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Child Psychiatry & Human Development
Gepubliceerd in: Child Psychiatry & Human Development 4/2016

12-10-2015 | Original Article

HIV-Related Stigma, Shame, and Avoidant Coping: Risk Factors for Internalizing Symptoms Among Youth Living with HIV?

Auteurs: David S. Bennett, Jill Hersh, Joanna Herres, Jill Foster

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2016

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Abstract

Youth living with HIV (YLH) are at elevated risk of internalizing symptoms, although there is substantial individual variability in adjustment. We examined perceived HIV-related stigma, shame-proneness, and avoidant coping as risk factors of internalizing symptoms among YLH. Participants (N = 88; ages 12–24) completed self-report measures of these potential risk factors and three domains of internalizing symptoms (depressive, anxiety, and PTSD) during a regularly scheduled HIV clinic visit. Hierarchical regressions were conducted for each internalizing symptoms domain, examining the effects of age, gender, and maternal education (step 1), HIV-related stigma (step 2), shame- and guilt-proneness (step 3), and avoidant coping (step 4). HIV-related stigma, shame-proneness, and avoidant coping were each correlated with greater depressive, anxiety, and PTSD symptoms. Specificity was observed in that shame-proneness, but not guilt-proneness, was associated with greater internalizing symptoms. In multivariable analyses, HIV-related stigma and shame-proneness were each related to greater depressive and PTSD symptoms. Controlling for the effects of HIV-related stigma and shame-proneness, avoidant coping was associated with PTSD symptoms. The current findings highlight the potential importance of HIV-related stigma, shame, and avoidant coping on the adjustment of YLH, as interventions addressing these risk factors could lead to decreased internalizing symptoms among YLH.
vorige artikel Expression and Regulation of Attachment-Related Emotions in Children with Conduct Problems and Callous–Unemotional Traits
volgende artikel Social Phobia and Educational and Interpersonal Impairments in Adolescence: A Prospective Study
Literatuur
1.
Center for Disease Control and Prevention (2011) HIV Surveillance Report. vol. 23
2.
UNICEF (2011) Opportunity in crisis: preventing HIV from early adolescence to young adulthood. UNICEF (United Nations), New York
3.
Louthrenoo O, Oberdorfer P, Sirisanthana V (2014) Psychosocial functioning in adolescents with perinatal HIV infection receiving highly active antiretroviral therapy. J Int Assoc Provid AIDS Care 13:178–183CrossRefPubMed
4.
Marhefka SL, Lyon M, Koenig LJ, Orban L, Stein R, Lewis J et al (2009) Emotional and behavioral problems and mental health service utilization of youth living with HIV acquired perinatally or later in life. AIDS Care 21:1447–1454CrossRefPubMed
5.
Bordeaux JD, Loveland KA, Lachar D, Stehbens J, Bell TS, Nichols S et al (2003) Hemophilia growth and development study: caregiver report of youth and family adjustment to HIV disease and immunologic compromise. J Pediatr Psychol 28:175–183CrossRefPubMed
6.
Smith Fawzi MC, Eustache E, Oswald C, Surkan P, Louis E, Scanlan F et al (2010) Psychosocial functioning among HIV-affected youth and their caregivers in Haiti: implications for family-focused service provision in high HIV burden settings. AIDS Patient Care STDs 24:147–158CrossRefPubMedPubMedCentral
7.
Mellins CA, Malee KM (2013) Understanding the mental health of youth living with perinatal HIV infection: lessons learned and current challenges. J Int AIDS Soc 16:18593CrossRefPubMedPubMedCentral
8.
Kim MH, Mazenga AC, Devandra A, Ahmed S, Kazembe PN, Yu X et al (2014) Prevalence of depression and validation of the Beck Depression Inventory-II and the Children’s Depression Inventory-Short amongst HIV-positive adolescents in Malawi. J Int AIDS Soc 17:18965–18977CrossRefPubMedPubMedCentral
