SPIRITUAL TRANSFORMATION, PSYCHOLOGICAL WELL-BEING,1 HEALTH, AND SURVIVAL IN PEOPLE WITH HIV
Identifieur interne : 001C57 ( Main/Exploration ); précédent : 001C56; suivant : 001C58SPIRITUAL TRANSFORMATION, PSYCHOLOGICAL WELL-BEING,1 HEALTH, AND SURVIVAL IN PEOPLE WITH HIV
Auteurs : Gail Ironson [États-Unis] ; Heidemarie Kremer [États-Unis]Source :
- International journal of psychiatry in medicine [ 0091-2174 ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Objectives: Although Spiritual Transformation (ST) occurs in a sizable proportion of people with HIV (about 39%), there is little research on the potential benef ts of ST with respect to psychological well-being, health, and survival in this population. Our study attempts to fill this gap. Method: Using a mixed method approach, we related interviews of 147 people with HIV (identifyin the presence/absence of ST) to questionnaires measuring demographics, medical history, treatment adherence, physical symptoms, and psychological well-being (i.e., stress, coping, life attitude, and spirituality), and asse ssments of CD4-counts and viral load and survival 3 to 5 years later. Results: At comparable times since HIV-diagnosis and antiretroviral medicatior s prescribed, the presence of ST was significantly associated with better treatment success (undetectable viral loads, higher CD4 counts), better medication adherence, fewer symptoms, less distress, more positive coping, different life attitudes (i.e., existential transcendence, meaning/ purpose in life, optimism, death acceptance), more spiritual practices, and increased spirituality. ST was also associated with substance-use recovery and with being African American. Survival up to 5 years was 5.35 times more likely among participants with ST (pf= .044). According to a Cox-regression adjusted for baseline CD4-counts, age, race-ethnicity, gender, education, years since HIV-diagnosis, and a history of substance-use problems, ST still reduced the risk of death (HR = 0.07, 95% CI = 0.01-0.53, p = .010). Conclusions: ST has associated benefits for psychological well-being, health, and survival.
Affiliations:
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Our study attempts to fill this gap. Method: Using a mixed method approach, we related interviews of 147 people with HIV (identifyin the presence/absence of ST) to questionnaires measuring demographics, medical history, treatment adherence, physical symptoms, and psychological well-being (i.e., stress, coping, life attitude, and spirituality), and asse ssments of CD4-counts and viral load and survival 3 to 5 years later. Results: At comparable times since HIV-diagnosis and antiretroviral medicatior s prescribed, the presence of ST was significantly associated with better treatment success (undetectable viral loads, higher CD4 counts), better medication adherence, fewer symptoms, less distress, more positive coping, different life attitudes (i.e., existential transcendence, meaning/ purpose in life, optimism, death acceptance), more spiritual practices, and increased spirituality. ST was also associated with substance-use recovery and with being African American. Survival up to 5 years was 5.35 times more likely among participants with ST (p<sub>f</sub>= .044). According to a Cox-regression adjusted for baseline CD4-counts, age, race-ethnicity, gender, education, years since HIV-diagnosis, and a history of substance-use problems, ST still reduced the risk of death (HR = 0.07, 95% CI = 0.01-0.53, p = .010). Conclusions: ST has associated benefits for psychological well-being, health, and survival.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Ironson, Gail" sort="Ironson, Gail" uniqKey="Ironson G" first="Gail" last="Ironson">Gail Ironson</name></region><name sortKey="Kremer, Heidemarie" sort="Kremer, Heidemarie" uniqKey="Kremer H" first="Heidemarie" last="Kremer">Heidemarie Kremer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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