce HIV stigma. Cognitive and Behavioral Practice, 22, 481–490.CrossRef

Smith, R., Rossetto, K., & Peterson, B. L. (2008). A meta-analysis of disclosure of one’s HIV-positive status, stigma and social support. AIDS Care, 20, 1266–1275. doi:10.1080/09540120801926977 CrossRefPubMed

Steiger, J. H., Shapiro, A., & Browne, M. W. (1985). On the multivariate asymptotic-distribution of sequential chi square statistics. Psychometrika, 50, 253–264. doi:10.1007/Bf02294104 CrossRef

Swann, W. B., Jr., Wenzlaff, R. M., & Tafarodi, R. W. (1992). Depression and the search for negative evaluations: More evidence of the role of self-verification strivings. Journal of Abnormal Psychology, 101, 314–317.CrossRefPubMed

Tangney, J. P., & Dearing, R. L. (2003). Shame and guilt. New York, NY: Guilford Press.

Wen, M., Hawkley, L. C., & Cacioppo, J. T. (2006). Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois. Social Science and Medicine, 63, 2575–2590. doi:10.1016/j.socscimed.2006.06.025 CrossRefPubMed

Yesavage, J. A., Brink, T. L., & Rose, T. L. (2000). Geriatric depression scale (GDS). In A. P. Association (Ed.), Handbook of psychiatric measures (pp. 544–546). Washington, DC: American Psychiatric Association.

Titel: HIV-related shame and health-related quality of life among older, HIV-positive adults
Auteurs: Wilson Vincent
Xindi Fang
Sarah K. Calabrese
Timothy G. Heckman
Kathleen J. Sikkema
Nathan B. Hansen
Publicatiedatum: 30-11-2016
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 3/2017
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-016-9812-0

Andere artikelen Uitgave 3/2017

A group-mediated physical activity intervention in older knee osteoarthritis patients: effects on social cognitive outcomes

BRIEF REPORT

Bohn Stafleu van Loghum

HIV-related shame and health-related quality of life among older, HIV-positive adults

Abstract

Andere artikelen Uitgave 3/2017

A group-mediated physical activity intervention in older knee osteoarthritis patients: effects on social cognitive outcomes

The closer ‘We’ are, the stronger ‘I’ am: the impact of couple identity on cancer coping self-efficacy

Engagement in health-promoting behaviors and patient–caregiver interdependence in dyads facing advanced cancer: an exploratory study

A brief measure of reactance to health warnings

Mediators of change in screen-time in a school-based intervention for adolescent boys: findings from the ATLAS cluster randomized controlled trial

Investigating the role of implicit prototypes in the prototype willingness model

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

A group-mediated physical activity intervention in older knee osteoarthritis patients: effects on social cognitive outcomes

The closer ‘We’ are, the stronger ‘I’ am: the impact of couple identity on cancer coping self-efficacy

Engagement in health-promoting behaviors and patient–caregiver interdependence in dyads facing advanced cancer: an exploratory study

A brief measure of reactance to health warnings

Mediators of change in screen-time in a school-based intervention for adolescent boys: findings from the ATLAS cluster randomized controlled trial

Investigating the role of implicit prototypes in the prototype willingness model