9.
Gosling AS, Burns J, Hirst F (2004) Children with HIV in the UK: a longitudinal study of adaptive and cognitive functioning. Clin Child Psychol Psychiatry 9:25–37CrossRef
10.
11.
O’Hayer C, Bennett D, Jacobson J. The lasting impact of HIV/AIDS. In: Skinta M (ed) Mindfulness and acceptance for gender and sexual minorities. New Harbinger, Oakland, CA
12.
Goffman E (1963) Stigma: notes on the management of spoiled identity. Anchor Books, Garden City
13.
Logie C, Gadalla TM (2009) Meta-analysis of health and demographic correlates of stigma towards people living with HIV. AIDS Care 21:742–753CrossRefPubMed
14.
Mahajan AP, Sayles JN, Patel VA, Remien RH, Ortiz D, Szekeres G et al (2008) Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS 22:S67–S79CrossRefPubMedPubMedCentral
15.
Bogart LM, Cowgill BO, Kennedy D, Ryan G, Murphy DA, Elijah J et al (2008) HIV-related stigma among people with HIV and their families: a qualitative analysis. AIDS Behav 12:244–254CrossRefPubMed
16.
Swendeman D, Rotheram-Borus MJ, Comulada S, Weiss R, Ramos ME (2006) Predictors of HIV-related stigma among young people living with HIV. Health Psychol 25:501–509CrossRefPubMedPubMedCentral
17.
Fife BL, Wright ER (2000) The dimensionality of stigma: a comparison of its impact on the self of persons with HIV/AIDS and cancer. J Health Soc Behav 41:50–67CrossRefPubMed
18.
Audet CM, McGowan CC, Wallston KA, Kipp AM (2013) Relationship between HIV stigma and self-isolation among people living with HIV in Tennessee. PLoS One 8:e69564CrossRefPubMedPubMedCentral
19.
Charles B, Jeyaseelan L, Pandian A, Sam A, Thenmozhi M, Jayaseelan V (2012) Association between stigma, depression and quality of life of people living with HIV/AIDS (PLHA) in South India–a community based cross sectional study. BMC Public Health 12:463CrossRefPubMedPubMedCentral
20.
Zhao G, Li X, Zhao J, Zhang L, Stanton B (2012) Relative importance of various measures of HIV-related stigma in predicting psychological outcomes among children affected by HIV. Community Ment Health J 48:275–283CrossRefPubMed
21.
Kim S, Thibodeau R, Jorgensen RS (2011) Shame, guilt, and depressive symptoms: a meta-analytic review. Psychol Bull 137:68–96CrossRefPubMed
22.
Shame Lewis M (1995) The exposed self. Simon and Schuster, New York
23.
24.
DeMarco FJ (1998) Coping with the stigma of AIDS: an investigation of the effects of shame, stress, control and coping on depression in HIV-positive and-negative gay men: Michigan State University. Department of Psychology
25.
Li L, Lee S-J, Jiraphongsa C, Khumtong S, Iamsirithaworn S, Thammawijaya P et al (2010) Improving the health and mental health of people living with HIV/AIDS: 12-month assessment of a behavioral intervention in Thailand. Am J Public Health 100:2418–2425CrossRefPubMedPubMedCentral
26.
Rodkjaer L, Laursen T, Balle N, Sodemann M (2010) Depression in patients with HIV is under-diagnosed: a cross-sectional study in Denmark. HIV Med 11:46–53CrossRefPubMed
27.
28.
Feiring C, Taska L, Lewis M (2002) Adjustment following sexual abuse discovery: the role of shame and attributional style. Dev Psychol 38:79–92CrossRefPubMed
29.
Stuewig J, McCloskey LA (2005) The relation of child maltreatment to shame and guilt among adolescents: psychological routes to depression and delinquency. Child Maltreat 10:324–336CrossRefPubMed
30.
Tangney JP, Wagner P, Gramzow R (1992) Proneness to shame, proneness to guilt, and psychopathology. J Abnorm Psychol 101:469–478CrossRefPubMed
31.
Lewis M (2008) Self-conscious emotions: embarrassment, pride, shame, and guilt. In: Lewis M, Haviland-Jones J, Feldman BL (eds) Handbook of emotions, 3rd edn. Guilford, New York, pp 742–756
32.
De Rubeis S, Hollenstein T (2009) Individual differences in shame and depressive symptoms during early adolescence. Pers Individ Dif 46:477–482CrossRef
