THE PSYCHOLOGICAL WELL-BEING OF PEOPLE LIVING WITH HIV/AIDS AND THE ROLE OF RELIGIOUS COPING AND SOCIAL SUPPORT
Identifieur interne : 001247 ( Main/Exploration ); précédent : 001246; suivant : 001248THE PSYCHOLOGICAL WELL-BEING OF PEOPLE LIVING WITH HIV/AIDS AND THE ROLE OF RELIGIOUS COPING AND SOCIAL SUPPORT
Auteurs : Safiya George Dalmida [États-Unis] ; Harold G. Koenig [États-Unis, Arabie saoudite] ; Marcia Mcdonnell Holstad [États-Unis] ; Menka Munira Wirani [États-Unis]Source :
- International journal of psychiatry in medicine [ 0091-2174 ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Religion, Santé publique, Santé mentale, Homme.
English descriptors
- KwdEn :
Abstract
Objective: This study examined correlates of depressive symptoms, particularly the role of religious coping (RCOPE), among people living with HIV/AIDS (PLWHA). The study also examined social support as a possible mediator of the proposed association between religious coping and depressive symptoms and the impact of depressive symptomatology on health outcomes such as HIV medication adherence, immune function, and health-related quality of life (HRQOL) among PLWHA. Method: A convenience sample of 292 PLWHA were recruited from an out-patient infectious disease clinic and AIDS-service organizations in the Southeastern United States. Results: 56.7% reported depressive symptoms. PLWHA with depressive symptomatology reported significantly poorer health outcomes, including poorer HIV medication adherence, lower CD4 cell count, and poorer HRQOL. The odds of being depressed was significantly associated with birth sex (female: OR = 0.43, 95% CI = .23-.80), sexual orientation (gay/bisexual: OR = 1.95, 95% CI = 1.04-3.65), marital status (single: OR =.52, 95% CI =.27-.99), social support satisfaction (OR = 0.65, 95% CI = .49-.86), and negative RCOPE (OR = 1.22, 95% CI = 1.14-1.31). Social support partially mediated the relationship between religious coping and depressive symptoms. Conclusions: High rates of depressive symptoms are present in PLWHA, which negatively impact health outcomes. Religious coping, perceived stress, and social support satisfaction serve an important role in depressive symptomatology among PLWHA. These findings underscore the need for healthcare providers to regularly screen PLWHA for and adequately treat depression and collaborate with mental health providers, social workers, and pastoral care counselors to address PLWHA's mental, social, and spiritual needs and optimize their HIV-related outcomes.
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Koenig</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Duke University Medical Center</s1><s2>Durham, North Carolina</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>King Abdulaziz University</s1><s2>Jeddah</s2><s3>SAU</s3><sZ>2 aut.</sZ></inist:fA14><country>Arabie saoudite</country><wicri:noRegion>King Abdulaziz University</wicri:noRegion></affiliation></author><author><name sortKey="Holstad, Marcia Mcdonnell" sort="Holstad, Marcia Mcdonnell" uniqKey="Holstad M" first="Marcia Mcdonnell" last="Holstad">Marcia Mcdonnell Holstad</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Emory University</s1><s2>Atlanta, Georgia</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Wirani, Menka Munira" sort="Wirani, Menka Munira" uniqKey="Wirani M" first="Menka Munira" last="Wirani">Menka Munira Wirani</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Emory University</s1><s2>Atlanta, Georgia</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">International journal of psychiatry in medicine</title><title level="j" type="abbreviated">Int. j. psychiatry med.</title><idno type="ISSN">0091-2174</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of psychiatry in medicine</title><title level="j" type="abbreviated">Int. j. psychiatry med.</title><idno type="ISSN">0091-2174</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Coping</term><term>Depression</term><term>Human</term><term>Human immunodeficiency virus</term><term>Mental health</term><term>Psychological well-being</term><term>Public health</term><term>Quality of life</term><term>Religion</term><term>Social environment</term><term>Social support</term><term>Spirituality</term><term>United States</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Bien-être psychologique</term><term>SIDA</term><term>Virus immunodéficience humaine</term><term>Religion</term><term>Coping</term><term>Soutien social</term><term>Spiritualité</term><term>Etat dépressif</term><term>Qualité de vie</term><term>Santé publique</term><term>Santé mentale</term><term>Environnement social</term><term>Etats-Unis</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Religion</term><term>Santé publique</term><term>Santé mentale</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: This study examined correlates of depressive symptoms, particularly the role of religious coping (RCOPE), among people living with HIV/AIDS (PLWHA). The study also examined social support as a possible mediator of the proposed association between religious coping and depressive symptoms and the impact of depressive symptomatology on health outcomes such as HIV medication adherence, immune function, and health-related quality of life (HRQOL) among PLWHA. Method: A convenience sample of 292 PLWHA were recruited from an out-patient infectious disease clinic and AIDS-service organizations in the Southeastern United States. Results: 56.7% reported depressive symptoms. PLWHA with depressive symptomatology reported significantly poorer health outcomes, including poorer HIV medication adherence, lower CD4 cell count, and poorer HRQOL. The odds of being depressed was significantly associated with birth sex (female: OR = 0.43, 95% CI = .23-.80), sexual orientation (gay/bisexual: OR = 1.95, 95% CI = 1.04-3.65), marital status (single: OR =.52, 95% CI =.27-.99), social support satisfaction (OR = 0.65, 95% CI = .49-.86), and negative RCOPE (OR = 1.22, 95% CI = 1.14-1.31). Social support partially mediated the relationship between religious coping and depressive symptoms. Conclusions: High rates of depressive symptoms are present in PLWHA, which negatively impact health outcomes. Religious coping, perceived stress, and social support satisfaction serve an important role in depressive symptomatology among PLWHA. These findings underscore the need for healthcare providers to regularly screen PLWHA for and adequately treat depression and collaborate with mental health providers, social workers, and pastoral care counselors to address PLWHA's mental, social, and spiritual needs and optimize their HIV-related outcomes.</div></front></TEI><affiliations><list><country><li>Arabie saoudite</li><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>Géorgie (États-Unis)</li></region></list><tree><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Dalmida, Safiya George" sort="Dalmida, Safiya George" uniqKey="Dalmida S" first="Safiya George" last="Dalmida">Safiya George Dalmida</name></region><name sortKey="Holstad, Marcia Mcdonnell" sort="Holstad, Marcia Mcdonnell" uniqKey="Holstad M" first="Marcia Mcdonnell" last="Holstad">Marcia Mcdonnell Holstad</name><name sortKey="Koenig, Harold G" sort="Koenig, Harold G" uniqKey="Koenig H" first="Harold G." last="Koenig">Harold G. Koenig</name><name sortKey="Wirani, Menka Munira" sort="Wirani, Menka Munira" uniqKey="Wirani M" first="Menka Munira" last="Wirani">Menka Munira Wirani</name></country><country name="Arabie saoudite"><noRegion><name sortKey="Koenig, Harold G" sort="Koenig, Harold G" uniqKey="Koenig H" first="Harold G." last="Koenig">Harold G. Koenig</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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