33.
Grov C, Golub SA, Parsons JT, Brennan M, Karpiak SE (2010) Loneliness and HIV-related stigma explain depression among older HIV-positive adults. AIDS Care 22:630–639CrossRefPubMedPubMedCentral
34.
Hatzenbuehler ML, Nolen-Hoeksema S, Dovidio J (2009) How does stigma “get under the skin”? The mediating role of emotion regulation. Psychol Sci 20:1282–1289CrossRefPubMedPubMedCentral
35.
Olatunji BO, Naragon-Gainey K, Wolitzky-Taylor KB (2013) Specificity of rumination in anxiety and depression: a multimodal meta-analysis. Clin Psychol 20:225–257
36.
McIntosh RC, Rosselli M (2012) Stress and coping in women living with HIV: a meta-analytic review. AIDS Behav 16:2144–2159CrossRefPubMed
37.
Weaver KE, Llabre MM, Duran RE, Antoni MH, Ironson G, Penedo FJ et al (2005) A stress and coping model of medication adherence and viral load in HIV-positive men and women on highly active antiretroviral therapy (HAART). Health Psychol 24:385–392CrossRefPubMed
38.
Ironson G, O’Cleirigh C, Fletcher MA, Laurenceau JP, 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. Psychosom Med 67:1013–1021CrossRefPubMedPubMedCentral
39.
Leserman J, Petitto JM, Golden RN, Gaynes BN, Gu H, Perkins DO et al (2000) Impact of stressful life events, depression, social support, coping, and cortisol on progression to AIDS. Am J Psychiatry 157:1221–1228CrossRefPubMed
40.
Muris P, Meesters C (2014) Small or big in the eyes of the other: on the developmental psychopathology of self-conscious emotions as shame, guilt, and pride. Clin Child Fam Psychol Rev 17:19–40CrossRefPubMed
41.
Mills RS, Hastings PD, Serbin LA, Stack DM, Abela JR, Arbeau KA et al (2015) Depressogenic thinking and shame proneness in the development of internalizing problems. Child Psychiatry Hum Dev 46:194–208CrossRefPubMed
42.
Kilpatrick DG, Ruggiero KJ, Acierno R, Saunders BE, Resnick HS, Best CL (2003) Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: results from the National Survey of Adolescents. J Consult Clin Psychol 71:692–700CrossRefPubMed
43.
Nolen-Hoeksema S, Girgus JS (1994) The emergence of gender differences in depression during adolescence. Psychol Bull 115:424–443CrossRefPubMed
44.
Goodman E, Slap GB, Huang B (2003) The public health impact of socioeconomic status on adolescent depression and obesity. Am J Public Health 93:1844–1850CrossRefPubMedPubMedCentral
45.
Martin L, Kagee A (2011) Lifetime and HIV-related PTSD among persons recently diagnosed with HIV. AIDS Behav 15:125–131CrossRefPubMed
46.
Berger BE, Ferrans CE, Lashley FR (2001) Measuring stigma in people with HIV: psychometric assessment of the HIV stigma scale. Res Nurs Health 24:518–529CrossRefPubMed
47.
Murphy DA, Austin EL, Greenwell L (2007) Correlates of HIV-related stigma among HIV-positive mothers and their uninfected adolescent children. Women Health 44:19–42CrossRef
48.
Tangney JP, Wagner J, Gavlas J, Gramzow R (1991) The test of self-conscious affect for adolescents (TOSCA-A). George Mason University, Fairfax
49.
Ayers TS, Sandler IN, West SG, Roosa MW (1996) A dispositional and situational assessment of children’s coping: testing alternative models of coping. J Pers 64:923–958CrossRefPubMed
50.
Weissman M, Orvaschell H, Padian N (1980) Children’s symptom and social functioning: self-report scales. J Nerv Ment Dis 168:736–740CrossRefPubMed
51.
Shahid A, Wilkinson K, Marcu S, Shapiro CM (2012) Stop, that and one hundred other sleep scales. Springer Science & Business Media, BerlinCrossRef
52.
March JS, Parker JD, Sullivan K, Stallings P, Conners CK (1997) The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity. J Am Acad Child Adolesc Psychiatry 36:554–565CrossRefPubMed
53.
Goldfield G, Moore C, Henderson K, Buchholz A, Obeid N, Flament M (2010) The relation between weight-based teasing and psychological adjustment in adolescents. Paediatr Child Health 15:283–288PubMedPubMedCentral
54.
Foa EB, Johnson KM, Feeny NC, Treadwell KR (2001) The Child PTSD Symptom Scale: a preliminary examination of its psychometric properties. J Clin Child Adolesc Psychol 30:376–384CrossRef
55.
Nixon RD, Meiser-Stedman R, Dalgleish T, Yule W, Clark DM, Perrin S et al (2013) The Child PTSD Symptom Scale: an update and replication of its psychometric properties. Psychol Assess 25:1025–1031CrossRefPubMed
56.
Nolan SA, Flynn C, Garber J (2003) Prospective relations between rejection and depression in young adolescents. J Pers Soc Psychol 85:745–755CrossRefPubMed
57.
Dickerson SS, Gruenewald TL, Kemeny ME (2004) When the social self is threatened: shame, physiology, and health. J Pers 72:1191–1216CrossRefPubMed
58.
Lev-Wiesel R, Nuttman-Shwartz O, Sternberg R (2006) Peer rejection during adolescence: psychological long-term effects—A brief report. J Loss Trauma 11:131–142CrossRef
59.
60.
Feiring C, Taska LS (2005) The persistence of shame following sexual abuse: a longitudinal look at risk and recovery. Child Maltreat 10:337–349CrossRefPubMed
61.
62.
Krause ED, Kaltman S, Goodman LA, Dutton MA (2008) Avoidant coping and PTSD symptoms related to domestic violence exposure: a longitudinal study. J Trauma Stress 21:83–90CrossRefPubMed
63.
Pineles SL, Mostoufi SM, Ready CB, Street AE, Griffin MG, Resick PA (2011) Trauma reactivity, avoidant coping, and PTSD symptoms: a moderating relationship? J Abnorm Psychol 120:240CrossRefPubMedPubMedCentral
64.
Kliewer W (1997) Children’s coping with chronic illness. In: Wolchik SA, Sandler IN (eds) Handbook of children’s coping. Plenum Press, New York, p 275–300CrossRef
65.
Holmes JA, Stevenson CA (1990) Differential effects of avoidant and attentional coping strategies on adaptation to chronic and recent-onset pain. Health Psychol 9:577–584CrossRefPubMed
66.
Ironson G, Balbin E, Stuetzle R, Fletcher MA, O’Cleirigh C, Laurenceau JP et al (2005) Dispositional optimism and the mechanisms by which it predicts slower disease progression in HIV: proactive behavior, avoidant coping, and depression. Int J Behav Med 12:86–97CrossRefPubMedPubMedCentral
67.
Luoma JB, Kohlenberg BS, Hayes SC, Fletcher L (2012) Slow and steady wins the race: a randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders. J Consult Clin Psychol 80:43–53CrossRefPubMed
68.
Lutgendorf SK, Antoni MH, Ironson G, Starr K, Costello N, Zuckerman M et al (1998) Changes in cognitive coping skills and social support during cognitive behavioral stress management intervention and distress outcomes in symptomatic human immunodeficiency virus (HIV)-seropositive gay men. Psychosom Med 60:204–214CrossRefPubMed
69.
Persons E, Kershaw T, Sikkema KJ, Hansen NB (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 24:571–580CrossRefPubMedPubMedCentral
70.
Cunningham RM, Stiffman AR, Doré P, Earls F (1994) The association of physical and sexual abuse with HIV risk behaviors in adolescence and young adulthood: implications for public health. Child Abuse Negl 18:233–245CrossRefPubMed
71.
Randles D, Tracy JL (2013) Nonverbal displays of shame predict relapse and declining health in recovering alcoholics. Clin Psychol Sci 1:149–155CrossRef
72.
Bennett DS (1994) Depression among children with chronic medical problems: a meta-analysis. J Pediatr Psychol 19:149–169CrossRefPubMed
73.
Pinquart M, Shen Y (2011) Anxiety in children and adolescents with chronic physical illnesses: a meta-analysis. Acta Paediatr 100:1069–1076CrossRefPubMed
Metagegevens
Titel
HIV-Related Stigma, Shame, and Avoidant Coping: Risk Factors for Internalizing Symptoms Among Youth Living with HIV?
Auteurs
David S. Bennett
Jill Hersh
Joanna Herres
Jill Foster
Publicatiedatum
12-10-2015
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2016
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-015-0599-y

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